PTCE Pharmacy Technician

Category - Insurance

You attempt to fill a refill prescription for Robert Smith, but when you try to bill the insurance company, you get the rejection message: "Filled After Coverage Terminated." What should you do?
  1. Tell the patient that their coverage has terminated, and ask them to bring in their new insurance information, if they have it
  2. Tell the patient you cannot fill prescriptions for him at your pharmacy anymore
  3. Tell the patient his prescription is expired, and that you need to call the doctor for authorization to refill it
  4. Tell the patient that the doctor has to provide authorization to the insurance company to refill it
Explanation
Answer: A - You should tell the patient that their coverage has terminated, and ask them to bring in their new insurance information, if they have it. This message means the patient may no longer have insurance with the company being billed. The patient will need to bring in their new insurance information, or pay out of pocket to obtain their medication.
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