Common Rejections

M/I means

More Information

Missing/Incorrect

Major Insurance

Missing/Invalid

Write an example of what you would say when calling an insurance company.

What do you need to do for the rejection: M/I Birth Date? (select all that apply)

Check with the patient to make sure their date of birth in the EMR is correct.

Check the date of birth in the dispensing software

Get a prior authorization

Call the insurance company to see what date of birth they have on file

What should you say to a patient if your dispensary is not contracted with their insurance?

What do you do to a prescription that has a M/I pharmacy number rejection? (select all that apply)

For a refill too soon rejection:

Take care of the patient, void the prescription, and forward to a pharmacy

Void the prescription, take care of the patient, and change the written date

Take care of the patient, put the Rx on hold, and enter the date the Rx can be filled

Void the fill, send the patient home, and forward the prescription

Over the Medications that are not covered through the insurance can be charged the OTC price. These will not be covered by their insurance at an outside pharmacy.

True

False

What should you tell a patient whose prescription needs a prior authorization?

Select the steps you must take for a prior authrorization: (select all that apply)

Send the PA to the provider by clicking the PA button in the dispensing software

Tell the patient how long it will take

Rebill and fill once you know the PA was approved

Call the patient and let them know it's ready.

Common Rejections

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