Defition

Question 1

Six digit number that identify their insurance company

Answer 1

BIN

Question 2

Promote industry solution that improves patient , safety, and health outcomes and reduce cost

Answer 2

NCPDP

Question 3

ID number issued by the central of Medicare and Medi-Cal service for prescriber and pharmacist

Answer 3

NPI

Question 4

Unique number that identifies a prescriber ,pharmacy ,manufacture that is register to prescribe, dispense and handle control substance

Answer 4

DEA#

Question 5

A free directory of all active NPI record

Answer 5

NPPES registry

Question 6

Identifies manufacturer, name, strength, dosage, form, and package size of each joke

Answer 6

I NDC

Question 7

DAW code

Answer 7

Indicates why a particular product was dispense

Question 8

Days’ supply

Answer 8

The number of days the medication will last

Question 9

Prescription number

Answer 9

Unique pharmacy generate a number that identifies a specific prescription order

Question 10

Quantity

Answer 10

Amount of medication to be dispense

Question 11

Dual eligible

Answer 11

Patient is covered by multiple separate insurance claim

Question 12

ID number

Answer 12

Identify the policyholder’s account

Question 13

Name

Answer 13

The policy holder’sname

Question 14

 Depend code

Answer 14

Which family member is using benefits

Question 15

Group number

Answer 15

Identifies the benefit of specific plan

Question 16

BIN

Answer 16

The correct insurance company to bill for reimbursement

Question 17

 PCN

Answer 17

A secondary identifier to route pharmacy claim to the insurance

Question 18

Effective date

Answer 18

Effected day insurance coverage begin

Question 19

A company that reimburse healthcare provider to their services

Answer 19

The party payer

Question 20

I set amount of money paid by the patient until the insurance pays for the health coverage

Answer 20

 Deductible

Question 21

An ongoing amount pay by an individual to maintain insurance coverage

Answer 21

Premium

Question 22

A set amount of money to be pay for each prescription

Answer 22

copay

Question 23

A list of drugs, covered by the insurance, organized and tier by cost

Answer 23

Formulary

Question 24

Annual parade to select benefit coverage for the following calendar year

Answer 24

 Open enrollment

Question 25

A percentage of the drug cost to be paid by each prescription

Answer 25

Coinsurance

Question 26

The amount of money the patient pays for the prescript

Answer 26

 Out-of-pocket costs

Question 27

Portable contract that includes important detail up plan

Answer 27

 Insurance card

Question 28

No party payer process of accepting or denying a submitted claim

Answer 28

 adjudication

Question 29

Electronic submission of a claim to an insurance company

Answer 29

 Ad justification

Question 30

A free directory of the active NPI

Answer 30

NPPES national plan on prescriptions enumeration system registry

Question 31

Six digit number that identify the insurance company

Answer 31

 BIN bank identification number

Question 32

Promote industrial solutions that improved patient safety, and health outcomes and reduce costs

Answer 32

 NCPDP  national council for prescription drug program

Question 33

ID number issued by the center of Medicare and Medicaid services to prescriber  and Pharmacist

Answer 33

NPI.  National provider identifier

Question 34

It is hired by the third-party payer to administer the prescription, drug plans and acts at a middle man between the insurer and the pharmacy

Answer 34

PBM (pharmacy benefit manager

Question 35

Insurances that keep cost low while providing quality, comprehension healthcare‘s, Medicaid, Medicare, and government respond, example HMO, PPO, Medicare, Medicaid.

Answer 35

MCO

Question 36

Center for Medi-Cal Medicare service is the Part health and human service (HHS). and it is same as Medicare is federal run government health insurance program which administered iby CMS

Answer 36

MCS

Question 37

The Joint commission refers to as a CAHO which Wes the joint commission on accreditation of healthcare organization TJC is one of the few national organization to be recognized by CMS for acquisition service

Answer 37

TJC

Question 38

It is a Medication error is any preventable event that may cause a lead to an in appropriate medication use of the patient home while medication is in the control of the healthcare for Professional patient and consumer

Answer 38

What is a medication era joint commission?