A patient brings in a prescription for a brand name nasal steroid, which requires prior authorization in order to be covered by their insurance company. What is the first step that needs to be completed for the prior authorization to be approved?
A) Call the insurance company
B) Contact the doctor's office to inform them of the need for prior authorization and explain what they need to do to obtain approval for this medication
C) Tell the patient their medication isn't covered
D) Reprocess the claim to see if the need for prior authorization goes away
Correct Answer:
Verified
Q11: Which of the following terms describes when
Q12: What is the typical turnaround time for
Q13: Why do insurance companies require prior authorizations
Q14: Which of the following most accurately describes
Q15: A doctor's office calls to say that
Q17: When a prescription is written for a
Q18: Which of the following DAW codes should
Q19: If a patient does not have their
Q20: A patient asks you to call her
Q21: How can you verify that a patient
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents