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A Patient Brings in a Prescription for a Brand Name

Question 16

Multiple Choice

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

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