Defition Flashcards
Six digit number that identify their insurance company
BIN
Promote industry solution that improves patient , safety, and health outcomes and reduce cost
NCPDP
ID number issued by the central of Medicare and Medi-Cal service for prescriber and pharmacist
NPI
Unique number that identifies a prescriber ,pharmacy ,manufacture that is register to prescribe, dispense and handle control substance
DEA#
A free directory of all active NPI record
NPPES registry
Identifies manufacturer, name, strength, dosage, form, and package size of each joke
I NDC
DAW code
Indicates why a particular product was dispense
Days’ supply
The number of days the medication will last
Prescription number
Unique pharmacy generate a number that identifies a specific prescription order
Quantity
Amount of medication to be dispense
Dual eligible
Patient is covered by multiple separate insurance claim
ID number
Identify the policyholder’s account
Name
The policy holder’sname
 Depend code
Which family member is using benefits
Group number
Identifies the benefit of specific plan
BIN
The correct insurance company to bill for reimbursement
 PCN
A secondary identifier to route pharmacy claim to the insurance
Effective date
Effected day insurance coverage begin
A company that reimburse healthcare provider to their services
The party payer
I set amount of money paid by the patient until the insurance pays for the health coverage
 Deductible
An ongoing amount pay by an individual to maintain insurance coverage
Premium
A set amount of money to be pay for each prescription
copay
A list of drugs, covered by the insurance, organized and tier by cost
Formulary
Annual parade to select benefit coverage for the following calendar year
 Open enrollment
A percentage of the drug cost to be paid by each prescription
Coinsurance
The amount of money the patient pays for the prescript
 Out-of-pocket costs
Portable contract that includes important detail up plan
 Insurance card
No party payer process of accepting or denying a submitted claim
 adjudication
Electronic submission of a claim to an insurance company

Ad justification
A free directory of the active NPI
NPPES national plan on prescriptions enumeration system registry
Six digit number that identify the insurance company

BIN bank identification number
Promote industrial solutions that improved patient safety, and health outcomes and reduce costs
 NCPDP  national council for prescription drug program
ID number issued by the center of Medicare and Medicaid services to prescriber  and Pharmacist
NPI.  National provider identifier
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
PBM (pharmacy benefit manager
Insurances that keep cost low while providing quality, comprehension healthcare‘s, Medicaid, Medicare, and government respond, example HMO, PPO, Medicare, Medicaid.
MCO
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
MCS
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
TJC
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
What is a medication era joint commission?
