Insurance Stuff Flashcards

1
Q

What does the acronym MAC (maximum allowable cost) refer to

A

The maximum price per unit the insurer will pay for a particular product

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A claim that is billed to two different insurance carriers is known as a

A

Split bill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A counsel is

A

The procedure of a pharmacist instructing a patient about their medication or health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The amount the patient must pay before the insurer will cover additional medical expenses

A

Deductible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The maximum amount an insurer will pay for a given prescription, determined to be a usual and customary (and reasonable) price

A

U&C or UCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly