What does the term "third party payer info" include?

Study for the NHA ExCPT Exam with flashcards and multiple choice questions. Each question includes hints and explanations. Be well-prepared for your certification exam!

The term "third party payer info" primarily refers to the details required for processing insurance claims related to healthcare services, including prescriptions. This information is crucial for pharmacies to accurately bill the insurance provider for medications dispensed.

Key elements of third-party payer information include the Processor Bank Identification Number (BIN) and the Processor Control Number (PCN). The BIN is used to identify the specific insurance company a claim should be sent to, while the PCN helps route the claim to the appropriate plan within that insurance company. This combination enables pharmacies to swiftly and accurately process prescriptions through the patient's insurance plan.

Other provided options include details about patients' personal identification numbers, pharmacy financial accounts, and insurance policy numbers. While these pieces might be relevant in some contexts, they do not specifically pertain to the essential processing requirements needed for third-party reimbursement claims.

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