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Dec 22, 2024
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PHT 1021 - Third Party Reimbursement
Clock Hours: 12
Course Description:
This course familiarizes students with basic concepts of health insurance, with an emphasis on its application in a pharmacy practice setting.
Student Learning Outcomes:
Course Competencies:
- Identify terminology used in health insurance (e.g. deductible, copay, etc.).
- Outline the differences in the types of health insurance plans (e.g. HMO, PPO, etc.).
- Identify the differences between Medicare and Medicaid, including patient eligibility.
- Demonstrate knowledge of concepts specific to prescription insurance.
- Outline the claims submission and billing processes.
- Identify and be able to correct common insurance rejections and error messages.
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