PHT 1021 - Third Party Reimbursement

1. Identify terminology used in health insurance (e.g. deductible, copay, etc.).
2. Outline the differences in the types of health insurance plans (e.g. HMO, PPO, etc.).
3. Identify the differences between Medicare and Medicaid, including patient eligibility.
4. Demonstrate knowledge of concepts specific to prescription insurance.
5. Outline the claims submission and billing processes.
6. Identify and be able to correct common insurance rejections and error messages.