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A General Dynamics Information Technology, Inc. companyNCMMIS Submitting a Pharmacy Claim Participant User Guide (Providers) PREPARED FOR:TRACKING NUMBER:SUBMITTED BY:North Carolina Department of
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How to fill out submitting a pharmacy claim
How to fill out submitting a pharmacy claim
01
Obtain the prescription from your healthcare provider.
02
Take the prescription to a pharmacy that is in-network with your insurance provider.
03
Provide the pharmacy with your insurance information.
04
The pharmacist will fill the prescription and process the claim with your insurance provider.
05
Pay any applicable copayment or deductible at the pharmacy.
Who needs submitting a pharmacy claim?
01
Anyone who has a prescription for medication and wants to have it covered by their insurance provider.
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What is submitting a pharmacy claim?
Submitting a pharmacy claim is the process of requesting reimbursement from an insurance company or other payer for medications dispensed by a pharmacy.
Who is required to file submitting a pharmacy claim?
Pharmacists or pharmacy staff members are typically responsible for filing a pharmacy claim on behalf of the patient.
How to fill out submitting a pharmacy claim?
To fill out a pharmacy claim, pharmacy staff must enter detailed information about the patient, the prescribed medication, and the insurance or payer information.
What is the purpose of submitting a pharmacy claim?
The purpose of submitting a pharmacy claim is to request reimbursement for the cost of medications provided to a patient.
What information must be reported on submitting a pharmacy claim?
Information such as patient details, medication details, prescription information, insurance information, and billing information must be reported on a pharmacy claim.
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