Question

question 104

a pharmacy technician should recognize that the routing and identification information for a pharmacy claim is represented by which of the following on an insurance card?

group number
bank identification number
subscriber number
person code

Explanation:

Identify the core question

The question asks which piece of information on an insurance card represents the routing and identification information for processing a pharmacy claim.

Analyze the options

• Group number: Identifies the specific employer group or benefit plan, but does not route the claim to the processor.
• Bank identification number (BIN): A six-digit number used by pharmacy benefits managers (PBMs) to route online prescription claims for processing.
• Subscriber number: Identifies the primary policyholder.
• Person code: Identifies which specific family member under the policy is receiving the medication.

Apply pharmacy billing concepts

Using the Pharmacy Billing knowledge point, the Bank Identification Number (BIN) is the primary routing identifier used to direct electronic pharmacy claims to the correct insurance processor.

Answer:

• Group number
• Bank identification number (Correct answer)
• Subscriber number
• Person code