Question

when a patient comes to pick up their prescription, they provide the pharmacy technician with a third-party insurance card. which of the following actions should the technician take?

call the insurer to verify the patient may use the third-party card.

ask the pharmacist to check out the patient.

process through the insurance plan provided and collect only the amount indicated by the plan’s adjudication.

collect the retail amount owed and tell the patient to submit their receipt to their insurance provider for reimbursement.

Explanation:

In pharmacy practice, when a patient presents a third - party insurance card for a prescription, the pharmacy technician's role includes processing the claim through the insurance plan. This means using the insurance plan's adjudication (the process of determining coverage and costs) to collect the amount that the plan indicates the patient owes. Calling the insurer to verify is not the technician's typical first action here, asking the pharmacist to check out the patient is not the standard procedure for insurance - related prescription pickup, and making the patient submit for reimbursement (option D) is incorrect as the pharmacy should process the insurance claim directly.

Answer:

C. Process through the insurance plan provided and collect only the amount indicated by the plan’s adjudication.