FlexibleSpendingAccountFSATricareinsurance foractive andretiredmembers of themilitary andtheir familiesCommercialInsurancenongovernmental,private insurancethat they pay foron their own orsubsidized by theiremployersMedicarePart Coffers the fullpackage ofhospital, doctorvisits, and rx druginsurance foranyone over 65NPINationalProviderNumberHealthSavingsAccountHSABINbankidentificationnumberReferralofficialapprovedconsent fromthe pcp foradditionalservicesMedicarePart Bcoversdoctor's visitsfor anyoneover 65 ordisabledPriorAuthorization(PA)PBM wants tocommunicate withthe dr. to get moreinformation aboutthe ongoing needfor a prescriptionAverageWholesalePriceAWPMedigapinsurancesupplementalplan from aprivate insurancecompany to helpcover Medicare A& BOnlineAdjudicationelectronicallysubmitting rxclaims to theappropriatePBMsDurableMedicalEquipmentDMEin-networkprovidersthose withwhom theinsurance co.has a workingcontractCMNcertificateof medicalnecessityPharmacyBenefitManagerdivision ofinsuranceco. thatprocessespt. rx claimsCopayflat out-of-pocket fee thatpt. is requiredto pay for eachhealth visitHealthMaintenanceOrganizationsHMOsMedicaidcoverage for low-income, disabled,unemployed runby federal andstategovernmentsCharge-backpost-claimrejection of arx claim by aPBM that mustbe investigatedworker'scompcovers illnessor injuriescaused by orrelated toone's jobDeductibleamount of annualmedical costs thatmust be paidbefore fullcoverage byinsurance co.kicks inPreferredProviderOrganizationsPPOsMedicarePart Dprescriptionsdrug coveragefor anyoneover 65 ordisabledMedicarePart Ahospitalcoverage foranyone over65 ordisabledPCNprocessorcontrolnumberAuditchecking of thepharmacy'sprescriptionrecords tochallengeproblemsFormularyakapreferreddrug listFlexibleSpendingAccountFSATricareinsurance foractive andretiredmembers of themilitary andtheir familiesCommercialInsurancenongovernmental,private insurancethat they pay foron their own orsubsidized by theiremployersMedicarePart Coffers the fullpackage ofhospital, doctorvisits, and rx druginsurance foranyone over 65NPINationalProviderNumberHealthSavingsAccountHSABINbankidentificationnumberReferralofficialapprovedconsent fromthe pcp foradditionalservicesMedicarePart Bcoversdoctor's visitsfor anyoneover 65 ordisabledPriorAuthorization(PA)PBM wants tocommunicate withthe dr. to get moreinformation aboutthe ongoing needfor a prescriptionAverageWholesalePriceAWPMedigapinsurancesupplementalplan from aprivate insurancecompany to helpcover Medicare A& BOnlineAdjudicationelectronicallysubmitting rxclaims to theappropriatePBMsDurableMedicalEquipmentDMEin-networkprovidersthose withwhom theinsurance co.has a workingcontractCMNcertificateof medicalnecessityPharmacyBenefitManagerdivision ofinsuranceco. thatprocessespt. rx claimsCopayflat out-of-pocket fee thatpt. is requiredto pay for eachhealth visitHealthMaintenanceOrganizationsHMOsMedicaidcoverage for low-income, disabled,unemployed runby federal andstategovernmentsCharge-backpost-claimrejection of arx claim by aPBM that mustbe investigatedworker'scompcovers illnessor injuriescaused by orrelated toone's jobDeductibleamount of annualmedical costs thatmust be paidbefore fullcoverage byinsurance co.kicks inPreferredProviderOrganizationsPPOsMedicarePart Dprescriptionsdrug coveragefor anyoneover 65 ordisabledMedicarePart Ahospitalcoverage foranyone over65 ordisabledPCNprocessorcontrolnumberAuditchecking of thepharmacy'sprescriptionrecords tochallengeproblemsFormularyakapreferreddrug list

Pharmacy Insurance Terms - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. FSA
    Flexible Spending Account
  2. insurance for active and retired members of the military and their families
    Tricare
  3. nongovernmental, private insurance that they pay for on their own or subsidized by their employers
    Commercial Insurance
  4. offers the full package of hospital, doctor visits, and rx drug insurance for anyone over 65
    Medicare Part C
  5. National Provider Number
    NPI
  6. HSA
    Health Savings Account
  7. bank identification number
    BIN
  8. official approved consent from the pcp for additional services
    Referral
  9. covers doctor's visits for anyone over 65 or disabled
    Medicare Part B
  10. PBM wants to communicate with the dr. to get more information about the ongoing need for a prescription
    Prior Authorization (PA)
  11. AWP
    Average Wholesale Price
  12. supplemental plan from a private insurance company to help cover Medicare A & B
    Medigap insurance
  13. electronically submitting rx claims to the appropriate PBMs
    Online Adjudication
  14. DME
    Durable Medical Equipment
  15. those with whom the insurance co. has a working contract
    in-network providers
  16. certificate of medical necessity
    CMN
  17. division of insurance co. that processes pt. rx claims
    Pharmacy Benefit Manager
  18. flat out-of-pocket fee that pt. is required to pay for each health visit
    Copay
  19. HMOs
    Health Maintenance Organizations
  20. coverage for low-income, disabled, unemployed run by federal and state governments
    Medicaid
  21. post-claim rejection of a rx claim by a PBM that must be investigated
    Charge-back
  22. covers illness or injuries caused by or related to one's job
    worker's comp
  23. amount of annual medical costs that must be paid before full coverage by insurance co. kicks in
    Deductible
  24. PPOs
    Preferred Provider Organizations
  25. prescriptions drug coverage for anyone over 65 or disabled
    Medicare Part D
  26. hospital coverage for anyone over 65 or disabled
    Medicare Part A
  27. processor control number
    PCN
  28. checking of the pharmacy's prescription records to challenge problems
    Audit
  29. aka preferred drug list
    Formulary