WorksheetsBill Group Knowledge Check
Total questions: 15
Worksheet time: 1hrs 15mins
Name
Class
Date
1.
1. This patient called in today to report new insurance. Using the following information, locate the correct bill group for the Rx coverage:
a. Name of Insurance: OptumRx Commercial
b. ID#: 854157498
c. Group# N/A
d. BIN: 610494
e. PCN: 9999
f. Relationship: Member
g. Person Code: 01
h. Effective Date: 01/01/2016
What is the patient’s Bill Group?
a. Name of Insurance: OptumRx Commercial
b. ID#: 854157498
c. Group# N/A
d. BIN: 610494
e. PCN: 9999
f. Relationship: Member
g. Person Code: 01
h. Effective Date: 01/01/2016
What is the patient’s Bill Group?
a)
PRE-PRE
b)
JJR-JJR
c)
MCQ-MCQ
2.
Using the below information, locate the appropriate Bill Group:
BIN: 004336
PCN: MEDDADV
NAME: CVS CMK
BIN: 004336
PCN: MEDDADV
NAME: CVS CMK
a)
MR-MR
b)
SQ-SQ
c)
COT-COT
d)
SV-SV
3.
Using the below information, locate the appropriate Bill Group:
BIN: 610239
PCN: FEPRX
NAME: FEP
BIN: 610239
PCN: FEPRX
NAME: FEP
a)
CVS-CVS
b)
JJR-JJR
c)
FEP-FEP
d)
NHT-NHT
4.
Using the below information, locate the appropriate Bill Group:
BIN: 004336
PCN: APM
NAME: CARESOURCE EMP
BIN: 004336
PCN: APM
NAME: CARESOURCE EMP
a)
PJA-PJA
b)
CVS-CMK
c)
ARX-ARX
d)
1W-1W
5.
Using the below information, locate the appropriate Bill Group:
BIN: 004336
PCN: ADV
NAME: FIDELIS NY
BIN: 004336
PCN: ADV
NAME: FIDELIS NY
a)
E3F-E3F
b)
1O9-1O9
c)
LGR-LGR
d)
SGS-SGS
6.
Using the below information, locate the appropriate Bill Group:
BIN: 610502
PCN:
NAME: AETNA PHARMACY MGMT
BIN: 610502
PCN:
NAME: AETNA PHARMACY MGMT
a)
AET-AET
b)
EXS-EXS
c)
QC-QC
d)
JJR-JJR
7.
Using the below information, locate the appropriate Bill Group:
BIN: 610014
PCN:
NAME: EXPRESS SCRIPTS MEDCO
BIN: 610014
PCN:
NAME: EXPRESS SCRIPTS MEDCO
a)
P-P
b)
EXS-EXS
c)
AEX-AEX
d)
ARS-ARX
8.
Using the below information, locate the appropriate Bill Group:
BIN: 610524
PCN: LOYALTY
NAME: MCKESSON HLTH SOLUTIONS
BIN: 610524
PCN: LOYALTY
NAME: MCKESSON HLTH SOLUTIONS
a)
E8W-E8W
b)
WAK-WAK
c)
MCQ-MCQ
9.
Using the below information, locate the appropriate Bill Group:
BIN: 015581
PCN: 0320000
NAME: ARGUS CAREPLUS AND HUMANA
BIN: 015581
PCN: 0320000
NAME: ARGUS CAREPLUS AND HUMANA
a)
E8W-E8W
b)
ALR-ALR
c)
PY-PY
d)
MHS-MHS
10.
Using the below information, locate the appropriate Bill Group:
BIN: 009893
PCN: ROIRX
NAME: RX Options
BIN: 009893
PCN: ROIRX
NAME: RX Options
a)
D1U-D1U
b)
SFU-SFU
c)
SLR-SLR
d)
FEP-FEP
11.
Using the below information, locate the appropriate Bill Group:
BIN: 003858
PCN: A4
NAME: TRICARE
BIN: 003858
PCN: A4
NAME: TRICARE
a)
44W-44W
b)
RVT-RVT
c)
PQB-PQB
d)
PBM-PBM
12.
Using the below information, locate the appropriate Bill Group:
BIN: 016499
PCN: HZRX
NAME: BCBSNJ HORIZON
BIN: 016499
PCN: HZRX
NAME: BCBSNJ HORIZON
a)
NJP-NJP
b)
RRS-RRS
c)
BCH-BCH
d)
BCBS-HORZ
13.
Using the below information, locate the appropriate Bill Group:
BIN: 610014
PCN:
NAME: BCBSTN
BIN: 610014
PCN:
NAME: BCBSTN
a)
30X-39K
b)
P-P
c)
WSB-WSB
d)
BCBS-TN
14.
Using the below information, locate the appropriate Bill Group:
BIN: 610029
PCN: CRK
NAME: MAILHANDLERS COVENTRY
BIN: 610029
PCN: CRK
NAME: MAILHANDLERS COVENTRY
a)
PJD-PJD
b)
SHD-SHD
c)
JJR-JJR
d)
MAIL-MAIL
15.
Using the below information, locate the appropriate Bill Group:
BIN:
PCN:
NAME: LUPRON DEPOT VOUCHERS
BIN:
PCN:
NAME: LUPRON DEPOT VOUCHERS
a)
LUP-LUP
b)
LDV-LDV
c)
SUP-SUP
d)
VOU-VOU
100 %
