A patient who received90 tabletsone month ago contacts the pharmacy to request a refill. The insurance rejects the claim, saying that the refill is56 days too soon.The claim rejection is likely the result of submitting an incorrect:
Insurance requires accurate “days supply” calculations.If a30-daysupply is incorrectly entered as a90-daysupply, the system will reject early refills.
????Reference:PTCE Pharmacy Billing and Reimbursement Guidelines.
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