Certification of Pharmacy Technicians (ExCPT) Practice Exam

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Which type of information is typically not required for online claim processing?

  1. Birth date

  2. Sex

  3. Group number

  4. Height

The correct answer is: Height

In the context of online claim processing, certain pieces of information are essential for identifying the patient, verifying insurance coverage, and facilitating the payment process. Birth date, sex, and group number are commonly required elements that help ensure accurate processing. Birth date is critical for confirming the identity of the patient and for age-related coverage considerations. Sex may be necessary for gender-specific medications or treatments. The group number is important for determining the specific health plan and benefits applicable to the patient. On the other hand, height is generally not required for online claim processing. It does not play a direct role in the verification of identity, insurance coverage, or claim adjudication, making it extraneous in most circumstances related to claim submission and processing. Thus, the inclusion of height in this context is unnecessary compared to the other types of information that are essential.