Buttons
The button to select for cases.
What is My Cases?
True or False: Government patients are eligible for voucher programs.
What is True?
* Note: all patients are eligible for voucher programs Government patients aren't eligible for AFFORDABILITY Programs
The place you upload a triage package
What is Files?
The name of the company we dispense medication for
What is Takeda?
HCP
What is Health Care Provider?
The button/tab you will select to see a patient's Primary, Secondary, and Pharmacy Coverage
What is Patient Insurance Snapshot?
A patient must file for Medicaid if their FPL is under this percentage
What is 139?
When is a case classified as urgent?
What is when 'Urgent' is indicated on the PAP, the HCP or FRM communicates urgency, or the 'Need by' date is within 3 shipping days.
The program that helps people with no health insurance and those who are underinsured afford medications
What is The Patient Assistance Program (PAP)?
NPI
What is National Provider Identifier?
The button/tab you would find an HCP's information under?
What is Clinical Details?
The programs CRx work with for medication assistance
What is PAP, CAP, Bridge, Co-Pay Assistance Program?
The person who will triage once the package and template is complete
What is SPS agent?
The day to day work responsibilities for a CM will be delegated by ___.
What is task list?
FRM
What is Field Reimbursement Manager?
The button where you will find updated notes for a case
What is Case Comments?
The maximum financial percentage a patient can have in order to qualify for PAP
What is 500?
The time limit a case remains open on hold missing information status pending response
What is no longer than 7 business days for the PEN and 14 business days for the IV
The patient is missing the zip code from their address on the PEF, what are the next steps for a CM?
The CM should check/verify the form for at least 3 other forms of HIPAA information then update the form with correct full address.
ICD
What is International Classification of Diseases?
The button you will find all of the previous activity for a case?
What is Case History?
Patients must verbally attest to this if they have coverage but cannot afford their known Out of Pocket Financial Expense Responsibilities
What is Statement of Financial Hardship?
This must be done after if new missing information is received after 90 days.
What is submit a new application?
The name of the recording you must offer at the end of a call?
What is ISI (Important Safety Information) Recording?
PBM
What is Pharmacy Benefit Manager?