Misc.
What is the ORG ID used for?
An internal reference number for the client.
What is Smart90?
A maintenance program that allows the member the ability to fill a 90 day supply at either retail or mail order.
Marisa Lin is the "Gold Standard Lead" of what team?
Sales
M Drive
What does BID stand for?
Benefit Intent Document
What are the two main Polaris cases?
New Client Initiation & New Client Implementation
What is the difference between Key Accounts and National Accounts?
Key Accounts is less than 1 million prescriptions and National Accounts is more than 1 million prescriptions.
Name one of our cross functional partners?
Account Team, Sales, CIM, BenOps, Eligibility Manager, CDH Manager
Give one example of a coalition ESI works with?
WTW, Keenan, Gallagher, NFP, RxB
How will you receive a client assignment?
A generated email from Polaris.
How might an IPM support the sales team and/or the RFP?
Answers questions, attend finalist meetings.
What types of clients does the commercial implementation team support?
Coalition, direct, cornerstone, EGWP, group rolls, etc.
What does an eligibility manager do?
Works with the client's eligibility vendor to establish the eligibility feed to receive the client's eligibility into our system.
What does EGWP stand for?
Employer Group Waiver Plan
Kick-off
What is the name of the document that sales will send over when you receive a new client?
CIRF
What is a Group Roll?
An existing client with Cigna or Express Scripts that is being reimplemented under a new carrier.
What does a CDH manager do?
Helps set up accumulators for clients.
Name one of the two coalitions that Dawn Gardner's team works with?
RxB and Mercer
What is the first step you will take when receiving a client assignment?
Submit for the Carrier ID & Toll Free Customer Service # through the New Client Initiation case.
Name a piece of information that you will be able to find on the CIRF?
Many answers accepted.
Do benefits have to be set up in order to have traditional OE?
Yes
What is Dave Scholobohm's policy on the word "no" when it comes to clients?
Make sure clients feel heard, don't just say "no".
What does Dave Schlobohm's team focus on?
EGWP & cornerstones
If no OE, when should the toll free number be set up?
1 week prior to the go live date