MSATool
apart from the "pa status" tab where can you find information on a PA
Call Tracking
RxClaims is also known as _______?
AS400
stepping copays are ONLY done on one type of override, what type is it?
Vacation Override
What does reject code "75" mean
Prior Authorization required
Which famous person's HIV status was released to the tabloids and was the reason for the legislation leading to what is now known as HIPAA?
magic johnson
What ways can you search up a member in msa tool?
1. full name dob
2. SSN
3.Member ID
What status code advises a paid claim?
"P" Paid
Before creating ANY type of override, what must be done first?
Pre-work/Pre-process
What does reject code "70" mean
Product/service not covered
What is the difference between formulary and non formulary?
formulary is covered by the plan and non formulary is medication not covered by the plan
What tab in MSA tool provides member benefit detail?
BET
Shift key act as what in rxclaims?
F12+
Overrides are only good for how long?
same day
What does reject code "943" mean
DUR error
What does DAW 1 stand for?
dispense as written per prescriber
Apart from the BET how/where else can you find the members copay structure at?
"Copays" Button
what must be done after creating an override?
Trial Claim
When entering an override, what # do you enter to open up and edit the override you just created?
The number "2"
What does reject code "79" mean
Refill Too soon
how many characters are in a RX number?
12
True or False When editing an existing note in rxclaims you can only add to the note and not change what was previously input
True
When creating an override in the number field you must type in what?
your initials, current date (mm/dd/yy), and 01
What does reject code "67" mean
Filled Before Coverage effective date
What is Batman's secret Identity?
Bruce Wayne