Medicare
What year was Medicare established?
1965
What is Elite?
Inventory system determines if the product is available
MTM
Medication Therapy Management
Humana Pharmacy dispenses and ships to the following locations
50 US States and Puerto Rico
This topic provides instructions for HP call center associates on how to process caller requests to reship orders
HPCC Reship Requests
Who is eligible for Medicare?
people age 65 or older, younger people with disabilities and people with End Stage Renal Disease
QMSI
RX/Order leaves the front end processing system and enters the back end system. cannot guarantee any changes
PA
Prior Authorization
This is known as the "plan side of business"?
Pharmacy Benefit Management (PBM)
This topic provides instructions for hp call center associates who assist callers with making one time charges
HPCC CRM Processing One Time Charges
Which parts are Original Medicare offered through the Government?
Dr Call
Orders route to this queue to obtain answers regarding a prescription missing/unclear information
TAT
Turnaround Time
The Humana Pharmacy Call Center, Humana Specialty Call Center, and Rx Education are apart of:
Service Experience & Operations
This topic provides instructions for hp associates working with callers who need to update their address information
HPCC Update Address Overview
What is the four-letter term for a medicare and medicaid enrolled member?
Dual
Failed Claims
Rejected claims such as RTS, PA required, not covered, ect
TE
Tier exception
This department talks with members to educate them on the benefits of using our pharmacy
Rx education
This topic provides instructions for hp call center associates on ordering over the counter items by phone
HPCC Placing OTC orders by phone
Who was the first president to establish Medicare?
President Lyndon B. Johnson
Item Entry
The order is undergoing initial data entry into the pharmacy system
PAC
Pre-Authorization Claim
This department processes prior authorizations for medications that are not automatically covered
HCPR
This topic provides instructions for hp call center associates on how to assist members with identifying the status of their shipped orders
HPCC Tracking Shipped Orders