Prime Overview
What is Prime's Purpose?
To help people get the medicine they need to feel better and live well.
What is the Pharmacy Help Desk phone number for BCBS Alabama Commercial?
800-216-9920
Taking control over the conversation through a deliberate set of actions is called what?
Actively Guiding
Also called AS400, it allows you to view claims.
Rx Claims
Items not covered by Insurance is ..
Exclusion
Where is Prime Therapeutics Headquarters?
Eagan, MN
What information must be meet for a BCBS Kansas commercial member to get a dosage change override?
New Prescription, Visible change in the quantity, strength and dosage.
Staying a step ahead of the customer and recognizing potentially negative situations before they develop is called what?
Anticipating the emotional response
Used to access job resources such as job aids and training material
the HUB
A flat dollar amount paid for a prescription
CoPay
Moving the conversation forward in a positive direction is what?
Preemptively Offering
Used to submit information to other departments within Prime
Prime Resolution
The limit on the amount a member will pay for benefits
Out of Pocket
Matching the customers situation and needs to a solution that is both pleasing to the customer and serves the company's interest is what?
Mutually Beneficial Solutions
Used to research member benefit information, conduct cost estimates and document calls.
Unity
Money paid monthly for insurance benefits.
Premium
What are the EE components that are measured for Pharmacy Help Desk?
Advocacy, Affirmative Close, Enthusiastic Greeting, Personality Flexing, Positive Language, Purposeful Small Talk, Alternative Positioning, Active Listening
Allows members to help themselves with finding benefits and pharmacy information
Restrictions placed on insurance benefits
Coverage limit