A
All are valid implied consent except for:
A. Order number
B. Date of Fill
C. Rx Number
D. Phone number
D. Phone number
Order queue that shows rejections such as refill to soon, PA required or NFR?
Failed Claims
Which US states charges a reduced tax rate on all fool and drug items . This tax rate is 1% of the amount.
Illinois
Which tab/page in Solutran portal can we process a card replacement request?
Demographic page
What are the information being asked with the member when they updating credit card using Secure Pay process? Give at least 2.
Card number, Expiration date and Billing zip
What should you do if the member called in for reduce quantity for non solid medication under HIPAA Verification queue?
Warm Consult transfer the call to CWP CS Tech CWP Use Only
It measures our performance through our member's eyes. It is based on the Voice of the Costumer (VOC) survey question.
NPS-Net Promoter Score
What information you need to check for inactive prescription wherein the member needs to talk to their prescriber?
If there is a note beginning " ACTION: APPROVED STATUS: CODE A MESSAGE: RX WAS INACTIVATED/DISCONTINUED"
What is the TAT for Humana Spending Account replacement card and OTC Allowance card?
Up to 2 weeks to arrive or 2 weeks
When processing Spending Account Card requests to roll over or adjust funds , CWP consider requests roll over up to how many months?
Answer: Up to 3 months
What is the OTC error code that says -No OTC benefit in plan?
Code 065
All are sample of Pill ID request except for :
A. Tablet counts
B. Different shapes
C. Different coating
D. Size is different
A. Tablet counts
How long will it take to receive prescription from their Doctor if submitted via fax?
48 hours to receive prescription from the provider
A Humana Flex Allowance is a VISA card with annual allowance ranging from $250 to ______ based on the member's plan.
$2500
If the member called in requesting a prescription refill with a new Doctor, what should you next?
Process RTM
.How much should the member owes to CWP before he/she will be eligible for a payment plan?
More than $90
What should you do if the member called in requesting to remove prescription from an order under QMSI?
SRT
What is the next fill date for non controlled substance ( % and number of days left)?
75% of 22 days left
What does it mean if Humana Spending Account card denial code is 46?
Closed Account
Please provide at least 2 prescription that are not eligible for auto refill?
C2 medications/Discontinued or Inactivated Rx/Prescription written forless than 28 days /State Specific Controlled substances.
If the member is eligible for payment plan options and able to pay the 40% up front , it is followed by how many equal payments?
2 equal payments
If the account has $70 balance that is more than 30 days past due (from the order's ship date), what will happen to the account limit?
Account limit drops to $0.00
Refills for controlled medications are available when the member has used __________ of their medications?
82%
What does it mean if Humana Spending Account card denial code is 51?
Insufficient Funds
Please provide at least one who is eligible for Auto Refill?
Be registered with CWP/ have an active account/Paying prescription with their Humana insurance plan