Stages
This stage is comprised solely of what a member pays out of pocket.
What is the deductible stage?
Who determines LIS levels?
What is Social Security?
This tab on the details page houses the LIS level and effective date information.
What is Part D Program?
What is another name the coverage gap goes by?
What is the donut hole? Or What is TrOOP?
If a medication is in failed claims because of a drug interaction or duplicate therapy, to which department would you transfer to?
What is HCPR?
What is a split claim?
These LIS levels have no deductible.
What is Med Part D?
In addition to offering lower cost alternatives or to reduce the quantity, what is a third way we can lower the cost of a member's order?
What is a payment plan?
For which process do you use the code "320955"?
This is the final stage.
What is the catastrophic stage?
Where can you find a member's LIS level?
What is Argus and CRM?
This radial button shows us a stage by stage breakdown of a claim's cost.
What is RxPP?
What percentage of the total drug cost does Humana cover for name brand medications?
What is 75%?
Which of these medications in no way can you fill for a 90 day supply? Zolpidem, Gabapentin or Diazepam.
What is Diazepam?
This stage is the first stage where Humana pays a portion of the medication costs.
What is the initial coverage stage?
What is because the member's plan price was lower?
This radial button shows a medication's tier level.
What is Benefit?
This is the amount to meet to get out of the coverage gap.
What is $5100?
This mentor document houses what to do for Argus errors.
What is Actions for Rx Nova Error Codes?