People safe
Which tab will show if a patient's insurance is Eligible or NOT Eligible
Main Screen
What should be clicked and filled out to document every call
The call tracker
Refill Too Soon
Name 3 identifiers that will authenticate a call
Full name, DOB, Zip code, RX name or Rx Number, MD's name
What is a Sharps Container?
Sharps container are used to properly and safely dispose of any used needles one may have
No RX is on file. The patient wants to know how much Humira would cost him/here. You'll have to do this _____
Run a Test Claim
How do you get to the Dispense Maintenance screen
By clicking the RX number
The patient states that they would like for the automated calls to stop. What should you do?
Place DNF code 88 on their account
How many times in total will the automated system repeat an account number
3 times
833-263-2871
Which tab will show deductibles?
Account balance
Where do you go within SPRX to add a DNF code for a patient
Patient profile, Demographic, scroll to the bottom
BONUS QUESTION. +300.
RX rejects for DUR REJECT. Who has the ability to assist with this task.
PHARMACIST (RPH)
The IVR Authenticator pops up in RED, how would you proceed?
105-1032426
99275
You need to know a patient's BIN, PCN, and GROUP number, you'll find this by going to ______ then selecting _______
Main Screen, Eligibility
Which tab should you click to see when the last time a patient's order was delivered to them
Current/Recent Orders
Reject code 76 is for Plan Limitation Exceeded. What is most likely needed for the patient to get a paid claim?
Prior Authorization for quantity
SISL
Patient has 3 insurances, Dupixent coupon, Cost Relief and Blue Cross Blue Shield. Please coordinate their benefits
1) Blue Cross Blue Shield
2) Dupixent coupon (CPA)
3) Cost Relief (UNN)
Patient wants to know when does their Prior Auth expire. You'll find this out by clicking _______ then, ________
Plan Benefit Override, View PA status
Where should go if you want to see the quantity, day supply, and instructions of a prescription
The dispense Maintenance screen (Clicking the RX number)
What does DNF 39 mean
Prior Auth is needed
The call is coming to an end. Please ask an resolution question
Is there anything else i can do for you today?, Have i answered all of your questions?
The patient is confused by PA needed and doesn't know what this means. Please explain what a PA is for the patient
Prior Auth is how your medication gets paid for. Your doctors office has to complete a form stating that this medication is medically necessary for you. Once you get an approval the insurance will pay their portion of the cost