TO CHASE OR NOT TO CHASE
Cases should not be assigned to Chase when member is using this type of pharmacy.
What is AHD/Carelonrx, or pill pack service
A member requests a 90 day supply, but only 30 day supply remain at the pharmacy. The initial associate should not do this.
What is fill 30 day supply?
Who is the provider?
These future fills should not be assigned to Chase.
What is 90 day supply future fills?
Before reassigning a case to Chase, review previous Chase assessments and these notes to avoid duplicate outreach.
What are Public View Yellow Sticky Notes?
Before assigning a case with a new provider, ask whether the member has completed this.
What is the first appointment /established care with the new provider?
You see a yellow sticky note that indicates the provider will only accept refill requests from member, what should you do while you're still on the phone with member.
What is ask the member to contact provider to request refill to avoid duplicate outreach?
Before asking Member's new pharmacy to transfer a prescription from the old pharmacy, the initial associate should do this first to confirm active refills remain
What is review members prescription history/prescription information tab in COS/M360?
If the pharmacy indicates they will refill medication on a specific date, where should this information be documented for the Chase team
What is in the "notes to chase" field on the chase submission form?
If the provider phone number you verified with the member is a hospital, what is a question you should ask the member in order to prevent duplicate outreach.
What is do you see this provider at a different facility? OR, Who is the provider that normally writes for this target medication?