EPA Errors
What does the "Invalid Data" error mean?
This message is being received because there is a special character or extra space in one or more fields of the Patient, Drug, and/or Prescriber section of the request.
What is the life cycle of a PA?
Pharmacy creates the request
Provider completes the PA
The plan makes a determination
If approved- Patient picks up their medication
If denied- The provider will need to file an appeal
What information does the pharmacy use to locate a form?
BIN
PCN
Rx Group
True or False: The chat will have a red box that says "EHR."
Form Pick:
BIN: 4336
PCN: ADV
Rx Group: Rx22DK
State:Montana
Medication: Pregablin 150 mg capsules
Form: CVS Caremark Form
What are the steps for the error message "Patient not found"?
If the user created the request: Confirm the form, and demographics.
if the pharmacy created the request: Confirm the demographics, and check the identifiers the pharmacy used to create the request.
If both has been confirmed and correct, offer hard copy or the plans number.
Archive VS. Delete- When will we archive, and will we just delete the PA? What is the difference between the 2?
Once a determination has been made, or if the provider has canceled the PA, we can archive.
We can delete the request if the user states the patient is not theirs.
Archiving the PA will remove the request from everyone's dashboard, while deleting the PA will just remove the request from the user who deleted the PA.
What are the three different pharmacy solutions that pharmacies can use to start PAs?
IPA, PA+, and EasyButton (EZB or EZButton).
True or False: NewCrop user will always appear anonymous on chat.
True: NewCrop users will always chat in anonymously! Because they access CoverMyMeds through their EHR, they don't have CoverMyMeds credentials, but will be logged into their EHR system, and will show up in Autobahn as a placeholder account called NewCrop Production. At first glance on chat, they will look like a portal user whose session expired while viewing a key. Instead of asking them to log in right away, please open the key they are viewing and confirm if the touches correspond to a NewCrop user.
If you see NewCrop touches in Autobahn, please assist this user the same way you would assist a portal user who is logged into their account and viewing a key.
What is considered PHI?
Double Jeopardy- $$$$$$$
Names
Address
Phone numbers
Member ID
DOB
SSN
License number
Rx numbers
PA Case ID
What does "Change In Therapy" mean?
This message is returning because a response to a clinical question indicated a formulary alternative would be prescribed.
True Or False: Users are able to create their own group account, and add members.
True or False: You can help a user access a managed pharmacy account without reaching out to #ns-pharmacy for assistance.
False. Do not assist users with accessing managed pharmacy accounts without the assistance of a pharmacy specialist in #ns-pharmacy.
Why are all my PAs in the Pharm tab listed as active? Hint: NewCrop
Because NewCrop users do not have an Enter Key function, PAs started at the pharmacy will be shared directly into NewCrop, based on the NPI and fax number. The NewCrop user can see a list of medication orders in their Pharm tab, along with an associated key if a PA was started at the pharmacy. That "Active" status never goes away on these PAs, even if it has been completed and sent to the plan. They can disregard that status, and should check in their Connector dashboard for the true status.
What do you do If you receive a spanish speaking user on chat?
Obtain the following call back information:
Name and number
Key (If applicable)
Reason for the chat
Chat into #ns-ac-spanish @nsspanish for further assistance
Unable to find a match for the NPI number you submitted, please resubmit the request and check that the NPI number is accurate.
This message may return if the provider information entered in the request differs from the prescriber information in the NPI registry.
Name a few examples where a user will need to have their account deleted.
The user no longer works at the location, and/or not seeing the same patients.
Patient created an account
Owner of the account left the practice
How can you locate a pharmacy's placeholder account?
Go to Autobahn, open 'Users', and paste the pharmacy's NPI Number into the 'User Identifier' search field.
True or False: We will transfer all EHR users to #ns-ehr.
False: We will only transfer the user, if they are having an issue with the PA.
If the user states the patient has been deceased, what are the next steps?
Confirm with the user if the patient was on the medication at the time of their death.
Report to adverse events.
This request can't be processed due to the medication not being covered by the plan.
This message indicates the medication is an exclusion, and may not be covered,even with a PA.
True or False: We can Mass archive any request in the current or sent to plan tab.
False: We should not archive PA requests created within the last 30 days, This may stop electronic responses from the insurance plan.
How can you tell that a PA was started by our 'PA Reach' program?
It was created by an account called 'The Prior Authorization Program' and the software vendor that is listed in Autobahn for the request will be 'PSKW' or 'PSKW_Grouped'.
Name 7 EHR partners we use. ( You will have 30 seconds- no notes )
Advanced MD
Allscripts
Athenahealth
Cerner
ChartPerfect
Claimat
DAW Systems
drchrono
DrFirst
Eazyscripts
eclinicalworks
emds
epic-
GE Centricity
Greenway
Harris
Integra
IpatientCare
Isalus
medent
meditab
modernizing medicine
newcrop
nextgen
practice fusion
reli med solutions
rxnt
stratus emr
tsi helathcare
wrs health
wrshealth
z- integration details
alto pharmacy
rxtracker
Key: bnc45c2c
Medication: Kesimpta
The user will like to get more information on this key. Who will the user need to contact?
Our dedicated team. Slack #co-amp-chats-calls and use the @cm-kesimptachat to get a case manager.