A
For Ordering OTC items, the order that places more than ___ days ago will no longer eligible for Replacement
60 days
base on the email that was received today, what is the most call driver that we received?
Order State
how long it will take to received prescription from their doctor is submitted thru fax.
48 hours
what identified that you can see in Argus to identify if medication was C2 medication
DEA code: 2
if the member is requesting a prescription refill with a new doctor, what will you do?
process RTM
member called in for WISMO and schedule for future fill of RTS, make sure to ask if they have enough to last of how many days?
at least 8 days on hand
Member called in and mention that the received a new meter but the supplies was not included, what will you do?
process RTM for Test strips and Lancets
Where do you cancel an order in finance queue?
a. Epost
b. CRM
c. CS workaround
d. Clinical Services
b. CRM
Member wanted to get a copy of all medication that was processed for the whole year, so she can identify how much she spend the whole year. What will you do?
Send Smart Summary
what will you do if the member called in checking for prescription not found in CRM under active and inactive prescription and member request for refill?
check other tolls EPost/ Argus\ Rx connect pro
If a return is approved, what will be the AT for return label through email?
a. 30 mins
b. 45 mins
c. 1 hour
d. 2 hours
c. 1 hour
Below are prescription status that can be filled except for:
A. Expired
B. Renew
C. WorkRx
D. Refillable
C. WorkRx
Slef- service option are being promoted to all CWP member by navigating www.centerwellpharmacy.com . to activate the account all information are required except for:
A. Member's DOB B. Name C. Humana ID D. Zip cope
B. Name
what state that we need to contact Pharmacist just to fill a mail order pharmacy
Arkansas
All are valid RTM request except for:
A. Alcohol BD swab with change of meter
B. Prescription filled from Local Pharmacy and no records found under members's CWP account
C. Changing Doctor's Name
D. Quantity change
A. Alcohol BD swab with change of meter
For cancelling an RTM request via transferring case to Doctor Call, Select __ from the topic dropdown.
a. RTM
b. Doctor Calls
c. Fax Follow Up
d. Humana Pharmacy
c. Fax Follow Up
Member has 2 contract on file the one that was active until end of this month and the one that was active for April with a different type of plan, but member wanted the same contract that she/he is using right now, what will you do?
Connect the call to Enrollment Department
What type of Plan that has no diabetic supplies coverage
PDP
A security group that only allows certain advocates (onshore) to have access to view this member's accounts fully. A new plan additions to this particular Security group that are NOT group medicare but handled within the Group Medicare space.
a. Contract Protected Medicare
b. Contract Protected Data
c. Contract Protacted Health Information
d. Contract Protected Medicare Group
b. Contract Protected Data
Below are LIS level wherein CWP will waive their copays automatically except for:
A. 1001
B 1002
C. 1003
D. 1004
D. 1004