Intake
The system used to processes cases is called....
Salesforce
Prior to pulling stacks from queue you should always ...
Refresh
Job Aide used to identify if a medication has been GF or DC
Mighty Links
What is NPAF busiest time of the year called?
Blizzard
How do you identify if a drug is a transplant medication
Mighty Links
Where must a PAE be reported? If it's not reported in 24 hours that will result in a ______?
PVI Tool / CAPA
Agent received PA outcome for Jane Doe. What would be the agents next step?
Set a BI Internal Follow-Up Task
What Job Aid can Mary use to find out if a Rx is valid?
What Makes a Valid Rx
New PT for Promacta must first _____
Receive HUB Referral
Tool used to help send a electronic application
DocuSign Job Aid
Pt was denied for Entresto but agent received LOH and additional OOP expenses. The agents next step is......
To set Denial Review/ Hardship Request
Agent received an incomplete fax they only have 3 of the 7 pages that came through. What resource shows the agent how to search for missing pages? When searching agent finds zStack with missing pages assigned to another team member what should do?
Working and Locating Missing zStacks
Reach out to the agent to ask if they have started the stack/if they will send them the missing pages.
Jaxson is trying to create a BI Internal Follow-Up task, but doesn't remember the step on creating the task. What Job Aid will assist Jaxson?
Setting Tasks in Salesforce/Intake Guide
When entering insurance info in intake the agent should always reference this document to ensure we are entering the proper payor name?
Which document tells you the different types of insurance?
Insurance Company Approved Naming
Insurance Types Job Aid
How do we know if a Gilenya SRF was sent from the HUB and not the HCP
The fax header will say CLOUDFAX
The action taken anytime a case is incomplete
Push case to incomplete and complete OBC when not in blizzard season
How many paystubs do we need from a patient if they have monthly, bi-weekly or weekly pay? How will we calculate their income. What resource can assist with this?
Monthly ~ 3; Bi-weekly ~ 6; Weekly ~ 12
Add income together and divide by 3
POI Calculator
Lilly received a fax a patient is discontinuing therapy, she reported a PAE but now when has to send a stop shipment email what resources should she use when sending this email?
Email & SFDC Templates / Pharmacy Exception Spreadsheet Job Aid
A blizzard agent receives a SRF for a new Zarxio patient what resource shows them where to assign that stack and who should it be assigned too?
When to Re-assign a Stack for a Mandatory Hub Drug
Erin Gusty
What things do we need to from the patient to verify to complete our HIPPA 3 Point verification?
Patient spell their first and last name, provide DOB, provide complete mailing address with zip code.
If SF is advising you the case is closing do to PT exceeding the income limit what resource will you use to verify income guidelines and what 3 things do you need to determine income eligibility.
Mighty Links
HHS, Tier, State pt lives in
Dax received an NPAF app for new patient enrolling in Gilenya Go he can start the pap case but must make an OBC to Gilenya GO. What's the phone number for Gilenya Go and what resource is it located in?
800 - 445 -3692
Hub Special Requirement Doc
What page # of the intake guide has the template for a BI Internal Follow-Up
Pg 83
What pages of the blizzard guide list the two tiers and their break downs; Rx work around process; Common SF errors
Two tiers and their break downs ~ pg 5
Rx work around process 55-58
Common SG errors -120
What do we need on a Gilenya case in order to send their first shipment of medication?
FDO