Programs
The program that follows members that have been non-compliant over the past year or 2 years.
What is MASP? (Medication Adherence Support Program)
MIIMS and GPS
Where you can find ARs and additional addresses/phone numbers?
This is where we keep track of our faxes.
What is SharePoint?
The types of questions that should be asked to members to get the most information.
What are open ended questions?
The name of the phone system that we use for making calls.
What is Genesys?
What is Late to refill?
Medication name or the word prescription.
What we cannot say until we verify HIPAA?
Prescribers name plus member ID.
What is the "name" or subject of the fax?
This is an approach designed to help people find motivation to make a positive behavior changes.
What is motivational interviewing?
This is where you would find what type of call the member is receiving.
What is the campaign type?
This call goes out when 85% consumption has been reached.
What is refill reminder?
No PHI can be mentioned when leaving this.
What is voicemail?
MHUERTA2
What is the username we send faxes under?
The acronym that helps with service recovery.
What is A-HA?
The number that you press to get into member information in Rxclaim.
What is 5?
This program will have agents calling members on a monthly or quarterly basis.
What is MASP/MASP F/U?
POA, AR, Guardian or Conservator.
What are people that are authorized to speak on member's behalf when listed?
Medication adherence and 100 Day Supply Rx Request
What is regarding section?
For members that speak a language other than English, this service will be used.
What is language line?
This is the system we use to document calls.
What is Curo?
The compliance level for members to avoid failing the measure.
What is 80%?
This is what happens when you ask member date of birth, address, phone number, full name ect...
What is verifying HIPAA?
ms\msid
What is the format of the username?
This is what we do to show members that we care about them.
What is show empathy?
When a member is to be placed as a DNC, this measure assessment needs to be created
What is create follow-up task?