Light Work
where is our phone list located
care center central
what is a deductible
amount of money you must pay out-of-pocket for covered services or medications before your insurance plan starts to contribute to the cost.
what area in firsttrax do i go to if i wanted to look at the status of a pa
pa tab
what CTI is being used for card request
*patient Inquiry
*Card Request
*Card Issued
*Escalate to ERx
*Refer to Client
*Member is requesting a new card and Magellan Rx is the one handling the printing of cards
what is prime's fax number
Fax: 800-424-3260
how many pieces of HIPPA we should verify
3
what is an out of pocket
a cap, or limit, on the amount of money you have to pay for covered health care services in a plan year
if i can not find the member through a regular search in firsttrax what other option do i have
universal member search
is this plan enrolled in a savings plan
MCA3139
no
Why do melons have weddings?
They cantelope
what is the document called that help us document our call correctly
CTI list
what is a coinsurance
the percentage of covered healthcare costs you are responsible for paying after you've met your deductible
for jamie gilmer id:06932g68521 what is the reason for the denied claim on 1/27/2020
drug not covered
for this plan does it allow vacation overrides
yes
what should we look at first when going into CRM
Customer service notes
name two formularies
NetResult, accord, gatorcare,unc,umi
what is a copayment
fixed amount you pay out-of-pocket for a covered health service or prescription
for jamie gilmer id:06932g68521 what could be used to look up plan in CRM
derived plan id, MCA3139
for the plan MCA3139 is it a calendar year or plan year
calendar year
with the zip code 30260 what is the first pharmacy that pull up with a 10 mile radius
Walmart
true or false: we have a pharmacy look up tool that will show pharmacies member can go to in their area
true
what app do i use to look at how much was applied to member deductible and moop
myrxassist
what is the copayment for a 30day at retail for the plan MCA3139 for a Preferred Brand
$30
Who won the neck decorating contest?
it was a tie
are you ready to take pbm calls
noooooooooo or yesssssss