QC
We Complete FULL Quality Check for all Document Review cases?
What is Yes we do
This is the days supply ALWAYS
What is 30 days
Medicare Part D will always be entered as a
What is Pharmacy Benefit Profile
We fill out this blurb when doing our Medicare Advantage/Part D plans out to Medicare plans?
What is Coverage through Medicare Part D
Patient is 64. We screen for what?
What is Medicaid
The 2 places to add Alternate contacts
What is the Person account page under alternate contact and Person Account in the “Contact Details”
This is where we determine how many bottles we are shipping out
What is dispense dosage
Method of Completion on BV case if we call out to payer
What is Phone Call to Payer
Calling out to Payer for commercial benefits and we are 3rd partied
What is Undisclosed blurb
Patient has Medicare AB only. This is the next fill credit
What is $346
If a commercial patient adds an alt contact name but nothing else, this is
What is MI
The patient is getting a 90DS of Eliquis, our dispense dosage and refills will be
What is dispense 3 refills 4X4
The subtype for medical in the benefit profile is
What is AOB
Patient is approved for Eliquis. We use what blurb?
What is Part D approval blurb
We always add this note prior to working?
What is working note
We must enter this under site relationship for the program brand we are working
What is primary site contact
The providers office is in Texas and only the NP filled out and signed, we need this
What is Collaborating MD
Medication is covered but requires a PA the outcome is
What is Covered/Exception Required
Patient has now met the 3% for Eliquis after being denied for not meeting 3%. We use which blurb
What is 2nd determination blurb Part D 3% OOP met
Patient want to upload something to us, they do this?
What is go to the patient portal
Does Eliquis require a DX code?
When patient gets 60DS, we dispense this amount
What is 2
Medication is not covered or part D, our outcome and outcome reason will be
What is Not covered/No Drug Coverage
Patient is getting assistance for Eliquis and is 67. Which blurb do we need to us to screen for LIS?
What is LIS/Total Income Calculator
We show a MI case that as cancelled due to not receiving it. They send in more information but not what we need. We would create this to reach out
What is FU1