Quality Check
We will always have this in financial profiles
What is patient stated?
New patient reason for verification would be
What is upcoming treatment?
No RTIP initial's, what steps do we take?
What is deny for RTIP consent
This is where the RX document is added to the Triage
What is prescription doc
Patient is 67 we screen for
What is LIS
The alternate contact goes in what 2 places?
What is person account and under patient contacts?
We enter patient benefit information here
What is primary benefit profile?
Patient is insured, this is the parent case to the PAP
What is BV?
Med's need to be shipped to patient. We would send it through
What is Theracom?
HHS is different on RTIP then patient stated. We would create this to balance it out
What is income doc
Patient has Part D insurance, we would enter in benefits & coverage as
What is pharmacy benefits?
Method of Completion should say what when calling out
What is phone call to payer?
Patient is uninsured & approved. These are the 2 cases we will have
What is PAP and Triage?
Shipping to MDO this is the Ship to Entity name
What is provider name?
Commercial Payer states medication isn't covered. This is the blurb we fill out
What is AFP detailed BV blurb?
Patient signature date, initials , and provider signature are found
What is consent/ops/preferences
Cost after deductible goes here in the BV
What is medical Drug copay/Coinsurance Value
This is where we find the eligibility dates on the related brand
What is affordability
This is the preferences Honored on the assign specialty pharmacy task
What is Manufacture Preferences
Alternate contact is missing phone number for commercial patient. This is
What is MI?
This will be entered under each provider and each brand
What is provider site contact?
Medicaid-patient med isn't on formulary. This is the BV outcome
What is not covered/specific exclusion
This must be answered on the 3rd task in the PAP before changing the status
What is the Medicaid question
If this is not submitted, the medication won't go out
What is the Fill
If HHS is missing from the application, we can obtain this from where
What is RTIP?