ProFinancial
The process of logging into ProFinancial is the same as logging into_______.
ProHelpDesk
How should you search in CMS to make sure the patient doesn't have duplicate cards or files?
Search in CMS with the first 3 letters of the first name%, first 3 letters of the last name%, and the state to make sure the patient does not have duplicate cards/files.
In the Status Tab: What are the 2 approved Provider ID Qualifiers?
07- NCPDP
01- NPI
If the patient is certain that they have an active card and you cannot locate it by
Card ID number.
DOB and 5-digit Zip code
make sure to search using....
Additional Patient Info
What is the Pharmacy Tracking Tool used for?
Used to notate pharmacy calls
The tiles on the left-hand column of the page open what?
applications that ProFinancial supports
Once D.0 is chosen, go to Options and select....
Pay As COB.
In the Patient TAB: How do you know you are looking at a Multi-Use ID in this TAB?
When the patient’s name (or portion of) appears next to the card ID.
If the Card ID is inactive and belongs to a program you will see the message...
Card is not assigned to a recipient but it belongs to the following group(s)
You can search by any of the following methods:
Pharmacy ID (NCPDP or NPI)
Pharmacy Name with zip and/or state
Pharmacy phone number
Most of your work will take place in this tab.
Financial Information
The Person Code will always be?
000
What is a GPI?
Generic Product Identifier which is a higher level classification and is 14 digits long.
If the patient is not in the system you will see the message...
Search results in no persons being found
Once you find the pharmacy you are looking for, what do you select to create a new case?
Add
Requests to add 835 files can be received by the Pharmacy Support Team (PST) by... (List all 7)
1. Phone
2. Service Request
3. Fax
4. Mail
5. Email
6. Spreadsheets from Corporate
7. Spreadsheets from Chain
The Days Supply and the NDC will always be from where?
Label/Invoice
In the Pricing TAB: Under the "Payable" column - Total Amount Due - What does this section show?
The amount the pharmacy shall receive from McKesson plus the incentive fee.
Whenever patient demographics have changed, the history will be stored under...
History
The _______ is obtained from ProPBM on the Reject information tab in the Internal Error Code section of the rejection message, and must be filled out if applicable.
Internal Rejection Code
What is the purpose of the Pharmacy Support Team (PST)?
Responsible for being the liaison between the requestor and all McKesson parties involved in the process. PST will assess the request and reach out to the party needed to handle a given request. It is the responsibility of the PST team to provide a bi-week list to the E-Commerce group with any changes that need to be made during that cycle. This list is tracked via an Excel spreadsheet and saved in folder in D/I shared mailbox.
The prescriber ID will always be what?
BS1111119
If a REJ Code is populated in this section, What kind of Other Coverage Code (OCC) are we expecting?
(HINT: Refer to the MISC tab)
OCC 3
What is an important detail to check after processing an event?
Verify the event was CLOSED COMPLETED (saved) under the events tab.
Setting the Disposition to "Open PON team needed" means what?
Needs to be handled by PST