RX
If a member wants to submit NEWRX what system can we use?
Fax-RTM
How many provinces are there in Canada ?
what is 10
How do we authenticate a Third party Without consent?
Members name + 3 acceptable identifiers. Then we ask for two additional pieces including RX #, RX NAME. Prescribing MD order number
Where do we track an order?
What is CRML?
Can we offer to refill a Control substance
NO
The member mentioned the seal is Broken on her Pill bottle.
Jet2Holiday To Clinical services
This nation has 11 time zones covering Eastern Europe and Northern Asia
What is Russia?
A member refuses to provide adequate information to complete authentication what should you do?
Adv the caller as [er HIPPA guidelines we will need to fully authenticate before we can release any PHI
Ask the caller the date it was submitted and the name of the RX. Check RX NOVA for claims if it was processed locally, Check Epost under available refills. we can offer follow up fax takes 24-48 hrs
What is the TAT for Renew RX
3-5 Business days after we received the NEWRX from MD
A member mistakenly misplaced her Prescription and need us to send another in because its not her fault. what can you do?
In 1985, this was the first soft drink consumed in space
What is Coca-Cola?
The caller mentioned she does not have access to their Humana ID what else can we use to authenticate?
Phone Number
Date of birth
Zip Code
Group Number ect
Unfortunately we cant lol
The member call to refill her blood pressure medication and forgets the name
JET2Holiday to clinical
what are the methods member can place an order?
CRML
Website
Mobile app
Automated Line
If you enter a room with a matchbook and there's a candle, oil lamp, and heater, you light this first.
What is the match?
What systems can we use to Authenticate?
CRM
Epost
RX NOVA
What should you do if an order is in refill outreach
What are the steps to complete a refill?
Verify the Rx being filled
offer to check copay
confirm shipping address and payment method
Adv of the TAT
ask the caller if they have enough for the TAT
offer order #
Medication is being shipped to the wrong address.
Update address and JET2Hliday to clinical services
This is the only food that is known to never go bad or expire
What is honey?
To ensure we are speaking with the correct member before releasing PHI
The member is running low on her medication after its track shown it will be there but the member does not have enough on hand
Offer a short fill locally or samples from MD
A members call to refill a medication that is $300 and does not have any CC to make a payment and is adamant that we should send her.
Adv the caller the options we have to make payment arrangements. Payment Plan also the member can choose to get lesser Quantity like a 30 or 60 d/s.