INSURANCE
QA
PT FAQs
SYSTEMS
TERMINOLOGY
100

We do not accept these 3 insurances.

What are

-Kaiser

-Medicare Parts A & B

-Veterans Assosciation

?

100

These 3 pieces of information need to be verified before providing any personal information.

What is spelling of last name, DOB, last 4 of SSN?

100

"How much will my copays be?"

"They should stay the same as they are now."

100

The guys who started Pillpack.

Who are TJ Parker and Elliot Cohen?

100

The acronym for someones main prescribing doctor.

What is a PCP?

200

These RX numbers are gathered from the pt's insurance card.

What are the RXBin, RXGRP, and PCN numbers?

200

How often you should check your email and approve your punches.

What is daily?

200

The 2 reasons we do not send a 90-day supply.

What are

-too large to ship, as they are rolled

-many of our pts deal with changing doses, and a 30 day supply makes it easier for us to adjust

*we don't want you to pay for a 90 day if the prescription will change and you'll have to waste those pills anyway*

200

You should clock out at these times

What are break times & end of day?

200

Pillpack Sales Teams.

What are Apollo, Athena, Hercules, Nike, Morpheus and Zeus?

300

This is the company we go through to provide medications for customers without RX insurance.

What is GoodRX?

300

Someone needs to have either of these 2 things to signup someone else.

What is Power Of Attorney or Verbal Consent?

300

This is the reason we require an electronic MOP for every pt.

What is safety/copays?

300

You can find your paystubs here.

What is ADP?

300

You will do this when you get a "Pharmacy Non-Contracted" code.

What is letting the pt know we are currently not contracted with their plan and properly ending the call?

400

This is when someone has more than one insurance plan., e.g. Medicare & Cigna.

What is dual eligibility

400

You MUST ask for this after gathering each individual medication.

What are refill dates?

400

This is how we prevent pt's packages from theft.

What are discreet packaging & options to sign for delivery?

400
After quoting GOODRX prices, you must:

what is notate the prices and pt's approval?

400

What is the acronym for "As Needed" medications?

What is a PRN?

500

These pieces of information MUST be in the signup tool before prequal can assist you.

What is demographic info, primary care doctor, and current pharmacy info?

500

The DTS we do NOT provide.

What are pumps and meters?

500

"How does Pillpack make any money?"

"We work the way every pharmacy does. Insurance companies pay us to help provide their members medications. Because we don't have any brick and mortar store fronts, we don't have to keep up on those expensive rents and we can pass those savings onto you.

500

You need to lock your computer screen during these times.

What is anytime away from your desk?

500

M/I Group Number

What is missing/invalid?