Call Quality
PRUDENTRX
PT Engagement
Ingenio RX
True or False
100

What is the outbound disclaimer?

what is This call may be recorded or monitored for quality purposes.

100

What is the bill group for PrudentRx?

What is UNN

100

What two task will populate when working PT engagement? 

What is "Contact PT for status update"
            "Contact PT for order cancel update"

100

What is the proper Ingenio representative introduction?


What is My name is ___ Pharmacy service representative 

100

We should refer PrudentRx as "Relief cost program"

What is False

200

Do we use the outbound disclaimer when leaving a voicemail?

what is NO

200

If a claim shows PrudentRx Eligible, do I tell the patient they are eligible?

What is NO- PRUDENT WILL CONTACT THE PATIENT

200

What task will populate when a member's NPE/Refill order may be delayed for specific reason. Some examples will include 

-CPA has exhausted
- The member needs to be aware of a dose change

What is CT PT for status Update 

200

What is the minimum worklist accounts that needs to be completed weekly

What is 180 accounts weekly 

200

Outbound call disclaimer is needed when leaving a VM

What is false

300

If you speak to someone besides the patient (spouse, parent, family member, or friend) you MUST get what info from them to HIPAA verify them? (correct answer must include all 3 things)

What is FULL NAME, RELATIONSHIP TO PATIENT, & "IS THE PATIENT AWARE YOU ARE CALLING ON THEIR BEHALF?"

300

If the patient is PrudentRx=P or PrudentRx=UC, do we transfer patient to Prudent after scheduling their order?

What is YES


*AFTER scheduling*

300

How do you find the instruction on what to do with the Task?

What is " Clicking on the Task"

300

Member calls in as their Tacrolimus has not arrived and was supposed to arrive yesterday, which Primary Reason should be selected:

  • Scheduling/Refill Request
  • Order Status/Delivery Tracking
  • Demographics
  • Scheduling/Refill Request

What is Order Status/Delivery Tracking

300

Mulit-org. accounts can be handle if medication is branded as IngenioRx

What is True

400
Should the clinical questions on the order guide be read in order and verbatim?

What is YES

400

Can I update secondary bill group to UNN?

What is NO

(there is a team on the back end that handles this)

400

Please give me a phrase when leaving a voicemail for the PT.

What is This is___ with INGRX specialty pharmacy and i am calling to reach ____regarding a possible delay in your order.

400

Member calls stating that we called them about their Humira order but not sure what the issue is, which Primary Reason should be selected:

  • Returned Our Call
  • Scheduling/Refill Request
  • Digital Refill Confirmation
  • Demographics

What is Returned our call

400

A call was received through an IngenioRx phone line and then transferred to a dedicated team. The first representative handling the call is responsible for documenting the call info the IB Call tracker. Receiving colleague does not need to log the call.

What is True

500

What do you verify when going over a MOP on file in order guide? (3 things)

What is CARD TYPE, LAST 4 DIGITS OF CARD, & EXPIRATION DATE

500
If PrudentRx is NOT a copay assistance program or insurance coverage, then what is it called???

What is Copay Optimization Program

500

For return policy: What statement is said to the  PT during the Refill/NPE guided (Verbatim)

What is "I would like to make you aware once the medication has been shipped to you it cannot be returned or exchanged. we also can not give credit for unused of unfinished medication"

500

What type medication has to have an RX renewed every 6 months instead of annually.

What is Controlled Substance

500

If member has a SPOC but they are unavailable and the member state it is ok for us to assist then we can proceed?

What is "True"