Show:
Claims
Udenyca
Loqtorzi
Soundview portal
Movies
100

What is the turn around time for claims?

7 business days

100

What is the copay benefit amount?

$15,000

100

What is the copay benefit amount?

$30,000

100

What is the purpose of the portal?

To allow the provider to enroll their patient and view the status of the enrollment.

100

What was the first Marvel universe movie released?

Ironman (2008)

200

What is the patient responsibility?

$40.00

200

The cap for UDY claims is

$4500 per claim, per unit (6mg/6ml dose) up to 2 units for $9000

200

T/F If a Medicare patient is approved for PAP they can be removed at any time. 

False - Per Office of Inspector General Guidelines (OIG) when a Medicare patient is enrolled in PAP they are required to stay in till 12/31/20XX

200

HCP wants to be added as an admin

Case manager advises them to contact the existing admin or escalates to FRM

200

What is the "power" that the Jedi's and the Sith use in Star Wars?

The Force

300

What are the two codes that Coherus Reimburse for?

Q5111 and J3623

300

How would you describe Buy and Bill?

HCP offices "buy" the product for administration then seeks reimbursement by "billing" third-party vendors.

300

Patient is uninsured or has commercial insurance and it is the 6th fill. What actions need to be taken?

A benefits investigation needs to be conducted

300

How do you verify HIPAA when the question is regarding the portal?

Verify Both: Obtain NPI and Callers FN/LN

Verify one: Prescribing HCP, Full office address, office phone number


300

Who do we not talk about in Disney's Encanto?

Bruno

400

What is the difference between 180 day look back and the 365 back bill window

A claim that is within 180 days of the enrollment is eligible for review. The difference is that the patient has to already have been enrolled in copay at time of service for a claim to be eligible for the 365 day back bill window.
400
Why would a patient not be eligible for copay?

Does not have an active commercial insurance, does not reside in a US state or Territory or No HCP attestation on file

400

What is the SLA for reporting a PRE?

1 business day

400

T/F the case manager can add an office member as a user in the portal

True

400

This movie series is about the girl on fire from district 12?

Hunger Games

500

What is the patient responsibility? 

$426.17

500
What is the time frame to complete a BI?

1 business day

500

What are ALL the eligibility requirements for PAP?

Uninsured/functionally uninsured, FPL >/= 500%, US state resident, not participating in any alternative funding

500

What two things are needed for a patient to be visible in the portal?

SOC NPI and consent

500

This movie takes an accidental trip to the past where the main character almost ruins his parent's relationship before it even starts

Back to the Future