Who Dis?
You must obtain 3 forms of this to authenticate every caller...
HIPAA
Requesting financial assistance often starts with the HCP filling out and faxing in what type of document?
What is an enrollment form?
PEM is the abbreviation for this teammate of yours...
Practice Experience Manager
The very first case someone should have on their account.
What is an Onboarding Case?
This application comes up automatically when we start the computer. We MUST BE signed into it in order to sign into Finesse.
What is Jabber?
In order to help a patient sign up for Alternative Funding, you will need to make sure a second one of these is on file.
What is a Consent Form?
A PEM is what kind of medical professional.
What is an RN or Registered Nurse?
This case is created for patient a needing to sign up for Link.
What is Bridge?
This is a special type of call made to the Payor to determine a patient's coverage.
What is a Benefit Investigation?
This company handles questions about Copay Cards.
Salesforce automatically notifies your PEM of an unsuccessful attempt at obtaining Missing Information after what attempt?
What is 2nd and/or 4th?
In this stage, the program sets a reminder for two (2) business to follow-up with the specialty pharmacy to confirm receipt of the triage package and status.
What is the Triage To Pharmacy Stage?
To create a 3-way connection with Language Line with an active caller, this is the button you would press before dialing out to Language Line.
What is Conference?
APP stands for...
What is Access Partnership Program?
Your patient has a PA denial. You have contacted the patient, HCP, and PEM of the denial. You should wait this amount of business days to follow up with the PEM on how to proceed.
What is two (2)?
All of these must be closed before closing the Case.
What are stages?
When speaking with a payor, you might be asked to provide this 10 digit number, proving you can exchange PHI.
What is NPI?
When a patient is currently on therapy and is experiencing: a lapse in commercial or government insurance coverage, a change of insurance coverage or a loss of insurance coverage, they might be eligible for this financial program.
What is LINK?
A task notification will be sent to the PEM (Rubraca only) to notify that the maximum dose of this/these have been reached.
What is QS/APP?
Besides the patient's Full name, phone number, DOB, and Full Address, this piece of information would be required for every stage. (*hint: Missing Information Grid)
What is Primary Diagnosis?