Show:
Check Again!
More than 1 way to get to 10
Edited it
You better Work!
Miscellaneous
100
Trial Claims can be completed in RxHD and this system.
What is RxClaims (AS400)?
100
To view the list of available overrides in RxHD, these are the 2 ways.
What is the Benefits link and Prior Auth button?
100
This edit restricts customers above or below a certain age from coverage on a medication.
What is Patient Age Edit?
100
Process of sorting faxes that arrive from pharmacies and doctors' offices.
What is Indexing?
100
Supervisor of the training department in Costa Mesa, California?
Who is Jason Dreyer?
200
On the claim information page, the button pressed to view the Pharmacy Transmission Information Comparison page.
What is the Submitted Info button?
200
In RxHD if the formulary lookup does not automatically select the plan name I can find this information here.
What is the Benefits link/Formulary Information?
200
Patient can received 45 tablets of their Xarelto in a Calendar year.
What is an example of a Period Quantity edit?
200
Used to receive, view, enhance, sort and commit document.
What is Index Plus?
200
The OptumRx security officer.
Who is William Mickle?
300
In this section of the claim, I can verify if an existing PA is preventing a trial claim from processing successfully.
What is the Product (Product Info) section?
300
Selecting the Dollar Amount Override automatically enters the Pharmacy Amount Due +$100. If it does not, I can copy this field and complete the edits.
What is Approved Pharmacy Reimbursement Amount?
300
This is selected as the type for all Period to Date edits.
What is Specified Days?
300
Depending on the Case ID and Business Unit entered faxes are sorted into these.
What are queues?
300
Neil's favorite sports teams.
Who are the USC trojans and the San Diego Chargers?
400
This field may be changed from an N to a Y, when creating a prior authorization for lancets or test strips.
What is the OTC flag?
400
3 places where one can access the PAS system.
What are RxWeb, VCC/Tools/Show Browser and RxHD?
400
There are two of these, one for Commercial clients and one for Part D members and helps with a copay override.
What are Copay schedules?
400
Faxes from Carlsbad are set to this level and must be changed.
What is 0-Immediate?
400
The 5 principles Optum's United Culture is based on.
What are Integrity, Compassion, Relationships, Innovation, and Performance?
500
The qualifier used when editing the maximum daily dose.
What is Standard Inclusive?
500
Section in PAS and a section in RxHD where one can view recent PAs on file.
What are Member Activity and Claim Prior Authorization Override History?
500
Excludes medications or therapy classes based on pre-existing conditions, even though the medication may be considered formulary.
What are Exclusion or Ridered Auths?
500
A written consent from a member giving authorization for someone to speak and handle transactions on their behalf.
What is AOR/POA?
500
The city Ivelisse was born in (be specific).
What is Bronx, New York?