RXHOME
The Pink Banner is Important Because...
Dedicated Team is shown.
The 4 Types of Eligibility are..
Active, Future Active, Termed and Future Termed.
ACT Means..
Accredo Care Team
EXT for Humira PCA?
EXT 237952
I can help you with Submitted a Prior Authorization what am I?
Task Manager!
AOB Means..
Assignment of Benefits
Why would you Review a Member's Claims.
To Research and see if there's any rejections or paid claims for the medication in question.
How many conversions did ACT have in total for 2019?
14,665!
What's the Inventory ID for a BOX of 200 Alcohol Prep Pads.
ID: 112729
Specialty is my name and I can help you with Accessing the Following..
KIP, C-Agent, Get Next, CSS Request, Task Manager and Patient Rescue.
Can a Patient be shown as Direct but have Integrated coverage?
Yes, IF Patient has Medicare OR Medicaid.
Pink Keyed Means..
RX is being processed. Active Protocols.
Overrides we assist in are..
4W Patient Must Fill through Specialty, 73 PT has exceeded all allowed overrides (RRA). AHG does NOT Dispense the Medication. Emergency Overrides.
What's the Service Branch for Hawaii?
50
I come in many colors..
NOTE Generator
Why are ATMS important?
They allow us to collect and track the patients therapy experience.
Black Keyed Means..
Prescription is ready to schedule.
To Authenticate what do we ask a member for?
First Name Last Name DOB and ZIP.
Does A Child Under 18 Need a Prescription for Needles/Syringe IN New York based on the Drug Scheduling Guide?
Yes
In Task Manager You can complete the following..
Copay Assistance Billing Request, CEM Request, PA.
What should you Review AND Confirm when setting up an Order?
Description, Quantity, Doses, Day Supply and Label Instructions
Using C-AGENT how do you create a Prescription Request using ONLY ESD to submit it.
Please Provide Steps.
What is Mike Brady's DOB
01/02/1954
Would you be able to schedule Gilenya based off of drug scheduling?
No we'd Transfer this Member to their dedicated team.
What TRC do we work for Patient Rescue?
RA&I.