Work Procedures
We follow this procedure when we send multiple clarification requests to the doctor but we get no response
What is NO MDCB
The first button you select on the SOF when creating an order
What is the Book Order button
Generic name for LIPITOR
What is ATORVASTATIN
Data entry work
What is DE
The macro used to verify diabetes info with the member
What is CTRL+P
The correction note you add in the rx form when a member from South Carolina approves a max quantity increase
What is RAW SC STATE REG
The task you create when you speak to an authorized representative provided by the member
What is the HIPAA VERBAL DESIGN task
Brand name for PREGABALIN
What is LYRICA
A complex queue with adjudication issues
What is DEX
The site where we house our work instructions (WI)
What is KnowledgeNow
Number of call attempts to member for manual DIABETES HOLD when macro is not utilized
What is 2 call attempts
What is HFF/PIP tab
Brand name for INSULIN GLARGINE
What is Lantus
This queue is used to verify DAW preferences with the member
What is OGS OUTREACH
The site we use to verify member coverage
What is Pharmacy Portal
The icon used to view documented calls
What is the paperclip
Generic name for XANAX
What is ALPRAZOLAM
Insulin pumps are housed in this specialized cell
What is MV400
DOE stands for
What is Direct Order Entry
The tab on the SOF where you can see all holds placed on active orders
What is "Patient's all Order Holds"
Generic name for TAMIFLU
What is OSELTAMIVIR
This queue houses DE holds, faxback, first fill, and process pv holds
What is TE
Macro to utilize the Med Guide/Knowledge (think SMS)
What is ALT+SHIFT+9