Client & Disease State
Healthcare Terminology
Product Information
Salesforce
Enrollment Assistance
Benefits Investigation
100

Clean toxins from the blood and regulates the amount of blood in the body

What is the liver?

100

Determination of drug coverage under a health insurance plan

What is a Benefits Investigation?

100

Film-coated tablets

What is the form of Resmetirom?

100

Where agents update their status in Salesforce to show "available"

What is the Omni Channel?

100

The purpose of the Enrollment Assistance stage

What is obtaining missing information?

100

24 hours

What is the SLA to complete a Benefits Investigation?

200

March 14, 2024

What is the PDUFA date for Resmetirom

200

Amount of money the insured must pay before the insurance company pays out

What is a deductible?

200

Once Daily

How often is Resmetirom taken?

200

This represents the work that needs to be completed for a patient

What is a case?

200

The quick link used in the Enrollment Assistance stage

What is the Missing Information quick link?

200

This button begins the BI process

What is the ABV button?

300

One of the most common causes of liver disease in the U.S.

What is Non-Alcoholic Fatty Liver Disease (NAFLD)?

300

Pre-approval for prescribing a drug for that drug to be covered by the insurance company

What is a Prior Authorization?

300

80 and 100 mg

What are the strengths of Resmetirom?

300

Used for any follow up calls or work in Salesforce

What is a task?

300

This is in the "Missing ?" column indicate information is missing 

What is "Yes?"

300

Needed if the ABV does not return any or all of the required information

What is a call to the payor?

400

24%

What is the percentage of people with NAFLD in the US?

400

The requirement to try a less expensive drug before a more costly medication

What is a Step Edit?

400

Madrigal Patient Support

What is the hub name for Resmetirom?

400

The button agents will click to begin the Benefits Investigation

What is the ABV button?

400

Perform this best practice before calling our for missing information

What is checking the patient enrollment form?

400

The purpose of a Benefits Investigation

What are the patient's coverage details for the therapy?

500

Only a small number of people with NAFLD develop this

What is Non-Alcoholic Steatohepatitis (NASH)?

500

A list of generic and name-brand drugs covered by a health insurance plan

What is a formulary?
500

What Resmetirom treats (full name)

What is NASH / Non-Alcoholic Steatohepatitis?

500

Agents will email a supervisor to merge these in Salesforce

What are duplicate accounts?

500
Agent gather missing information in order to complete this stage

What is the Benefits Investigation stage?

500

Click this if the ABV does not create a new Benefits Investigation Result (BIR) record

What is the New BIR button?