Sanofi

Plan Info

100

What PB is needed when the agent states YES to renewal process? 

What is there phone Number?

200

How many numbers are there in the BIN?

There will be 6 digits in the BIN.

300

What if the plan is terminated ?what is the next question we need to ask?

Is there a current active plan on file?

400

What does the letters PCN stand for?

What does the letters BIN stand for?

Processor Control Number.

 Bank Identifications Number.

Data Entry

100

For Humana what will be the policy type by default 

Medicare

300

If the agent is not able to answer that what phase is the member currently in? Then what next we need to do ?

We need to choose Unknow . As because we are not able to headset that question.

400

If the agent give you the copay $154.72 then what is the PB for that?

That sound like an estimate, can you provide me with the percentage.

500

For the Sanofi calls we are calling for what type of drug?

Part D.

Cost Share

100

If the Deductible is not met. What phase of Medicare Part D coverage the patient should be currently in? 

Deductible Phase

300

If the agent is not able to provide the mail order and retail pharmacy cost share then what next we need to to ask ?

Would you be able to provide me the general cost share structure for that.

400

If the agent in Deductible is meet and OOP is not meet. Then the member is in which phase?

Initial Phase.

Other Insurance/ Prior Authorization

300

If the PA status is Pending what is the next question we need to ask?

Is there an active one?

500

For obtaining the Prior Authorization what are the 4 information we collect  form the agent?

1.Department Name 

2.Phone Number

3.Fax 

4. Website

Plan Design

100

What is the limit for the Individual Deductible for Sanofi? 

$590

400

What is the true OOP amount limit?

2000