Can I talk to you?
A provider’s office calls to verify the RX is scheduled for delivery. What information do you need before addressing their inquiry? (5 things)
Name, Title
NPI
Members Name
DOB
ZIP Code/ Phone Number
______ Copay
Estimated
Where do we check if we can handle and RX?
Drug List
When going over an RX what all do we list? (4 things)
RX Name, Strength, Day Supply, Quantity
DC or D/C
Discontinued
Hi, my name is Apple Green I am calling to check on my Prolia. My DOB is 1/22/1972 and I am in Chicago 60601.
No, we need one more piece of information.
Center Well Specialty Pharmacy my name is Priscilla, _______, whom do I have the pleasure of speaking to?
We are on a Recorded line.
Where do we see the Copay and the Copay Check Box?
Referral
DC or D/C
PFS
SDV
Smed
Discontinued
Pre-filled syringe
Single Dose Vial
ScriptMed
PFS
Pre-filled syringe
Hey, this is Kali G MA from Dr. Lopez office. I am calling for Apple Green's her DOB is 1/22/1972. Checking if her Prolia is ready to schedule.
No, we need NPI and Zip code.
RX being shipped to MDO is POS ___?
11
Where do we verify the address at?
USPS
When reading an RX line what does the "/" stand for?
XOLAIR PEN 300MG/2ML
per
SDV
Single Dose Vial
A member's sister calls in with Members Name, DOB, Full Address and phone number. Can we assist?
No, we need 2 of the following
Pharm 10 is being shipped out of____?
OHIO
Where do we see the Claim Status of an RX?
Referral
Which field on the referral indicates the date the package is expected to be delivered?
Need Date
Smed
ScriptMed
Hey, this is Ariel G RN from Dr. Lam office NPI 1122334455. I am calling for Apple Green's her DOB is 5/08/1972, and Zip Code is 85032. Checking if her Prolia is ready to schedule.
Yes!
What do we use (website) to verify an address?
USPS
If we have a question do we...
A. Tell them we don't know
B. Guess
C. Place them on hold and hope they hang up
D. Put Chat Template in Provider Concierge chat
E. Side someone and hope they respond
Put Chat Template in Provider Concierge chat
Referral status:
Active-
Nogo-
Closed-
Active – this referral is needing to be worked
Nogo – this referral is not being worked
Closed – this order has been scheduled for delivery
OB
IB
Outbound
Inbound