Systems
ASRX Shield
PCC Process
Refill Process
Miscellaneous
100

What does ASD stand for?

Aetna Strategic Desktop

100

what does the SHIELD stand for?

Supportive, Healthcare, Information, Employee, Learning Database
100

What type of PCC task should you be looking for when working from the PCC tier buckets?

Open 

100

What system do you process refills in?

Compass

100

where must you route an order that has a balance or credit?

Process and Call sup queue

200

What does HRP stand for?

Health Rules Payor 

200
From the Shield, on the 2nd DID YOU KNOW listed where would you call if you have a patient on the phone that was serviced through Aetna Home Delivery and their script was transferred to CVS Home Delivery?

 CVS Caremark Prescription Services 800-841-5550

200

What Payor would you load if the patient has an ID number that starts with a 10?

Aetna Medicare PDP MAPD

200

What 2 links can use to process a refill?

Refill Link and release held rx 

200

what question must you ask a patient on every call that is not on the DCT?

any changes to your ins or contact info within the last 30 days 

300

what does ATV stand for?

Aetna Total Clinical View 

300

Where would you look on the Shield for the Manufacturer Reference Guide. 

Scripting Tools then Shared documents 

300

After the Quote is Submitted from Oracle what Stage In Compass does the order go to?

Rx Entry Stage

300

where must you route an order that rejects for a prior auth?

insurance specialist pending auth queue 

300

who do you call to get a vacation override? 

APM

400

In what system would you locate a prior authorization for a patient that has an ID # that starts with a 10?

DPAS 

400

When was the CPA Master Tool last modified on the Shield? 

February 14th 

400

If patient information populates in the middle section of the Patient Search what does this mean?

Patient has an existing profile in Oracle 

400

where must you route an order to run cpa if the order is in RxCollect?

Rxajudication

400

Where does an order need to be routed if its a medbilled CPA manual payor?

Pt advocate manual payor 

500

What type of Prior Authorizations are located in the ATV system?

Infertility and Medical Auths 

500

Where are the Approved Templates on the Shield? 

Rx Intake Information 

500

What step in "Submitting a Quote" populates the quote name and the quote number?

Save button

500

what is the Medbill process?

verify pt is active in asd

look for valid p/a 

look for 2019 benefit verification template and payment plan queue template 

go over medbill disclaimer 

500

what's the name of the Pharmacist in Charge? 

Nereida Padilla