What does ASD stand for?
Aetna Strategic Desktop
what does the SHIELD stand for?
What type of PCC task should you be looking for when working from the PCC tier buckets?
Open
What system do you process refills in?
Compass
where must you route an order that has a balance or credit?
Process and Call sup queue
What does HRP stand for?
Health Rules Payor
CVS Caremark Prescription Services 800-841-5550
What Payor would you load if the patient has an ID number that starts with a 10?
Aetna Medicare PDP MAPD
What 2 links can use to process a refill?
Refill Link and release held rx
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
what does ATV stand for?
Aetna Total Clinical View
Where would you look on the Shield for the Manufacturer Reference Guide.
Scripting Tools then Shared documents
After the Quote is Submitted from Oracle what Stage In Compass does the order go to?
Rx Entry Stage
where must you route an order that rejects for a prior auth?
insurance specialist pending auth queue
who do you call to get a vacation override?
APM
In what system would you locate a prior authorization for a patient that has an ID # that starts with a 10?
DPAS
When was the CPA Master Tool last modified on the Shield?
February 14th
If patient information populates in the middle section of the Patient Search what does this mean?
Patient has an existing profile in Oracle
where must you route an order to run cpa if the order is in RxCollect?
Rxajudication
Where does an order need to be routed if its a medbilled CPA manual payor?
Pt advocate manual payor
What type of Prior Authorizations are located in the ATV system?
Infertility and Medical Auths
Where are the Approved Templates on the Shield?
Rx Intake Information
What step in "Submitting a Quote" populates the quote name and the quote number?
Save button
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
what's the name of the Pharmacist in Charge?
Nereida Padilla