Getting Started
This process confirms that the medication the pharmacy received matches what the patient and prescriber expects.
What is Rx Verification?
This financial assistance program, often provided by a medication manufacturer, can help reduce a patient's out-of-pocket medication costs.
What is copay assistance?
This process documents the patient’s current medications and allergies so the clinician can review them with the patient.
What is completing the Meds and Allergies Tab (Health History)?
This provides patients with information on what to do with their Welcome Packet, how deliveries work, or how to refill a medication.
What is the Welcome Assessment?
Tool used to verify a patient's address?
What is SmartyStreets?
This number helps route the claim to the correct insurance company when processing a pharmacy claim.
What is the Rx BIN?
New patients who are new to our pharmacy and have a prescription receives this type of call.
What is a Welcome Call?
When you are unsure how to handle a situation during a Welcome Call, this guide is listed as one of your available lifelines.
What is the Welcome Call Interactive Guide?
The Initial Patient Setup and the Clinical Portion.
What are the two main parts in the Welcome Call process?
The four pieces of information commonly found on a prescription insurance card and are needed to process pharmacy benefits.
What are the Member ID, Rx BIN, Rx PCN, and Rx Group?
A patient is starting a new therapy that does not involve injections. You should still ask whether they need these before completing order setup.
What are supplies?
Unlike the Welcome Assessment, these assessments are reserved for clinicians and are completed during the second part of the Welcome Call.
What are Drug and Disease State Assessments (Clinical Assessment)?
Name, Date of Birth, Address, Language, Phone Number, Email, Emergency Contact and Time Zone
What are the pieces of information that need to be updated in the Patient Demographics tab?
This type of claim is used to verify whether a pharmacy claim will process successfully before the final claim is submitted.
What is a test claim?
You discover there is no prescription on file for a patient's medication. Rather than scheduling an order, the patient must take this action first.
What is asking their prescriber to send a new prescription to the pharmacy?
This team receives transfers when an incomplete HUB assessment is identified during a welcome call.
What is the Enhanced Services Team?
This accreditation is the reason Lumicera asks patients to provide a secondary contact during the Welcome Call process.
What is the ACHC Accreditation?
This step of the eight, helps determine whether Lumicera can fill for a patient's insurance, confirms all insurance coverage is on file, and identifies any copay assistance available to help pay for the medication.
What is the goal of Step 2 (Insurance)?
Whether it's a reaction to latex, food, or medication, this information is gathered before dispensing so potential safety issues can be identified.
What are allergies?
These are all components of this handoff communication:patient name, DOB, medication, new versus continuing therapy, and unresolved questions.
What is a transfer summary?