Unsuccessful Fax Transmission

What should you do first when handling an unsuccessful Pharmacy Confirmation Fax?

• Open the Claim in ScriptAdvisor

• Call the pharmacy immediately

• Update the fax number in ScriptAdvisor

• Transfer to the Escalation team

Answer explanation

The first step when handling an unsuccessful Pharmacy Confirmation Fax is to open the Claim in ScriptAdvisor to review the details and address any issues.

If a medication has a paid claim in Tredium, what is the next step for a Pharmacy Confirmation Fax?

• Update the pharmacy fax number

• You do not need to re-send the fax

• Call the pharmacy to provide the decision

• Re-send the fax immediately

Answer explanation

The correct step after a medication has a paid claim in Tredium is that you do not need to re-send the fax for Pharmacy Confirmation.

How do you update a pharmacy's fax number in ScriptAdvisor?

• Transfer the task to the Escalation team

• Call the pharmacy and ask them to update it themselves

• Open pharmacy NABP pop-up from the PA call and edit the phone or fax #

• Send an email to the pharmacy asking for their fax number

Answer explanation

To update a pharmacy's fax number in ScriptAdvisor, you need to open the pharmacy NABP pop-up from the PA call and edit the phone or fax #. This allows for direct and accurate updating of the information.

What is the purpose of the 'RFA Not Received Fax'?

• To notify a prescriber that a NY PAR is needed for medication

• To request a Letter of Medical Necessity

• To inform about a Dispensed As Written request

• To confirm a pharmacy's fax number

Answer explanation

The purpose of 'RFA Not Received Fax' is to notify a prescriber that a NY PAR is needed for medication.

What should you do if you receive an Unsuccessful Fax Transmission with no claim number?

• Ignore the fax

• Transfer to the Escalation team

• Update the fax number and try again

• Call the pharmacy or prescriber directly

Answer explanation

Transfer to the Escalation team is the correct choice because they are equipped to handle issues not listed in the categories, ensuring proper resolution.

Where should changes to a pharmacy's phone or fax number be recorded?

• Directly in the Tredium system

• On the Pharmacy Phone or Fax Updates excel tracker

• On a physical logbook

• In an internal email

Answer explanation

Changes to a pharmacy's phone or fax number should be recorded on the Pharmacy Phone or Fax Updates excel tracker, as it is the designated system for such updates.

What is the first step in handling a 'Letter of Medical Necessity - Request Handled'?

• Update the fax number on prescriber NPI details

• Open the Claim in ScriptAdvisor and select the Manage LMN tab

• Call the prescriber's office to confirm the fax number

• Create an internal note about the new fax number

Answer explanation

The correct first step in handling a 'Letter of Medical Necessity - Request Handled' is to open the Claim in ScriptAdvisor and select the Manage LMN tab.

What action is taken after confirming a new fax number for a 'Dispensed As Written Letter - Request Handled'?

• Select edit & Refax

• Immediately call the prescriber to confirm receipt

• Transfer the task to another team

• Wait for the prescriber to call back

Answer explanation

After confirming a new fax number for a 'Dispensed As Written Letter - Request Handled', the action taken is to select edit & Refax.

What is the correct procedure if there are multiple unsuccessful emails for faxes going to the same Pharmacy Fax #?

• Send all the faxes again without checking

• Check the pharmacy details by reviewing the internal note

• Call the pharmacy for each unsuccessful fax

• Ignore the emails as it might be a system error

What should you do after updating a prescriber's fax number for an RFA Not Received Fax?

• Regenerate the fax with updated information

• Call the prescriber to ensure they received the fax

• Update the pharmacy's fax number as well

• Close the claim without further action