Fep 1 Jeopardy Template

Authentication	Turn Around Time	Prior Approval	General Information	CIF
100 What is First Name and Last name, Date of Birth, Zip Code, and name of medication You need these four pieces of information for none IVR?	100 What is 10 business days What is the TAT for a refill with no issues?	100 What is Electronic, phone, fax, mail What is the 4 ways to summit a PA?	100 What is FEPBlue.org What is the FEP web site?	100 What is Z6500 What is the client code for FEP?
200 What is Is the member is aware they are calling on their behalf? What is the question we ask for third party?	200 What is twice via fax within the next 5 business days What is the TAT for a requesting a new rx?	200 What is up to 3 business days What is TAT For an electric PA?	200 What is A type of Variable Fill provided when Prior Approval is on file, or the member receives an amount covered under Quantity Allowance, to fill a full 90 Day Supply when a smaller Quantity was filled by a Retail or Mail Order Pharmacy. Removing the member from a "loop" of smaller Quantity fills. What is a Looper?	200 What is Standard, Basic and FEP Blue Focus What is the three plan types?
300 What is the additional information you need when the doctor office calls? What is the name of the person calling?	300 What is within 14 days What is the TAT for a breast pump or blood pressure monitor?	300 What is PA expiring What is the opportunity when the plan benefit override is yellow?	300 What is when the eligible Out Of Pocket expenses reach the Catastrophic Protection Maximum, the member will no longer have to pay the associated cost sharing amounts for the rest of the calendar year. What is Catastrophic?	300 What is the Weight Loss Program What is program is new for the Plan Year of 2020?
400 What is the callers name and NPI number? What is the additional information you need when the pharmacy is calling?	400 What is up to 21 days What is the TAT for claim research task?	400 What is the order will be held? What is the process for an order placed for a Prior Approval medication without a Prior Approval on file	400 What is AllianceRx Walgreens Prime What is the name of the pharmacy that handles special drugs?	400 What is Member is able to receive Five (5) Vacation overrides per member, per rolling year, per incident. An incident pertains to multiple prescriptions at one time. What is the total amount of overrides allowed for a vacation?
500 What is the verification that you can get in place of zip code? What is the plan sponsor?	500 What is up to 4-6 weeks upon receipt What is the TAT for a paper claim?	500 What is up to 90 days prior to expiring What is the time frame to renew an expiring PA	500 What is required on every call? What is Telephone Number, Email, check eligibility, view activity, check HEE, access CIF on every call	500 What is Submit the claims by December 31 of the year after the year the prescription was received What is the Timely Filing Limit for a Paper Claim?

FEP

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