Client Information & General Information Section

Question 1

Override Approvals

Answer 1

Who outside of the member, providers, and pharmacies can request overrides

Question 2

PHI Release Contacts

Answer 2

What drugs and situations allow overrides based on plan start and other rules

Question 3

Appeal Info

Answer 3

Outlines if Navitus handles appeals, and links information if applicable

Question 4

COB Info

Answer 4

Outlines if the plan coordinates with other insurance

Question 5

Health Care Reform

Answer 5

Advises if the plan follows ACA

Question 6

Manual Claims Info

Answer 6

Outlines it the client allows manual claims and where to find this information

Question 7

Portal Info

Answer 7

Outlines if the plan offers a member portal

Question 8

App Info

Answer 8

Outlines if the plan offers the Navitus app

Question 9

NCQA

Answer 9

Outlines if the plan is NCQA

Question 10

Pharm Incentive

Answer 10

Outlines if the plan participates in an incentive program

Question 11

Tablet Splitting Programs

Answer 11

Outlines if the plan participates in tablet splitting program