Value Adds 4 Flashcards
1
Q
Claims Eligibility Check
A
Helps reduce DIR fees and improve Medicare Star Ratings by alerting pharmacies when claims for specific medications for Med Part D patients are submitted to plans other than patient’s Part D plan
2
Q
Prior Auth Plus
A
Enables pharmacies to electronically generate a PA form from a PA-rejected claim
3
Q
340B Data Feed
A
Daily/Weekly/Monthly feed from Network traffic -used by various organizations to populate their data models and/or processes to provide services to pharmacies, payers or any other interested party that has signed the necessary DDAs and BAAs
4
Q
Transaction Tester Premium
A
Dummy Test Environment to see if the pharmacy is connecting to the Relay Health environment to adjudicate claims
