Across
- 2. ____ Drug Status for a MCR override
- 5. contracted DME vendor
- 6. drugs not covered per part D law (i.e. OTC, Hair Growth)
- 10. (abbvr) Independent Review Entity
- 11. (abbvr) Self Administered Drug
- 12. (2words) diabetic supply covered part B$0
- 13. (2words) name of field that needs to be entered on MCR overrides (PART_D)
- 14. fills that allow up to a 30DS bypassing PA criteria offered to new enrollees
- 15. type of PA that should always be offered to prov/mbr
- 16. determines which benefit should be applied to a claim
Down
- 1. CGMs are covered under this part
- 3. 72hr turn around time
- 4. (2words)an override that cannot be placed by a PBS for MCR
- 7. field that requires five 9's on test claims
- 8. Full list that is used to determine bvsd coverage
- 9. has a copay cap of $35
- 14. vaccine covered part D unless received due to injury