Across
- 4. Any expression of dissatisfaction with the Plan services or RxAdvance, its employees, contracted providers or pharmacies that is not based on a clinical decision.
- 8. A number assigned and maintained by the FDA to identify drug products marketed in the US.
- 9. What federal statute regulates identifiable health information?
- 10. The amount that a plan member pays out-of-pocket before benefit coverage begins
- 13. What national health program is administered by the Centers for Medicare and Medicaid Services.
- 14. ____ is an acronym for a company that provides operational services and management under contract to another company.
- 18. The process by which a clinical or administrative review is completed to authorize a medication that previously was not covered.
- 19. What type of pharmacy insurance is not funded by the federal or state government?
- 22. This communication tool is used inter-departmentally within RxAdvance.
- 23. The last name of RxAdvance's President & CEO.
- 24. ________ is the process by which we check a member's coverage (timeframe, status, and type.)
Down
- 1. This list is administered by State Medicaid(s) to allow registered pharmacies to dispense under their plans.
- 2. What public health insurance program provides health care coverage to low-income families and individuals.
- 3. RxAdvance is now a part of ______.
- 5. The acronym for the landmark health reform legislation that includes an extensive list of health-related provisions that began taking place in 2010.
- 6. A 5-digit number used to identify a medication, this identifier includes under it any NDC’s for the medication, including those from different manufacturers or non-formulary NDC’s.
- 7. What is the first name of RxAdvance's Compliance Officer?
- 11. A list of drugs that an insurer covers and that are used to treat patients in a drug benefit plan.
- 12. Authorizing, structuring, ongoing review of prescribing, dispensing, and use of
- 15. What is Rxadvance's robotic process automation cloud for healthcare called.
- 16. The amount members contribute to the cost of each prescription, covered by their drug benefit plan.
- 17. ______ is a type of dispute a pharmacy must submit if they dispute their reimbursement rate.
- 18. What is the acronym for companies that help manage prescription drug benefits?
- 20. The acronym for an extended override.
- 21. The process pharmacies must use in order to correctly bill multiple insurances for one member.
