Humana Assesment PST 1

Humana Basic Rx Plan, Humana Premier Rx Plan, Humana Walmart Value Rx Plan

• Humana offers medications to members and Humana offers doctors' visits

• Humana an insurance company and centerwellPharmacy is a mail order pharmacy

• Humana and Humana Pharmacy are the same thing

• Humana a mail order pharmacy and Humana Pharmacy is an insurance company

Select the 2 activities that a Rx Education agent does.

• Handles requests to add diabetic supplies and medical equipment orders

• explains what the medications are for

• Only refills

• Add new prescription and refills

If you are talking to the member, what 3 pieces of information do you need in order to follow HIPPA?

• Humana ID, Full name, address, day and month of birth

• Humana ID or Full name, date of birth, zip code

• Humana ID, First name, day and month of birth, zip code

• Humana ID, Last name, date of birth, zip code

How long does it takes the shipping once we request new prescriptions (enrollment)?

• 5-7 days after the doctor responds

• 5-7 days

• 10 days or more

• 7-10 days after the doctor responds

Name the 3 tabs that we have on CRM once we entered a members account.

• Details tab, Med tab, jump links

• Details tab, Med tab and mail order pharmacy tab

• Details tab, Med tab and Humana tab

• Details tab, Med tab, jump links

What jump link do we use to find consent forms?

• Associate forms and information

• POA

• Demographics

• Policy details

What is the interaction button when you are talking directly to the member?

• Interacting With

• Interacting With & About

• Interacting For

• Interacting About

If a third-party takes the call, what are 4 options that can authorize him/her?

• Power of Attorney, Consent Form, Verbal Consent, implied consent

• If a third-party takes the call, what are 4 options that can authorize him/her?

• Consent Form, Implied Consent, Verbal Consent, power of attorney

• Tier Exception, Verbal Consent, Power of Attorney

A form delivered from Humana to members (mail and email), so a third-party has authorization on the member’s account is:

• Verbal Consent

• Consent form

• Prior Authorization

• POA

What is a POA?

• A form provided by Humana so a third-party has authorization on the account

• A form provided by a third party signed by the member so can have access

• Information provided by a third-party so we can access to member's account

• A document provided by a lawyer so a third-party has authorization