Inbound // Outbound

A Denial is valid for

• A lifetime (Forever)

• A year (365 days)

• A month ( 30 days)

• A week (7 days)

We manually enter a PA if

• There's a Tredium Outage

• The pharmacy ask us to

• There's no previous RX history

We can backdate PAs in Tredium

• True

• False

Answer explanation

We need client approval (It's an override)

Mitchell Telephone number

• 866-846-9279

• 866-846-9179

• 866-845-9179

• 866-836-9279

What claims do we not work

• WCF

• Compound

• Behavioral Health

• Apportioned

• Emotional Health

If we aren't seeing the option to create a tempt card we should:

• Create a commitment

• Escalate the issue

• Reach out to the adjustor

• Advised the pharmacy we're unable to help they'll have to use a different insurance

For Outbound, If there's a Paid claim in Tredium we can call the pharmacy and hang up to log the disposition and note the account

• True

• False