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Member Services Crossword Puzzle

Created By: Tamara Cortez
Horizontales
What does mbr need when asking about interactions and side effects?
What is needed when a mbr gives a description of a med they are unfamiliar with?
What dept. handles AR/PS/FS & CCS?
What is the receive mode when mbr uses automated system?
What queue is used for specific mfr requests?
What would be needed if mbr has a controlled med & is requesting a diff manuf for a damaged or defected product & has no refills available?
What task would you submit when mbr is requesting a diff manuf for a damaged or defected product & has refills available?
Task you see in system once mbr has returned an rx?
Who do you contact regarding split payments, high copays, or E-check issues?
What is the process called.. when CCS is able to give credit if plan qualifies?
What are tabs, caps, powders, & liquids considered?
What part of MS takes calls when mbr needs counseling?
What AR queue is OU sent to after automated call has been made & we determine whether to place OU on indef hold or return to PPT, due to no response?
What is taking personal ownership for our actions and their results?
Three times a day
Where rxs are given verbally over the phone?
A task submitted to this queue to be worked when a regular refill cannot be placed.
Where is ou sent for a call to verify info w/ mbr(ppt name, address, if mbr wants brand or gx)?
Verticales
Who is the manager for Member Services?
The inline acronym for A2E stands for what?
Long word used for SIG?
What type of coupons does Cvs/Caremark except?
C2 rejected in error needs to be sent to the ROCC to be?
Brand Only
What would be needed if mbr has a non-controlled med & is requesting a diff manuf for a damaged or defected product & has no refills available?
How would you get the pharmacy to acknowledge a specific/special request from a mbr?
What would be needed if mbr is requesting a diff manuf for a damaged or defected product & has no refills available?
When automatic fax is sent to MDO due to mbr being out of refills.
Where do you go to recognize someone who has demonstrated one of our 5 values?
Twice a day
What is the receive mode when mbr sends in a refill w/ order form?