Autoimmune diseases; treatment of psoriasis, Crohn's disease, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, and ulcerative colitis.
Moderate to severe plague psoriasis
Moderate to severe Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA), or Anklylosing Spondylitis (AS)
Stelara is used to treat_________.
Autoimmune diseases; treatment of psoriasis, Crohn's disease, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, and ulcerative colitis.
Moderate to severe plague psoriasis
Moderate to severe Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA), or Anklylosing Spondylitis (AS)
Simponi Aria is used to treat_____
Autoimmune diseases; treatment of psoriasis, Crohn's disease, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, and ulcerative colitis
Moderate to severe plague psoriasis
Moderate to severe Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA), or Anklylosing Spondylitis (AS)
What are the ways one can enroll into Simponi Aria, Stelara, or Remicade?
Call, mail, hand deliver, or fax
Mail, fax, call, or complete online
Call, mail, fax or hand deliver
What can put a patient in Lead Review?
Member ID not recognized by system
Patient's Dr. or Infusion site not recognized by system
Failure to complete the application
If completing application over the phone and patient is in Lead Review, should they be transferred to the IVR?
Yes
No
Sometimes
How long should a patient remain in Lead Review?
24 hours
24-48 hours
2-3 days
What needs to be on an EOB for it to process successfully?
Services performed (medication/codes), DOS (date of service), the patients information, and what the insurance covered
Services performed (medication/codes), DOS (date of service), the patients information, what the insurance covered, and what the patients responsibility is
Services performed (medication/codes), DOS (date of service), what the insurance covered, and what the patients responsibility is
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