Frontpage Discussions Pharm Tech Other CVS changes

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  • #8775
    Michelle
    Participant

    I was wondering if anyone else noticed any changes from CVS or CVS medicare plans (like silverscript).

    Most of the time at my practice, the front staff does not take a picture of a patients pharmacy card, so when it comes to obtaining pharmacy benefit information like the BIN, PCN, Group, ID number etc, I either have to do an eligibility check or call their retail pharmacy for their billing information.

    But within the last couple of months, that has changed. If I call a retail CVS pharmacy and ask for the billing information (BIN, PCN, etc), their system no longer displays that information. As for eligibility checks, I have to have the patients Social Security number, or else our system does not find all of the information. If I do an eligibility search without the SS number, it will find the BIN, PCN, and GROUP; but not the ID number, which is essential.

    I’m not sure if this is their passive aggressive method of making it harder to obtain a pharmacy billing information or there is an actual reason this is happening?

    #8805
    Becki
    Participant

    Hi Michelle,

    I was going thru the NCODA discussion boards and noticed you had started this about your issues with CVS and how hard it has become getting your patients ID card information.  I was wondering if you would like to take a few minutes to bring this up at our next OPTA webinar on November 6th?  It is situations like this that others might be struggling with, or maybe they haven’t YET and it would be helpful to share what you are dealing with so everyone is aware and can brainstorm how to fix it.  It wouldn’t have to be anything fancy, it could be just a few minutes of you presenting the problem and what you have tried to resolve it and then others can jump in with ideas or similar experiences or best practices that help prevent these issues.  Please let me know if you would consider this, or if it doesn’t fit into your schedule, we can certainly work out presenting on your behalf.

    Thank you in advance for the consideration.

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