WG1 Point of Sale Patient Specific Denial Notice Task Group seeks participation in upcoming task group calls from industry professionals experienced in pharmacy system coding and capabilities or with knowledge of point-of-sale reject coding and messaging.
During the calls, the group will discuss the use of prescription claim data transmitted at the time of a denial, including the reject code/messaging and any necessary legally-required information associated with the denial, to automatically trigger pre-population of an individualized written notice with fully payer-provided content.
Input is needed to address the needs of both the sender and recipient of the data. The expectation is that this notice would be housed within the pharmacy’s computer system, printed at the time of a denial, and then provided to the member at the point of sale.
Anyone with technical knowledge or suggestions for overcoming any barriers presented by this solution, particularly among vendors, payers and pharmacies, is invited to attend the task group's calls. The next call is this Friday, December 6th, and every other Friday at 12:00 p.m. EST. Register and log in to the Collaborative Workspace for upcoming meeting dates.