Johnson, Maria
Benefit Verification
Pending
Prior Authorization
Pending
Patient Information
Patient Name
Johnson, MariaMember ID
MC98765432Date of Birth
11/23/1968Phone
(555) 123-4567Address
123 Main St, Anytown, CA 94123Date Opened
03/15/2024Prescription Information
Prescribing Physician
Dr. Sarah WilliamsMedication
Acthar GelStrength
80mg/0.8mLFrequency
2 / Week / 12 WeeksActions
Insurance Information
Insurance Provider
Medicare
Medical Condition
Multiple Sclerosis
Member ID
MC98765432
Timeline
- Benefit Investigation NeededNeed to verify coverage for Acthar Gel with Medicare2/15/2026
- Patient Record CreatedInitial patient record created for Johnson, Maria03/15/2024
- Eligibility task createdTask created to verify patient eligibility03/14/2024 10:30am
- Outbound call to insuranceOutbound call to Medicare03/14/2024 10:32am
- Verification confirmationBenefit Verification confirmed and notification email dispatched03/14/2024 10:35am