Supplier Site Readout


A red asterisk (*) indicates required questions.

  1. RACF ID (All Capital Letters)*


  1. Client Name (Copy Paste from ESD)*


  1. Call Drivers*
    Order Status
    Refill / Renewal
    Billing
    Drug Coverage and Pricing
    WELCOME
    Open Enrollment
    Rejected Retail Claims
    Web Registration / Web Inquiry
    Benefit Structure Inquiry (CAP, Deductible, OOP, Copay)
    Member Restricted
    Biblical Calls
    Free Form Fax
    Retail to Mail
    Transferring Rx
    Clinical Questions - transfer to RPh
    Supply Requisition
    Onset Escalation Request
    SOBA / EOB
    Reimbursement
    Processing Information Request
    Prior Authorization Status
    Others


  1. If Order status, please select. *
    Within TAT
    Lost in Mail
    In-house too long
    Replacement
    Accredo
    Drug Not Found
    N/A


  1. If Others, please provide call type or type N/A if not applicable*





Saibal Bose
Learning and Quality Excellence
Concentrix
Bangalore