SCENARIO WORKBOOK

This workbook contains scenarios based on your business rules and daily use-cases. It will be used to train new employees or users, or refresh users on specific tasks including:

• Enrollment Scenarios

  • Create a New Account

  • Enroll a New Patient

  • Create a Care Plan

• Benefits Investigation

  • Investigate Member Plans

  • Submit for Prior Auth

  • Process Appeals

• Shipments

• HCP Training

• Adherence

• Gaps in Coverage

  • PIP

  • Bridge

• And more...