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Center for Curriculum and Transfer Articulation
Mail Order Pharmacy Procedures
Course: CSR157

First Term: 2017 Fall
 Lec + Lab   2.0 Credit(s)   3.0 Period(s)   2.7 Load  
Subject Type: Occupational
Load Formula: S - Standard Load


Description: Practical application of mail order pharmacy customer care procedures. Includes procedures for managing billing and payment inquiries as well as order status processes and prior authorizations.



MCCCD Official Course Competencies
1. Describe services available through the mail order pharmacy. (I)
2. Review policies regarding customer invoices. (II)
3. Interpret a customer invoice. (II)
4. Explain payment options to members. (II)
5. Complete payment procedures. (II)
6. Describe billing processes. (II)
7. Review billing limits. (II)
8. Explain procedures for resolving billing and payment inquiries. (II)
9. Demonstrate procedures for completing refunds. (II)
10. Differentiate between order status codes. (III)
11. Explain order transfer processes. (III)
12. Demonstrate procedures for completing order status issues. (III)
13. Complete a basic refill request. (III)
14. Verify refill order status. (III)
15. Demonstrate procedures for transferring a prescription. (III)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.
 
MCCCD Official Course Outline
I. Mail Order Pharmacy
   A. Description
   B. Organization
   C. Services
II. Billing and Payment
   A. Processes
      1. Medicare
      2. Federal Employee Program
   B. Invoices
   C. Billing Limits
   D. Payments
      1. Types
      2. Procedures
   E. Balances
   F. Flexible Spending Accounts
   G. Refunds
III. Order Status
   A. Use
   B. Types
   C. Codes
   D. Procedures
      1. Specialty
      2. Hold
      3. Expedite
      4. Split
      5. Cancel
      6. Discontinue
      7. Transfer
      8. Reship

 
MCCCD Governing Board Approval Date: October 24, 2017

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.