Within NikoHealth, you have the ability to utilize system tags as well as customized tags.
The system tags are generally indicated by the color flag and will automatically be applied to orders/invoices in specific situations. System tags can also be manually applied by a user.
TAG | DEFINITION |
Authorization Expired | An authorization is required for a product per the payer rules, however, the one logged falls outside the DOS of the order/invoice. |
Authorization Required | The payer rules require an authorization for a product but it's not logged in the system. |
CardinalHealth | Vendor tag added to an order when it's drop shipped to this specific vendor. |
CMN Expired | The payer rules require a CMN for the product and the CMN on file has expired. |
CMN Required | The payer rules require a CMN for the product and there isn't a CMN logged in the system. |
Confirmation Required | A re-supply rule for a payer requires contact must be made with the patient prior to sending the re-supplies. |
Gemco | Vendor tag added to an order when it's drop shipped to this specific vendor. |
Insurance Expired | The insurance on file has expired. |
McKesson | Vendor tag added to an order when it's drop shipped to this specific vendor. |
Medline | Vendor tag added to an order when it's drop shipped to this specific vendor. |
Not PECOS Enrolled | The physician listed on an order is not PECOS-enrolled. |
Patient Non-Compliant | The patient is deemed non-compliant (used only with PAP and if you are integrated with Airview and/or Care Orchestrator). |
PPM | Vendor tag added to an order when it's drop shipped to this specific vendor. |
Prescription Expired | The payer rules require a prescription and the one on file has expired. |
Prescription Required | The payer rules require a prescription and there isn't a prescription logged in the system. |
Resupply Limit | A product has been given out within the indicated time frame and is not yet eligible based on the payer rules set up. |
VGM | Vendor tag added to an order when it's drop shipped to this specific vendor. |