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Qualifiers

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Qualifiers
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  • Order Entry, SWI 6-001Qualifiers include patient name plus one of the following:Account Identification number  Full address Phone number Matching prescriber in history
  • Hi Susan. Dennis and I were discussing an order I received. The patient provided a member number that pulls up an active account. The address and phone number are a match, but the patient is not on the account.
  • Well if the patient provided their member number then I would use it and pend the patient name.
  • Dennis! You can’t use a member number if the patient is not on theaccount.
  • The patient gave us their member number and we have two qualifiers, member number and address.Why wouldn’t we use the member number they gave us
  • Family members in one household may have separate accounts, similar to DOD accounts.
  •  They may share order forms not realizing a member number is on it or that our system may scan the barcode and provide another family member’s account.
  • Oh OK, I get it. If the patient name is not on the account then the next search we will use for another account is the patient’s name and DOB?
  • That is right Dennis. One of the qualifiers must be the patient name. If the patient is not on the account, perform a member search following the Hierarchy of Searches.
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