Pt gets referred

1. Check BIN

1.1. Yes

1.1.1. Check if CMM is feasible

1.1.1.1. Yes

1.1.1.1.1. Submit via CMM

1.1.1.2. No

1.1.1.2.1. Call Insurance to find PA procedure, TAT & Specialty Pharma

1.2. No

1.2.1. Look for Rx / Pharmacy Card

2. For Medicare/Mediaid Pts

2.1. Go to Palmetto GBA

2.1.1. Check Part D if eligible for PAP

2.1.1.1. Hand over PAP form to Pt

3. For Tricare Pts

3.1. Call Tricare Express-Scripts at (866-684-4488) for PA