Q: What hardware or software am I required to purchase?

A: None, all transactions for EasyCopay and FSAok AutoCopay are processed through your existing pharmacy dispensing system.

Q: So what is the difference between EasyCopay and FSAok AutoCopay?

A: EasyCopay allows consumers to register any debit or credit card to automate out of pocket prescriptions costs.  This will allow the consumer to just sign and pick up purchases at the counter or drive–thru window.  An added benefit for pharmacies is that you can automate payment for house accounts and delivery service at the time scripts are filled.  Copays, cash prescriptions and FSA and HSA transactions once an FSA or HSA limit has been met can be billed to the EasyCopay service.

FSAok AutoCopay is strictly used for consumers with FSA and HSA accounts.  Eligibile purchases are billed directly to the FSA administrator and approved or denied based on the cards limit and status.  Once a cards limit has been met, consumers can charge purchases to their EasyCopay registered card on file.

Q: How do I submit claims for payment?

A: All prescription claims are submitted through your existing dispensing system using the patients Coordination of Benefits ID (COB) # issued from EasyCopay and the EasyCopay/FSAok BIN #. As a part of your pharmacy’s Starter Kit, you will receive instructions for configuring and sending FSAok claims.

Q: Does a patient have to use their credit or debit card, or do they have to register, each time they come into the pharmacy?

A: No, the patient registers their card ONE TIME and the pharmacist enters the patient’s EasyCopay /FSAok COB # in the pharmacy dispensing system ONE TIME. From that point forward, all copayments are automated for so long as the patient maintains a valid method of payment registered for EasyCopay.

Q: What if a patient comes into my pharmacy and they have not registered their card with EasyCopay?

A: Any member of the pharmacy staff can register the patient’s card for them in just a couple minutes, either using an internet browser, or by phone.

Q: What if a patient comes into my pharmacy and has an EasyCopay CoB# from a registration at another pharmacy? Do I have to register that patient again?

A: No. If the patient has a valid account, you can register their existing account number into your pharmacy’s dispensing system and submit claims to that account number without reregistering the consumer.

Q: For FSA and HAS account, do we have to run the OTCs as a prescription in order to be reimbursed?

A: Yes, all eligible items must be run through your existing dispensing system to be charged to your patients using FSAok, and reimbursed to your pharmacy.

Q: Do I have to submit a separate claim each for each prescription or other eligible OTC?

A: No, the submission is automatic for up to four items (Rx or OTC or both).

Q: What does the patient receive as proof of payment if I don’t swipe their card each time?

A: The patient is sent an email from EasyCopay to notify them of the purchase, additionally the amount charged to “third party payors,” includes payments by EasyCopay and FSAok AutoCopay. This information appears as it typically is indicated on the printed receipt (or bag) from the dispensing system.

Q: Do I get reimbursed from EasyCopay by check or EFT (Electronic Funds Transfer)?

A: EFT

Q: How long does it take to be reimbursed from FSAok?

A: Reimbursement from EasyCopay is for patient copayments only and takes approximately 14 days.

Q: Do I still need to use FSAok  AutoCopay if I have a POS system?

A: Yes, you may need to if you have not completed everything that is required to accept FSA debit cards. But in any case you may want to use the FSAok solution even if you have a POS system because using FSAok AutoCopay is more convenient for your customers and provides a number of other benefits. That includes the fact that for transactions processed using FSAok; your pharmacy will not have to respond to POS system audits or provide claim substantiation for FSA debit card use.

Q: Can a health plan/payer refuse to allow my pharmacy to participate like it can under the 90% rule:

A: No. The refusal for the 90% rule is primarily based on the inconvenience for the health plan/payer and the patient for submission, since the 90% rule is not auto-substantiated.

Q: Do I need to register with SIGIS to use FSAok?

A: Yes, you do need to be a SIGIS member to process FSA and HSA claims.

 

Please contact us for additional questions via e-mail at pharmacysupport@easycopay.com or toll free at 1.888.472.9432