Help & FAQ
Q: What hardware or software am I required to purchase?
A: None, all transactions are processed through your existing pharmacy
dispensing system.
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 FSAok and the FSAok BIN #. As a
part of your pharmacy’s FSAok AutoCopay 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 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 FSAok.
Q: What if a patient comes into my pharmacy and they have not registered
their card with FSAok?
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 soon, by phone.
Q: What if a patient comes into my pharmacy
and has an FSAok 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 FSAok account number into your pharmacy’s dispensing
system and submit claims to that account number without reregistering
the consumer.
Q: 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 FSAok to notify them of the purchase,
additionally the amount charged to “third party payors,”
includes payments by FSAok AutoCopay. This information is as it typically
is indicated on the printed receipt (or bag) from the dispensing system.
Q: Do I get reimbursed from FSAok by check or EFT (Electronic Funds
Transfer)?
A: EFT
Q: How long does it take to be reimbursed from FSAok?
A: Reimbursement from FSAok is for patient copayments only and takes
approximately 14 days.
Q: Do I still need to use FSAok 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 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: No, you do not need to register with SIGIS to use FSAok.
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