Clover Health Investments, Corp. · NASDAQ:CLOV
Clover Health Investments — Investor Presentation
35 slides from Clover Health Investments's investor presentation
Slide 1: Novologix Provider Support
Novologix Provider Support Thank you for joining us! We will begin momentarily. This presentation contains trademarks or registered trademarks of CVS Pharmacy, Inc. and/or one of its affiliates. ©2018 CVS Health and/or one of its affiliates. Confidential and proprietary. 1
Slide 2: Webinar Etiquette Tips
Webinar Etiquette Tips Please observe these tips for a more enjoyable learning experience… • Use the “Mute” icon on the next to your participant name (if available) or on your phone to eliminate background sounds. • Please do not place your phone on “Hold” during today’s meeting. Doing this could re
Slide 3: Novologix Prior Authorization system makes entry simple and fast
The Novologix Prior Authorization system makes your entry of authorizations simple and fast •Enter all your Prior Authorization information on one screen (note: applies only Medicare Part B Rx in a professional setting not dispensed by the pharmacy) •Receive notification for the outcome of a Prior A
Slide 4: How to Access Novologix
How to Access Novologix ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 5: How to Access Novologix
How to Access Novologix ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 6: How to Access Novologix
How to Access Novologix Use Forgot username? or Forgot password? links if you need help logging in. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 7: How to request access or set up user in Clover NaviNet Provider Portal
How to request access or set up user in Clover NaviNet Provider Portal How to set up a user in Navinet. This has to be done by the office's security officer. A NaviNet Security Officer is the primary contact between your office and NaviNet. Security Officers are responsible for adding and deactivati
Slide 8: How to Access Novologix
How to Access Novologix ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 9: How to Access Novologix
How to Access Novologix ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 10: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization From the User Home Page, hover over Authorizations and click Create Authorization ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 11: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization Enter the Member ID, and any other required information (denoted by a red asterisk), under the Search for Existing Patient field click Search. If there are multiple members under one Member ID, click to select the correct Patient. ©2021 CVS
Slide 12: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization Enter all required information in each section. Any section and field missing required information will display a reminder in red. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 13: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization Once all required information in a section has been entered, the section will display a green check mark. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 14: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization 1. Complete the required fields for Requesting & Rendering Provider and any other required information in the Authorization Details section. *If the Requesting Provider field is not pre-populated, you can search by entering either the NPI or
Slide 15: How to Create a Prior Authorization
How to Create a Prior Authorization Complete any missing required fields. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 16: How to Create a Prior Authorization
How to Create a Prior Authorization *If there is missing information, you will be asked to provide missing information in the pop up that displays. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 17: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization 1. In the Authorization Lines section, select the place of service and enter the applicable start and end dates. 2. Enter requested drug name or NDC in the Drug field and select the requested drug from the resulting dropdown. ©2021 CVS Healt
Slide 18: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization at ory ria nd ite Ma ical cr may ” clin stions bmit u que w “S o foll Review information entered under the Authorization Detail Screen. If no changes are needed, click Submit ©2021 CVS Health and/or one of its affiliates: Confidential & Prop
Slide 19: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization Upon clicking Submit, you will be brought through a series of required clinical protocol questions that will display on the screen. Answer all questions as they are presented in the pop-up screen that displays and click Next to move on to th
Slide 20: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization Once the clinical protocol questions are completed your authorization will either be auto approved, or released to the next party for review. Once the outcome is displayed on the last pop-up screen, click Done. ©2021 CVS Health and/or one of
Slide 21: Webinar Best Practices: How to Create
Webinar How Best to Create Practices a Prior Authorization The status / outcome of the authorization will be displayed at the top of the screen along with the authorization number assigned. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 22: Provider Action & Provider Notification
Webinar Provider Best Action Practices & Provider Notification If additional information is needed from the provider, those requests will live in the Provider Action queue. If a provider has incomplete authorizations waiting for submission, they are in the Incomplete queue. Once a determination is m
Slide 23: Notes and Documents
Webinar Best Notes and Practices Documents Once a request has been created, you can attach notes and documents directly to your Authorization. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 24: Notes and Documents
Webinar Best Notes and Practices Documents To add a note, click Add Note in the Notes section of the Authorization detail. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 25: Notes and Documents
Webinar Best Notes and Practices Documents Enter your note in the pop up that displays and click Save. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 26: Notes and Documents
Webinar Best Notes and Practices Documents Your note will then be saved under the Authorization’s Notes, Letters & Documents section. To view a note, click on the note Description in blue. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 27: Notes and Documents
Webinar Best Notes and Practices Documents To attach a document to the Authorization, from the Notes, Letter & Documents section, select Add Document. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 28: Notes and Documents
Webinar Best Notes and Practices Documents Name your document Browse through your directories to locate the desired file. Select Document and rename the document. Click Upload to attach. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 29: Notes and Documents
Webinar Best Notes and Practices Documents Your document will then be saved in the Documents section of the Authorization detail. To view a document, click on the Document title in blue. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 30: Member Prior Authorization History
Webinar Member Best Prior PracticesHistory Authorization You also can access the complete history of authorizations for a Member directly from the authorization screen. To access the Member’s prior authorization history, click the Member’s PA History tab at the top of the screen. ©2021 CVS Health an
Slide 31: Member Prior Authorization History
Webinar Member Best Prior PracticesHistory Authorization Every authorization in the system for that particular member will be displayed. On hover, users can view diagnosis Users can view, open and copy descriptions. documents and notes directly associated with a particular Authorization ©2021 CVS He
Slide 32: How to Find an Authorization
Webinar Best How to Find Practices a Prior Authorization 1. From the Home page select Find Authorization from the Authorizations tab in the top navigation menu. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 33: How to Find an Authorization
Webinar Best How to Find Practices a Prior Authorization 2. Enter Search Criteria 3. Click Search ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 34: How to Find an Authorization
Webinar Best How to Find Practices a Prior Authorization 4. Select the authorization from the search results presented at the bottom of the screen, by clicking on the Auth # in blue. ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary
Slide 35: Questions?
Questions? ©2021 CVS Health and/or one of its affiliates: Confidential & Proprietary