Finding Answers: Module 1 - Online
The Alberta Blue Cross Pharmaceutical Services Provider Agreement (ABCPSPA) is a legal contract between community pharmacies and Alberta Blue Cross outlining the roles and responsibilities of each party when claiming payment for the provision of pharmaceutical services. Join Diane and Farouk as they describe the basics of the ABCPSPA. This program is a recording of a live presentation.
- Understand how the Alberta Blue Cross Pharmaceutical Services Provider Agreement regulates the submission of electronic claims for Pharmaceutical Services to Plan Members on behalf of Plan Sponsors
- Explain the role of Alberta Blue Cross, Plan Sponsors, Plan Members and the Provider as described in the Agreement
- Differentiate between the three types of pharmaceutical services: Drug Benefits, Pharmacy Services, and Provider Services
- Examine concepts addressed in the Agreement including: make aware, applicable legislations, timing of claim submission, maximum allowable charges, prices and fees, co-payment amounts, best price policy, record keeping, & compliance verification reviews
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