A prescription history (ScriptCheck®) report can provide underwriters immense detail into an applicant’s prescription drug use.* From identifying medication not disclosed in the interview to understanding prescription adherence, a prescription history report can help underwriters identify potential red flags when making underwriting decisions.
Marnie Vieselmeyer, ExamOne’s new Data Specialist Strategic Account Executive, answers some common questions about what to look for in your ScriptCheck report and how to interpret the results.
Q. Which details does the ScriptCheck report include?
Your reports can be customized to fit your needs. The following components can be included under your results sections.
A few of the sections are summarized below.
Specialty summary: This summary displays a list of the providers and a high or medium score for their specialties. This view is designed to give you a summary of high-risk doctors’ specialties from the prescription fill records.
Drug summary: Underwriters can see an overview of all prescription drugs discovered fo that particular applicant, including how long each prescription has been prescribed.
Q. Is there a way to easily identify if an individual is taking opioid medication?
Yes, you can find this under the ‘Opioid Daily MME’ section. Our look-back graph will calculate a daily morphine equivalent. This calculation identifies all filled prescriptions that are classified in the opioid family of drugs and helps underwriters quickly identify chronic opioid users.
Q. Is there an easy way to sort reports?
Yes. This is configured during the account setup or can be changed through your Regional Account Manager after an account is already set up. The sections that can be sorted include the drug summary section (see image above) by any of the column headings, and the prescription detail section by drug name or filled date.
Q: What do the various colors, shapes and numbers mean in the ScriptCheck report?
Our score provides a number and a correlating colored shape for each score level. The ExamOne default scoring will display: zero (green circle) for low risk, five (yellow triangle) for medium risk, and ten (red diamond) high risk.
Q. What sections are scored?
Multiple sections may be scored within the ScriptCheck report, including the prescriber specialty and the drug summary. The drug summary scoring can be based on therapeutic class, drug level or drug rule. The client determines this and some implementation may be necessary.
Scoring is reported at the therapeutic class; customized drug-level and drug-rule scoring are available.
Q. How do I customize the scoring for my requirements?
Customization and sorting are both handled during the account setup process. One of our specialists will walk through the sections that are available and work with the client to determine which sections should be included and which should be suppressed. Additionally, a client can request further customization through our Professional Services workflow.
We hope this answers any questions you may have regarding the prescription history reports you receive. If you have further questions, or would like to set up customized scoring, please email Marnie at Marnie.X.Vieselmeyer@ExamOne.com.
Look for our next article in this series where we will walk through our clinical laboratory history report, LabPiQture™, where you can access physician-ordered clinical test results related to preventive care, disease monitoring and diagnosis.
*ExamOne requires prior written consent from insurance applicants, which appears in the HIPAA compliant authorization that is part of the insurance application. The authorization must be signed and dated prior to accessing the information.