MagellanRx: Return to Stock, Automatic Refills, and Signature Logs

Magellan Special Investigations Unit (SIU) and TennCare Provider Education Department on behalf of the TennCare Pharmacy Program

Author: Jessica Bohm/Monday, October 22, 2018/Categories: CAPS

Based on a recent claims review, Magellan Special Investigations Unit (SIU) identified network pharmacies
which appeared to be inappropriately submitting claims for deceased members. SIU has contacted the
identified pharmacies directly to request claim reversals or signature logs. However, review of the claims
indicate three potential areas of concern:

Please see attachment for more details.

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