Back in December of 2018, Benecard announced a new benefit feature allowing members to receive real-time tracking alerts, delivered through either email or text messaging, for those of their medications requiring a clinical review.

With just under 15,000 member accounts registered within the web portal, to date, Benecard has delivered 98 clinical review notifications to members via text message and 21,578 clinical review notifications to members via email correspondence, since the inception of this new feature*. This has allowed our members to take an active approach in the process, so they never need to feel left in the dark as to the status of their medication(s), giving them more control over continued health.

What is a clinical review?

Benecard pharmacists perform clinical reviews to evaluate the safety and appropriateness of a medication based on FDA guidelines and the pharmaceutical company’s packaging label. A clinical review can apply to programs such as drug utilization review (DUR), prior authorization, step therapy, quantity limits, and specialty medication protocols.

Why provide real-time electronic clinical review updates?

Clinical review updates delivered in real-time through email and text message alerts provide us with a much more efficient way to communicate to members the status of any of their medications that may require a clinical review. Rather than waiting for a letter delivered through a parcel service, members can now quickly receive up-to-date information during the review process—after receiving a message alert, they can check the status of the given medication’s clinical review at any time and from anywhere, whether on their computer or a mobile device.

How do clinical review alerts enhance the review process?

Providing members with access to see the current stage of their clinical review gives them the ability to play an active role in the process. For example, if a member sees that we have requested additional information from their doctor, they can reach out to their doctor directly to confirm the request is being addressed, or that information has been sent. This can open a dialogue between the member and their doctor if there are any additional steps the member may need to take (such as getting new blood work done), this in turn may assist in speeding up the entire process.

How can members track the clinical review process?

Members can access clinical review updates for their medications via our online member portal at www.benecardpbf.com. After registering and logging into the member portal, members can select what types of notifications they wish to receive by clicking on the “My Account” tab and then selecting “My Account Settings”. From there, members will have to enter their email and mobile phone information to activate clinical review notifications for emails and/or text messages. Once a member activates either or both notifications, they will receive an email and/or text each time the status of a clinical review for their medication is updated. These notifications contain no personally identifiable health information and direct the member to log on to the member portal for more details.

Should you wish to distribute this notification to your membership, please click here for a printable PDF of the member version of this announcement which also includes our member web registration tutorial. Members can use the tutorial to guide them while registering for the member web portal at www.benecardpbf.com and setting up their email and text message alert notifications.

Note: The member version of this notice, along with the member web registration tutorial, are included as an insert with all ID card mailings.

*Notification totals may include follow-up notifications for same request.