Sent aConfirmationof ReceiptTricareINSCalledCVSObtaineda DrugTierCommercialINSCalledOptumRxSentanSOBAdded aCase toRNPlannerMedicationis Non-FormularyAccepta BIRequestUsedAvailityCloseda BITaskMedicaidINSCalledExpressScripts3rd PartyPayorRestrictionPAApprovalon FileCalled PrimeTherapeuticsAppealStatusCallReceivedPerfectQualityScorecardClaimed aNew Caseon theTrackerMedicationis onFormularyPADenialon FileReauthorizationCallClaimed aNew Casefor ExistingPT on theTrackerSent aConfirmationof ReceiptTricareINSCalledCVSObtaineda DrugTierCommercialINSCalledOptumRxSentanSOBAdded aCase toRNPlannerMedicationis Non-FormularyAccepta BIRequestUsedAvailityCloseda BITaskMedicaidINSCalledExpressScripts3rd PartyPayorRestrictionPAApprovalon FileCalled PrimeTherapeuticsAppealStatusCallReceivedPerfectQualityScorecardClaimed aNew Caseon theTrackerMedicationis onFormularyPADenialon FileReauthorizationCallClaimed aNew Casefor ExistingPT on theTracker

Ascendis Benefit Investigators BINGO - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Sent a Confirmation of Receipt
  2. Tricare INS
  3. Called CVS
  4. Obtained a Drug Tier
  5. Commercial INS
  6. Called OptumRx
  7. Sent an SOB
  8. Added a Case to RN Planner
  9. Medication is Non-Formulary
  10. Accept a BI Request
  11. Used Availity
  12. Closed a BI Task
  13. Medicaid INS
  14. Called Express Scripts
  15. 3rd Party Payor Restriction
  16. PA Approval on File
  17. Called Prime Therapeutics
  18. Appeal Status Call
  19. Received Perfect Quality Scorecard
  20. Claimed a New Case on the Tracker
  21. Medication is on Formulary
  22. PA Denial on File
  23. Reauthorization Call
  24. Claimed a New Case for Existing PT on the Tracker