Sent aConfirmationof ReceiptPADenialon FileReceivedPerfectQualityScorecardCalled PrimeTherapeuticsClaimed aNew Caseon theTrackerClaimed aNew Casefor ExistingPT on theTrackerUsedAvailityPAApprovalon FileTricareINSMedicationis Non-FormularyCommercialINSReauthorizationCallSentanSOBMedicaidINSObtaineda DrugTierMedicationis onFormularyCalledCVSAdded aCase toRNPlannerCloseda BITask3rd PartyPayorRestrictionCalledOptumRxAppealStatusCallAccepta BIRequestCalledExpressScriptsSent aConfirmationof ReceiptPADenialon FileReceivedPerfectQualityScorecardCalled PrimeTherapeuticsClaimed aNew Caseon theTrackerClaimed aNew Casefor ExistingPT on theTrackerUsedAvailityPAApprovalon FileTricareINSMedicationis Non-FormularyCommercialINSReauthorizationCallSentanSOBMedicaidINSObtaineda DrugTierMedicationis onFormularyCalledCVSAdded aCase toRNPlannerCloseda BITask3rd PartyPayorRestrictionCalledOptumRxAppealStatusCallAccepta BIRequestCalledExpressScripts

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