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1
Basic Mail Order Workflow
Eligibility (San Antonio)
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New Rx/Profile/Correspondence, etc. received
scanned at Regional Order Creation Center (ROCC).
Prescription Entry (PE)
Intervention Queues
PE Exception Queues
Not In System (NIS)
Diabetic (DIA)
Custom Care Mail (CCM e.g, MP1/2, PSM) Advanced
Care (ADV) Therapeutic Intervention Program (TIP
e.g, TP1/2/3, PST) Dispense As Written (DAW e.g,
DW1/2, PSD)
Compounds (CMP)
Special Handling (SPH)
Doctor Calls (DC e.g, MDB/FRM/DPC/PAR/FRC/FRX/PBR
/PLN/RTP)
Pharmacist Clarification (RPC)
Miscellaneous
Prescription Verification (PV1)
Refill (REF)
Accounts Receivable (AR e.g, ADD)
Comments (CMT)
Awaiting Acceptance (AW ACC)
Plan Participant Liaison
Future Fill (FFL)
External Adjudication (EA)
Participant Services (PS)
Filling
Metering (Shipping)
Pack Out (Packing)
Product Verification (PV2)
NOTE PE includes the Quality Check (QCH) divert.
Post PE, prescriptions automatically process
through a control layer where they are
systematically scanned for conflicts. Orders may
pass directly from QCH/RPC to Filing. PS acts as
a liaison between the pharmacy and the plan
participant (PPT).