Scenario 1

1. An example showing the initial submission of a claim with two receipts. Item 1 for Vimpat and item 2 for Harvoni.
2. An example showing the initial rejection of a claim with two receipts. MQ indicates "Duplicate/Reimburse OLTP deductible".
3. An example showing the second submission of a claim with two receipts. _PI-1 indicates "Insurance Assessment form accompanied receipt and insurance does not cover this drug."
4. An example showing the second rejection of a claim with two receipts. Denied by BPCS adjudication.