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Using Medicare fastapps and phone number 903-543-1029, what is the signature type of this application for Roger Foster?
Digital Signature
What is an automated clearing house (ACH) deduction?
Checking account withdrawl
A decision made to end a members healthcare contract is defined as a ______________
Termination
Which CRM screen allows you to view POA information?
Person Account Screen
Which screen in CI is used to change a PCP?
PAMG
Using Medicare fastapps and phone number 903-543-1029, what is the election period used for this application for Roger Foster?
SEP
The ebilling/financial dashboard system is used to cancel or start which payment types for group medicare?
ACH, Coupon Book, Credit Card/Debit Card.
A request to stop a cancellation must be received ______ the plan effective date in order to be processed.
Before
Demographic information must be verified within how many days?
after 90 days
GPAD
Where do you locate a Humana electronic enrollment application?
Humana Medicare FastApp
Which payment type is not available to group medicare members?
SSA
When a termination is requested after the effective date it is called a ___________.
Disenrollment
Where should an advocate check for group specific policies/processes?
Group Medicare Resource Center (GMAIRC)
What screen is used to verify the low income subsidy LIS level assigned in Humanas system for members recieving PDP premium assistance?
CLIS screen in CI
Which termination reason DOES NOT warrant a reinstatement?
Erroneous HIV/AIDS status
If a member states their check has cleared their bank but Humana does not show it in our systems, what should you ask the member to do?
Send a front/back copy of the check/money order to the medicare billing department.
A humana member calling customer service to drop his coverage is considered a _________ termination.
Voluntary
Which CMS reinstatement exception affords terminated members reinstatement rights if they have moved out of the service area?
One time reenrollment provision
Which CI screen is accessed to verify a termination reason if the description in PAPI alone is not enough?
MREP
Good cause reinstatement provision
Mr and Mrs Smith are both Humana members. Mr Smith calls because he received a late notice regarding his account but says that he sent in a check 3 weeks ago to pay for both he and his wife. What do you do?
Check that the payment is posted to the wife's account. Then transfer the inquiry to the premium payment recovery dept to have the credit applied toward the husband's account.
Which of the following is NOT a reason that qualifies terminated members for reinstatement?
Lack of enrollment options
report of death
loss of medicare entitlement
Lack of enrollment options.
Which CI screen would you access first to select the termed policy before verifying the end reason code on PAPI?
PAAL
In case of a reinstatement request the advocate must always provider the member with the following...
Reinstatement rights