Systems
Where to locate if member have domestic coverage?
MTVX
Small group for rehire is how much employee?
2-49
The group is showing a negative balance where would you go to explain why there is a negative balance?
PBS
For online submission with application you check?
E-administration Enrollment verification or HRBA or Automated Enrollment
whats the command we use to go to the member search screen?
EPSS
Where do you go to verify and/or update group contact?
EPICC
Which group of persons is required to be reinstated immediately with no break in coverage
Members returning from active military duty
The group is having issue with getting their coupon payment to us however their payment is overdue what can you do to assist the member for period of time?
Put a protection on the member plan
For fax/email/mail submissions we check?
conduent tracking tool or Macess
To make a selection, what letter do you put on the line
S
Where do you view the status of group and member ID card requests
ID Card management center
What is HRBA call on the member end?
Enrollment center
Using CRM training, what is the waiting period for group 400952? If the member’s hire date is 7/18/25 when would their effective date be? When does the application need to be signed by? When does Humana need to receive the application by?
60 days
Effective date: October
November 1st
November 31st
BA call in because they are not seeing the member however upon checking HRBA you see InProgress what would you tell the BA?
They need to select submit
What do you select to make a display on the screen?
F4
Where do you go to check if member is eligibility for reinstatement?
PBS
What is the name of the form that the employer use to select the plan and submit their detail?
EGA Employer group application form
Use CRM training, the BA Felicidad Obregon-Blaso is calling on group 401527 checking on some applications for Open enrollment. The group’s open enrollment is 5/1/25, applications were signed 5/15/25 and received 7/1/25 due to the BA being out on leave. Will these member’s be enrolled?
No they would not be enrolled because They were late should received by 60 days. Should submit by June 30th
How much days do you have to sign after the open enrollment date?
31 days
What command is used to find member signature date?
EPCR
Where do you go to View ACSR Document?
Macess
Once there is an access to care issue, what would we do to assist?
Submit an IMS ticket
If a group has a non-contributory life policy and the member does not come onto the plan on their new hire eligibility date of 10/1/23 but wants to come onto life insurance for open enrollment on 6/1/25 what will their effective date be?
10/01/2023 What will we charge for that? 2 years What Mentor doc assists with that? Group Contributions for Products in MTVx
When there is missing information on the enrollment form, can we take it over the phone and what can and not be taken over the phone?
Yes, we can take it over the phone depend on what information
Signature cannot be taken over the phone, Missing pages
Date of birth, date of hire address gender etc
If a red man pops up, what key do you use to clear the angry man?