KPIF
What does the acronym HBE stand for?
HEALTH BENEFIT EXCHANGE
When is the Medicare Open Enrollment Period (OEP)?
1/1 - 3/31
jAN-1- MARCH -31ST
What one identifier is always required when verifying a member?
first and last name
If a member is calling with questions about what they owe for their monthly premium, where would you document in eWatson?
Membership flow
If someone calls on behalf of the member, what information is required for you to assist after you get the member's three identifiers?
Caller's phone number
Caller's relationship to the member
Caller's first and last name
When is Open Enrollment for KPIF plans?
November 1 – January 15
What parts of Medicare is the member required to have before joining our Medicare Advantage (Part C) plan?
A and B
What does the Advantage Plus 1 (Optional Supplemental) plan cost per month in 2026?
dENTAL
What resource would you review in SPOT to find multiple resources regarding web support issues?
web support payment document
hOW DO YOU HANDLE BAD DEBTS ACCOUNT IN EPIC
Soft transfer/connect the call to the appropriate collection agency.
HOW DO YOU FIND THE BUID NUMBER?
MQV
What is the name of the Medicare enrollment/election period between January 1-March 31st?
MA OEP
When will a member’s coverage be effective once the election form is completed and returned during AEP?
January 1st
What is something we NEVER write down when taking premium payments?
cREDIT CARD INFORMATION
To complete the verification process over the phone for kp.org registration, how many total verifiers must be obtained?
4
What is the web address you would provide a KPIF member to make their premium payment online?
Where would you look to see if a Medicare member is registered for online premium payments?
VELOCITY
Which flow will you use to document calls regarding accounts in Epic?
EPIC
IPay is used to take premium payments for which plans?
Small Group plans
Medicare Supplement
Individual Medicare Advantage
What does the Advantage Plus 2 plan cover in 2026?
Acupuncture and Chiropractic
20 round trip non-emergency/ transportation rides per calendar year to medical, dental and pharmacy visits
Covers Hearing aid combined (both ears) allowance of $4,000 every 24 months.
True or False. If a KPIF member has questions about registering on kp.org/payonline, YOU automatically transfer to the Premium Payment Line.
FALSE
If a Medicare Advantage member wanted a hard copy of the drug formulary mailed to them, how would you request?
ONECLICK
ONESUITE
How can you identify if a claim is pending?
Location in eWatson will show “Online”
Where would you direct a Medicare member who wants to set up premium payments online?
What system can you access to review if DPOA or another Legal document is on file?
EPIC