Prefill Log
Paper Applications
WI Application
Initial Payment
Misc. FAQs
100
This is when it is required to make a prefill log.
For each application.
100
This is the signature method used for all paper applications.
What is Voice Signature.
100
The name that is required to be entered on the unifrom signature section of the WI application.
What is The Applicant's.
100
This is required to happen before a customer's account can be charged.
What is Be approved.
100
This is the departmen that we refer the customer to if they receive an automatic denial.
What is Underwriting.
200
This is where we go to search for an existing prefill log.
What is Prefill Log Last 30 Days and Show filter options by last name.
200
This is what is really meant when asked if the customer has had coverage in the past 18 months.
What is have they had any OTHER coverage in the past 18 months and no lapse of more than 63 days.
200
This is "when" the customers account will be charged.
What is Immediately uppon approval.
200
This is required to read even if the applicant states which medication they are taking when we ask them the prescription question.
What is the entire list of prescription medications.
300
This section of the prefill log is filled out in order to set up an appointment.
What is Call back Date & Time.
300
This is only answered for the dependent being added on a paper application.
What is Health History Questions.
300
This information needs to be proctively asked for on the first page of the application. Ex. "Is your _______ the same as your _____?"
What is mailing address.
300
This is what we say if they ask if they will be notified when their account is charged.
What is, No, your account will be charged immediately uppon approval without notification.
300
This is the information that we request from the applicant if they do not have the member ID #.
What is Social Security number.
400
This information is needed if the application is NOT completed.
What is all of the information in the prefill log.
400
This is information is required to write on a paper application for high risk pool applicants.
What is "Requires Denial Letter"
400
This information is not required to be collected on the first page of the application.
What is Employment information and Place of Birth.
400
This is only selected if agent indicates it in the notes or if the applicant insists on not providing their payment information.
What is Bill Me.
400
A medical conditio in which you have been diagnosed or treatd for prior to your effective date.
What is a pre-existing condition.
500
This information is put into the prefill log notes for an incomplete application.
What is Date, Reason not submitted, Where you left off, who it is assigned to, and Initials.
500
This information is required to enter into the Agent Certification section on a paper application.
What is Agent Name, Agent ID, Phone Number, and Email.
500
This is what we would do if the cusomer has more than one medication for a condition.
What is check yes to question #17. (The catch all question)
500
This are the payment options that are available on a central application.
What is Credit Card, Automati Bank Draft, One time Checking account payment, and Bill Me.
500
This is what we tell the customer if they do not remember the exact dates of their previous coverage / medical condition.
What is tell the customer to provide the information to the best of their ability. The more accurate the information the faster your application will be processed.
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