A
How long do groups have to make changes from renewal date?
30 days
Who does the agent service center support?
Sales Partners
how long does a provider in network have to file a claim?
180 days
What do we click to open a member profile in sapphire?
notepad/pencil icon
for Sell-point when an agent needs immediately help what is put in the subject line?
What system do we use for call documentation?
EWOC
What system can we not see claims past 2 years old?
Customer Connect
What are the two main health coverages?
individual and group
What is the one system a SME ticket is not used for?
Sellpoint
What is a SME ticket used for?
To assist with system technical issues
What is this indicator called where we cannot provide any claims information?
Sensitive indicator
45 to 60 days prior
What 2 systems can we pull the group's GSS?
Sell point Gems/ EIP
If we want to know why a claim is denied what page in diamond gives us the not covered reason?
Detail file
fulfillment
What is FFE?
Marketplace
What is the alternative way to get to Enrollpoint?
Connect Portal
For sell point when issue is resolved who follows up with the agent directly?
Sellpoint support representative
What does IST stand for?
Individual sales tool
What is the Enroll point system for?
Group member maintenance
What is a formulary?
list of covered medications
What is the biggest reason group member claims may be denied?
Behind on payments
What do we never tell a agent to send us regarding claims?
A claim form
What is sales connect for?
Individual applications
How long can refunds take for accumulators if members have met them and have submitted proof to have corrected?
take up to 90 days