Cancellation
When should a member call to cancel their policy?
Before the effective date of the plan OR before the call by date
What is the C/I for a Disenrollment call?
Disenrollment:Info Given
Charades
until your team gusses
CI Screen used to check signature date of the policy
PAPI
Main Mentor doc used for DE
Disenrollment and Cancellation Medicare Inbound Calls Team Overview
When should I create the subtype for a cancellation?
After you locate the member in CRM
Which type of plan are not able to use the CHAMPVA as a SEP?
MA (Medicare Advantage plan)
Do 20 situps
In which CI screen can I find the Transmit Stats Code?
PAIG
Use Workable Transmit Status Code for Calls to determine if code 51 is workable or non-workable
Non-Workable
Where should I send the case if the member states that they wanted to be reinstated back onto their previous Humana coverage?
What information needs to be included in a written request?
"I wish to disenroll from my plan type for de/date due to having election period."
Signature
Humana ID
Pushup
Do 10 push ups
CI screen used to determine the level and eligibility of medicaid
MEVH
Mentor Document used for Incarceration?
Incarcerated or Unlawfully Present Member
What is another word used for cancellation?
Null
If a member is currently on Hospice and wants to disenroll, is this an SEP and what process should you follow?
No, member will need another valid SEP and complete the template for Hospice.
KARAOKE TIME
Sing a song
CI screen that is triggered after PACT
CITR
Where do I transfer my case if it is still not workable after 3 days?
Service Center: Louisville
Department: RSO Enrollment
Topic: Disenrollment/Cancel - Individual and Group Medicare Only
What's then I use Cancellation of enrollment/Info given and when do I use Cancellation of enrollment/Duplicate?
Do I need to create METs for DE? If so, when?
Only when the member refuses to submit a written request
Do a little a roleplay of how you will tell a member that he isn't eligible for disenrollment
SLAY
Which enrollment source codes tell me if a PDP was auto enrolled?
C, A, R, H
Where do I transfer the case if there is a Discrepancy on MARX?