Enrollment
enrollment applications submitted using this method are found on the market point website?
Paper
when a termination is requested prior to the plans effective date it is considered?
cancellation
all permitted request require approval from?
cms
where can I look to see if the card is active?
house hold status and card status
Fastapp is used to find what type of enrollment application?
electronic
when a member request plan changes what department do you transfer to?
Direct marketing services(DMS)
which are the three primary CI screen used to confirm why a member plan terminated?
Papi, PAAL, MREP
which cms exception affords terminated members reinstatements rights for non payment of premium?
what mentor would i use to find what items the member can buy?
health options allowance FAQ
What is the order of the Humana systems are searched when confirming enrollment status?
CRM, CI, AE
What screen in ci should be used to review a member plan status?
PAPI
what are some examples of why a plan would terminate?
non payment, OSA, cms , enrolling with another carrier
What type of plan meets the GCR criteria?
PDP
what is the benefit of of self service for the spending account card?
see balance, scan items, find stores, see transaction history, pay bills
What mentor would you use to determine who is authorized to make plan changes for the member?
POA types and allowed actions
voluntary terminations request to cancel or disenroll a humana plan are transferred where?
Disenrollment/ cancellation team
what does the term code 602 means?
erroneous report of death
what is a reason for reinstatement considerations?
erroneous report of death
loss of entitlement
join a different carrier
where do you go to submit a ticket? and what is the process?
ask permission from sup and go to associate support center
members requesting a plan change prior to the effective date must complete what in order to make a change?
new application
who is not authorized to request a Humana plan termination?
agent
what is reinstatement?
reactivation of terminated benefits with no lapse in coverage for the member
where would you transfer the call to get the member reinstated?
DMS
what does the denial code 03 means?
invalid merchant