Coverage Change Options
Forms
Claims
Processes
Systems
100
NTQ 18876, current BP of 4 years
What is reduce to 2 years BP?
100
Form used in the event a policy has lapsed
What is Reinstatement form?
100
This department checks provider eligibility.
What is Claims Support?
100
Two steps to updating a policy holder's address.
What is Update in Customer Service and Import to Billing and Collections?
100
The module to pull up basic policy benefits.
What is Coverage Administration?
200
Premier 18215, Current EP 180 days
What is 365 day EP?
200
Type of form used to request a benefit letter for a policy holder.
What is e-form?
200
This department returns calls to start the Claims process.
What is Claims Intake?
200
Process to email a blank form.
What is Send an email to cnai@ltcg.com with the appropriate attachments and body?
200
The module to locate premium history information.
What is Billing and Collections?
300
Preferred Advantage TQ N022, current HHC is 100%
What is 50% HHC benefit?
300
Form used to start a new claim for a policy holder.
What is Intake template?
300
These individuals are our decision makers.
What is Care Managers?
300
This caller will need to send a request by fax or mail on their letterhead to request update of address.
What is an agent?
300
The system used to verify receipt of a document.
What is Case 360?
400
Preferred Solution TQ N0100, current BP unlimited
What is 2-5 years BP?
400
Form used to request options to lower a policy holder's premium.
What is quote request?
400
This department processes our claims.
What is Claims Exam?
400
When you need to use the modal calculator and pro-rated calculator to determine a premium amount to be paid.
What is calculating the payment mode change?
400
The module to generate correspondence to a policy holder.
What is Customer Service?
500
Concare B 59433, current BP lifetime
What is 2, 4 or 6 years BP?
500
Form used to change payment mode to monthly.
What is EFT form?
500
Name 3 types of callers that can start the Claims intake process.
What is family member, legal representative, policy holder (cannot be a provider or agent without authorization form)
500
You should submit a Cancellation e-form in this scenario.
What is Death Notification?
500
The module to locate requirements for a claim and the Care Manager assigned.
What is Benefits Assessment?
M
e
n
u