Material Types
TOTs
Classification
Intent
100

This is like a passport or driver's license; it gives you access to care and coverage.

ID CARD

100

the time frame when ordering an ID card for the member.

what is 5-7 days

100

this is the classification when ordering hard copy materials

what is fulfillment

100

this is the intent used in QS+ when requesting an EOC

what is benefit information

200

Centers for Medicare & Medicaid Services (CMS) require Medicare plans to alert their membership with the changes taking place for the upcoming year. Humana sends booklets to members called this.

ANNUAL NOTICE OF CHANGE (ANOC)

200

turnaround time the member can expect to receive hard copy materials.

what is 7-14 business days

200

the intent used when requesting a pharmacy DMR form in QS+

what is Letter/Form Request

300

A document that outlines a health plan's benefits and costs, how the plan works, and what the policyholder is responsible for paying.

EVIDENCE OF COVERAGE (EOC)

300

turnaround time to inform the member to receive materials via self service.

what is within minutes.

400

This document is requested when the mbr needs to browse health/wellness supplies and place an order using their Medicare benefit entitlement.

OVER THE COUNTER BOOKLET (OTC)

500

Form requested when a member needs reimbursement for a prescription drug.

PRESCRIPTION DRUG CLAIM FORM (DMR)

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