Failed Scrub/CMS/OPS
Fazal Dup
Facets
Medicare Tab
Fun
100
Annual Enrollment Period Election period Begins and ends on what dates.
what is October 15th to December 7th?
100
Two enrollments submitted with same effective date, same cag and plan. Which is deleted and which is submitted.
What is First enrollment received is submitted, second enrollment is deleted?
100
Upon opening the facets record what is the first information that should be verified.
What is Last Name, First Name and Middle Initial?
100
Hicn effective date should match what effective dates in Marx.
What is Part A or Part B depending which is earlier?
100
Deleted the Excel sheet?
What is Diana?
200
I am allowed up to 7 months to use this type of reason to apply for Part D services with a PDP under individual enrollment.
what is IEP (inital Enrollment Period)?
200
First enrollment under group coverage has valid effective date. A duplicate is received with same effective date as first enrollment but different Cag information. What steps are taken to work these enrollments.
What is first enrollment is submitted, second enrollment is deleted and added to follow up tracker?
200
Your case is a Plan ID change. What should be updated first in order to ensure correct effective date is added in Eligibility?
What is Class?
200
What item in PBP field needs to be added correctly to ensure CMS is aware of reason for enrollment.
What is election type?
200
Brought upon illness to the group.
What is Daisy?
300
Requested and Actual enrollment period in section need to match in order for what type of code to be correct.
What is Facets Code for Enrollment Period?
300
First enrollment has effective date that is later than the second enrollment received and no other changes between both. which is submitted which is deleted.
What is submit second enrollment received to give member most effective coverage. Delete first enrollment and no need to follow it up?
300
Name the attachment that should be updated after you update the LICS event in Medicare Tab under members.
What is Rate Data?
300
If the member is enrolling with a gap in coverage of 63 days or more with no Part D coverage, What should be termed and recreated in medicare tab.
What is CRCO?
300
This person is always quiet and keeps to herself. You dont know she is there unless she is laughing.
What is Erica
400
PO Box is provided in permanent address on a group enrolllment on a none globally attested enrollment. In what work queue will you see this enrollment in once the enrollment has been submitted instead of pended.
What is Ops Queue?
400
First enrollment rcvd with valid effective date and second enrollment rcvd with same effective date same primary cag but there is changes in the additional information section such as: Secondary ID, External Member ID, Family ID, Person code, Relationship Code, Care Facility, and Care Qualifier Code. How should this be worked.
What is update the first enrollment with all the information from the second enrollment because demographic changes were received on new and app and both are for same effective date and same plan.
400
When processing a Facets duplicate individual enrollment under SEP: "I recently moved outside the service area for my current plan" What letter should be triggered through Auto Actions.
What is E018 Letter?
400
Part D should be updated any time what attachment is updated.
What is Client Specific field, Care qualifier and STCOB?
400
I hate to clean. I felt like Cinderella when i was growing up.
What is Melissa?
500
MBD is an acronym for what.
What is Medicare Beneficiary Database?
500
First enrollment for group. Second enrollment rcvd for indv both for same eff date. What should be reviewed in order to determine which should be submitted.
What is Signature date of Enrollment?
500
Current application received is for EGWP coverage effective 12/1/2016. The current active record is individual account active since 2/1/2016. Before using the not a duplicate function what should you do first.
What is term current individual record?
500
State County and Contract should be updated according to what attachment in Facets?
What is Subscriber Home Address?
500
Who does not enjoy using the hicn combinations to find members correct Hicn when working failed scrubs?
What is Mrs. D?
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