Guided WorkFlow
Authentication
Call Flow
Dental
Important Number
100

Can you help me sign up for autopay?

What is Billing and Payments?

100

The first name under Latest Eligibility

What is HOH or Head of Household?

100

Thank you for calling the HealthConnector, my name is..., can I please have the first and last name of the account you're calling in about today? 

What is Greeting?

100

Altus Dental, Delta Dental

What is Dental Carriers?

100
Under 19
What is Pediatric Only or Pediatric Dental Age?
200

What is the HealthConnector and how do I sign up for coverage? I'm just moving to Massachusetts. 

What is Member Application?

200

*Daily Double* 

High School Diploma, Property Deed or Title, Permanent Resident Card

What is Identity Proofing documentation?

200

Event that can trigger a member to shop for a new plan

What is Special Enrollment Period?

200

*Daily Double*

These services include Crowns and Dentures

What is Major Dental Care?

200

Under 26

What is Dependent Age?

300

I have to send in proof of my citizenship for my wife.

What is Eligibility?

300

SEP Documentation, Identity Proofing (IDP) Documentation and Eligibility Documentation

What is Verification Documents?

300

Example: Expired RFIs, Verification not being received on time

What is Timeclock?

300

When the number of household account members on the health plan does not match the number of household account members on the dental plan

What is Mixed Household?

300

9 Days

What is Refund Request Timeframe?

400

I changed my bank account two months ago and you guys didn't receive my last two payments.

What is Reinstatement?

400

Read-Only application that houses incoming member documents

What is MWS or MyWorkSpace?

400

A report that notifies HIX or member's death or Medicare eligibility

What is Periodic Data Matching?

400
Must be a U.S. Cititzen, National or Lawfully Present Immigrant, Must intend to reside in MA, Must not be in jail/prison

What is Prerequisites?

400

35 Days

What is Reinstatement?

500

*Daily Double*

I'm the navigator calling in for the member, their account is locked out, can you assist me?

What is ID Proofing

500
Non-HOH caller that cannot be authenticated

What is Unauthorized Third-Party?

500

*Daily Double*

Site that allows credit card payments for Health Plan

What is Third Party Payment Site?

500

Unlimited Pediatric-Only Services

What is Orthodontia?

500

1-877-623-6765

What is HealthConnector?

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