Member 1
Precertification Denial
Empathize members concern
Education on precertification status
Education on appeal rights
Non emergency transport
Empathize members concerns
Advise on the benefits details
Educate members on transport details / scheduling
Member Portal
Empathize members concerns
Assist with member concern to best of your abilities
Durable Medical Equipment
Empathize members concern
Educate on members benefit
Advocate for the member in obtaining equipment
Prescription Coverage
Empathize the members concerns
Educate member about getting them to the correct department if Part D medication
Grievance
Empathize members concerns
Education on process
Explain members grievance rights
Address Change
Empathize members concern
Educate on process
Claim Denial
Empathize members concerns
Education on claim status
Education on appeal rights
Diabetes Equipment
Empathize members concerns
Education on how to obtain equipment
Advocate for member in making process as easy as possible
Enrollment
Empathize members concern
Education on enrollment workflow
Provider Directory
Empathize members concerns
Education on how to obtain / receive provider directory
Hearing Aid Reimbursement
Empathize members concerns
Education on all ways to submit for reimbursement