The source of truth for eligibility
One Source
Where to find the Agent of Record
What is the Patient Account?
$164.90
What is the monthly premium?
Must have for MA Plan
What is Part A & Part B?
Three-way call or in-person introduction
What is a warm transfer
Insurance expert every patient meets at WV
Patient Relations Manager
Tool to check the insurance we accept
What is the Plan Acceptance Tool?
7 months
What is the Initial Enrollment Period? )3 months prior to 65th b-day and 3 months after)
October 15 to December 7
What is the Annual Enrollment Period?
Offers real-time insurance help & enrollment at events and AOD
What is an agent/IA?
5 items an OE needs to convert a lead to an opportunity
What is name, address, DOB, phone, and MBI/primary payer
Dashboard to check my pacing
What is the Executive Dashboard?
80%
What is the % Medicare Part B pays for a Medicare-approved service?
AEP Effective Date
What is January 1st?
Dual eligible
What is Medicare & Medicaid or MediMedi?
Needed for Blue Button & Medical Records
What is the Medicare ID
PRM investigation of missing patients
What is a Drop or Flow-Through Case?
10% per month
What is the penalty for not enrolling in Part B when first eligible?
Dental, Vision, Gym membership, OTC, meals, transportation, etc.
What are Medicare Advantage benefits?
Food compliance
What are light refreshments?
WV duration and breakdown
What is 1hr: 20 PRM, 20 MA, 40 PCP
Events that offer insurance help
What are Campaigns WITH an IA?
1% of national base beneficiary premium
What is the monthly penalty for not having Part D coverage?
QMB
What is a Qualified Medicare Beneficiary?
Move Managed Care Opp to Closing
What happens when a patient enrolls in an MA plan?