In production will we be using Sandbox or Salesforce?
Salesforce
Everyday at the start of your shift in production you should be in _______ aux?
Ready
If you are clocked in and not taking calls, you are in adherence? True or False
False
Consumer calls during AEP to enroll , when would the plan become effective?
January 1
Calling the leave line ONE day causes your reliability to go down to _ %?
93%
The "orange" crown in Salesforce represents an ______
Which call type results in a referral to another department?
SCO
ANYTHING member related needs to be transferred to?
Member Services
What is the MOOP for CPCT HMO in 2024?
4900
Which Tufts plans have a wellness allowance?
All of them
The notes in the Salesforce should always begin with the following......
Initials and Date
What aux should you NEVER be in?
"Not Ready"
Being out of adherence can result in?
Corrective Action or Termination
This type of plan is not offered by CPCT
Supplement
If consumer has Part A but not Part B , can we still enroll them today?
NO! Part A + B= C
Stage needs to be changed to __________ before transferring to Dial America
Application Submitted
When needing to get an interpreter on the line are we transferring or conferencing the call?
Conference
If all compliance rules aren't followed on a call that will result in a ______
Auto Fail
Med Supp Core, Med Supp 1A, Med Supp 1
Part B premiums are typically $___ each month unless you have a higher income
164.90
When you are in the Contact page in Salesforce, which tab do you go to see if there is already an open opportunity?
History & Related
Which Avaya is being used when transferring a call?
Avaya Agent Desktop
Consumer is newly eligible for Medicare and will be moving ,but still in the same county. She is calling around because she is interested in a Medicare Advantage plan, what would her election period be?
AEP, IEP, OR SEP?
IEP
This TMP HMO has a $1000 embedded dental benefit, $150 allowance towards wellness and weight management, and is also available in every county
Basic Rx and Value Rx
What is considered the Tufts Health Plan Medicare Preferred service area?
Specific counties in Massachusets