Payments
How Many Different Types Of Payment Method's Do We Accept.
Mail ,Credit, Debit, E-check, In person. ( Visa, MC, Amex, Discover)
What Is the CIF for Silverscript Med D.
Client Code: X9110
How many days do you have to request good cause reinstatement after being disenrolled?
60 Days
(CMS-PRD1-0638980)
What 4 pieces of Information is needed from a transferring agent
Verbal Consent, Full Name, DOB, Zip Code,
True Or False? can a task be sent to set up payment plans?
True
What Days Are Payments Processed With Auto Pay?
Between the 8th and the 10th
What WI Would You Pull Up for Payment Plans?
CMS-PRD1-101905
How Long Does The Member Have To Pay the Previous Premium Balance?
within 90 days of disenrollment
True or False Can a POA make changes to the account?
True
What Is the TAT for submitting a Dunning/Disenrollment Task?
10 Business Days
Can A Member Set Their Own Payment Date?
True Or False?
False
(CMS-PRD1-073397)
What WI would you pull up for a member calling in regards to loss of LIS?
TSRC-PROD-054288
If Good Cause is Favorable, how long does it take for the plan to be reinstated?
Within 5 Day
(CMS-PRD1-114370)
If member does not know member id, what is a secondary authenticator?
Prescription Name, Prescription Number, MED D Only: MBI
What Task Type would you use to dispute a payment?
Premium Billing Inquiry Medicare D
How long does it take for SSA/RRB deductions to start?
It may take two or more months for deductions to begin.
(CMS-PRD1-073397)
What's The WI You Would Use For The Language Line And The Access Code?
CMS-2-004378; Code: 13736
How Will The Member Be Informed When A Determination Is Made?
A Written Notification Will Be Sent In The Mail Within 2-3 weeks
True or False can Auto pay be updated with an unauthorized user?
False
What's the first thing we need to verify when submitting an RM task?
Verify there is not a task in progress
How Many Days Prior To Enrollment Will You Receive An Invoice?
45 Days From Enrollment Effective Date
What's The WI You Would Use For Request From Department Of Housing?
CMS-2-024871
Can A Member Resubmit a Good Cause Reinstatement Request After It's Been Denied?
No, You can only submit one request
What Information May You Not Provide Emergency Medical Personnel?
Make any decision on HIPAA information to share/release outside of what is allow under Providers.
Prior to submitting the RM Task when a beneficiary is disputing their Dunning/Disenrollment. what 3 things must agents confirm