SHS

Intake

100

What is the Pseudo Id used for CI Inspro Intakes

What is...CRITIL.

200

How do you completing Disclosure Authorization form for dependents under the age of 18?

What is...

• Child's name at the top of the DA, printed name should be the Parent, Guardian, or Conservator and signature on the bottom, and claimant's date of birth.
• The party signing will need to complete the relationship field

300

What is the Standard timely filing limit 

What is... 15 months.

400

This claim intake was submitted a certain way, how did they submit the claim if they were given a confirmation number of 1746463151474.8335?

What is...supphealthclaims.com

500

Strict timely file limit states

What is...

• District of Columbia

• Georgia

• Idaho

• Mississippi

• Nevada

• South Carolina

• South Dakota

Portability

100

What are the exception scenarios for sending in late port payments?

What is... Their address changed and the forwarding of correspondence was delayed.

Or

they did not receive the initial notice, and only received the Lapsed Notice or Termination of Coverage notice. 

200

What is the time allowed to notify Cigna after they have been terminated, laid off, retired or on Short-Term Disability (STD), in order to port their policy?

What is... 30 calendar days

300

These ported policies can increase in cost, why?

What is...Critical Illness. Due to age increasing.

400

What is the template for port payment note?

What is...

• Customer paid port payment via CC, type of card:
• Bill #:
• Amount:
• Eckoh Token:
• Billing Zip:
• Email receipt was sent to:
• Payment was: successful/declined/failed
• Call back phone #:
  Important! Advocates have to add their first name and last initial to portability payments in Majesco.

500

The department for individual supplemental benefits coverage

CSB- Cigna Supplemental Benefits

Claim Status

100

A claim shows Payout Initiated, Has the check been sent?

What is... no. the payment hasn't been sent out but the claim is approved. 

200

An OFAC check being preformed by a claim processor is a good hint that what is about to happen?

What is... a payment

300

A Majesco check is able to be cashed for this amount of time.

What is... a year.

400

PendingIssue past 5 business days and the payment hasn't been dispatched. 

The payment is stuck in Majesco. 

500

A Claim Advocate is requesting cancer staging. There are two ways cancer staging can be done. What are they?

What is...Numeric and Numeric + TNM

Use your systems & show the class

100

Luxury Mortgage Corp. migrated to Majesco when?

What is... 7.1.2023

200

Does US Renal Care have a work place exclusion?

What is... yes. 

300

Create an draft of an email sent to [e-mail]. He is requesting a PSF for a CI claim. 

What is... How does an SHS call advocate send a secure email? & Supplemental Health Solutions (SHS) Claims Revamp Overview 

400

This template is used when a customer is unfamiliar with the last four account numbers on file on myCigna.com. Create the template in your systems.

What is...
To: [e-mail]

Subject Line: DD Research - Incorrect Account Information

Body:

• Name of Payee:
• Claim number:
• Last four of account number:
• Amount: 
• Payment Issued Date:
• Issue Description: Ex. Customer unfamiliar with banking information on file. 
• Was the banking information updated or toggled to off?

500

Complete the steps on sending a claim update for 1000091311. He submitted his medical records under DCN 4bddd28f-b9fa-4ae8-803c-193d840cc09f.

What is... steps in How do I send a WMT to Claims? 

KnowledgeXchange

100

The article used to help file a claim

What is... How do I submit an SHS claim intake? 

200

The article used to take a port payment

What is...How does an SHS call advocate handle a one-time payment request? 

300

The article used to for requesting help in new hire assist chat

What is...How do I submit a question to the SHS New Hire Assist Chat?

400

Article used to help explain the bodily infirmity denial 

What is...What does it mean when an SHS claim is denied for bodily infirmity? 

500

Article used to explain when to use the Authorization for Disclosure of Protected Health Information Form or Personal Representative Form  

What is...How can an SHS claimant add a personal representative on file?