DMI
What is the name of the script that you should begin all DMI calls with?
Resolving Data Matching Issues
How long does it take to receive a decision from an appeal?
90 Days
You should read all attestations anytime you enter the application. True/False
True
When terminating coverage for everyone on the application you should utilize the Ending Marketplace Coverage Script to locate the ____________________ link
Ending Marketplace Coverage for All Applicants
The script to assist the consumer with their HealthCare.Gov Account issues is called _________
Creating and Managing Your HealthCare.gov Account
What information should a consumer include on their documents if they are mailing them to the marketplace?
Include barcode page or legal name and application ID
How long does a consumer have to wait after they submit their appeal to contact the appeals center?
30 days
After you read all attestations and before submitting the application, you should do what?
Ask permission to sign the application for the consumer
True/False. A consumer can request retroactive termination if they didn’t know how long it takes for the termination to process.
False
What information should a consumer include on their documents if they are uploading them to their healthcare.gov account?
Include application ID
How can a consumer get their appeal form to the marketplace?
Mail or Fax
When assisting a consumer with a new application you should ask ____ questions on the application.
ALL
When removing only some applicants and the consumer wishes to proceed you must utilize the Ending Marketplace Coverage For Some Applicants and the ____________ and then re-enroll the consumer.
Reporting a Life Change Script
True/False. You can offer full account assistance to a consumer, authorized rep, the application filer, or any adult on the application who is 18 years old or older if they pass disclosure.
True
If a consumer’s income DMI expires what should you do?
Update application and re-enroll consumer
What can a consumer appeal?
Marketplace coverage, coverage through Medicaid/CHIP, SEP eligibility, exemption from the fee for not having coverage, eligibility for lower cost, amount of savings eligible for
When reporting a life change you should _____ information in prepopulated field and ______ fields that are not populated.
Verify, Complete
It takes ____to terminate coverage from the day you call and it may take ______ for your records to be updated after ending your coverage.
14,30
What should a consumer do if their citizenship DMI expired?
The consumer must send in documents, SEP will be granted and consumer can re-enroll
What should a consumer do if their appeal request is medically urgent?
They can file an expedited appeal
Name 3 reasons when you should update an application.
Consumer termed for nonpayment, consumers states they can’t afford their premium, consumer wants to change plan, there is incorrect information on the application, consumer wants to see if they are eligible for coverage or may qualify for an SEP, consumer needs to report a life change.
A consumer can request retroactive termination if
Their application was deleted
They had an exceptional circumstance, such as a medical emergency or a natural disaster, which prevented them from previously terminating coverage or
____________________
They previously requested to terminate their coverage but their request was not processed.
Before resetting a password you should verify the consumer’s ______ and _______ and also confirm that they have completed ________
User Id, Email Address, Identity Proofing