SOP's
Which SPA contains the TOC/COC process?
Benefits and Coverage SPA
Which demographics can be changed for USP FI small business members?
Agents are not able to change name, dob, gender, or address.
What tab houses the specialty benefits?
Eligibility Section: More: Specialty Benefits
Where can I find directions on how to locate a tiered provider?
Provider Referral SPA
What member information is needed to use B360?
Policy #, Benefit Bundle ID, Date of Service (effective date)
What is the book of business code for UHC FI New Business?
UH
Which SOP to reference to see if address can be changed?
Eligibility SPA
Who do we call when we have questions while on a call?
USP Member Services NPSR Resource, this is our normal NPSR number.
Where is group size found?
COB topic
What resource is used if benefits are down in ACET?
B360
Who do we connect to for claims?
USP claims
Where is the COBRA vendor listed?
Group Eligibility topic
In the SPA's which verbiage do you follow for UHC FI New Business processes.
USP and/or ACET
Daily Double: How long are newborns automatically covered?
All newborns are covered for the first 31 days. SOT: Newborn Claim Research in Claims Advocacy.
Where can we see if a POLC or COC was sent to a member?
Communication topic