The Big Debut
Sandra calls to ask her spending account balance. This is found under this category.
Healthy Options Allowance
Interactions are created in this system
CRM
Demographics are verified every 90 days on this CRM page
Person Page
To verify medical benefits for a member we access this Mentor from QuickStart +
Verification of Benefits Medicare Overview
When a member calls to request assistance with scheduling a ride through their routine transportation benefit we use this C/I
Transportation/Scheduling
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Snow White
When quoting inpatient surgical benefits in Debut, we also need to quote this service to the member.
Inpatient Hospital
Cases are created by accessing this tool within the CRM
QuickStart +
To change a members Primary Care Physician we access this page in CRM.
Plan Page/Umbrella Page
To change a primary care physician for a member we start by accessing this Mentor from QuickStart +
Primary Care changes for Medicare Overview
When a caller is requesting to enroll with Humana
Enrollment/New Application
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Fluffy
A members Premium Giveback waiver amount can be found by opening this in Debut.
Costs & Deductibles
To access Debut and quote medical benefits to a member you would access this page first.
Plan Member Page/Umbrella Page
We access this page to send out Consent forms to the member through EMME.
Person Account Page/Policy Page/Umbrella Page
To order a new ID card for a member we start by accessing this Mentor from QuickStart +
Humana ID Card Requests Overview for Medicare Members
When we receive a ghost call we use this C/I
Other Miscellaneous/No Caller on the Line
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Alfred Pennysworth
When member calls for benefits for a routine colonoscopy and states that their doctor has requested an advanced test. We would quote this.
Both Preventative and DiagnosticColonoscopy
When you are unable to find a service that a member is requesting benefits for in Debut, EOC or Summary of Benefits, you would access this.
Coverage Issues/go/coverage
To find out if a member has already set up their MyHumana.com account we would access this page.
Plan Page/Umbrella Page
When we receive a ghost call we start by accessing this Mentor from QuickStart +
Incoming Call Overview
When a Member has wants to update Creditable Coverage we use this C/I
Eligibility/Late Enrollment Penalty/Creditable Coverage
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Tim McGraw
Go365 Benefits can also be found by searching this category in Debut.
Incentive Programs
To reset a members MyHumana password we use this tool.
Digital Access Manager
To research if a member has previously called on the same issue we would access this page.
Person Page
If a member calls to change how their payments are made on their premiums we start by accessing this Mentor from QuickStart +
Payment Methods Overview
When a member calls regarding an at home preventative screening test kit we use this C/I
Wellness/Home Test Kit
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Mr. Potato Head