Medicare Advantage
Where would you direct a Medicare member who wants to set up premium payments online?
What is the web address you would provide a KPIF member to make their premium payment?
Where do we make Individual and Family payments?
IPayment
Where can we find how much a members copayment is ?
Members Plan Benefits
When is the Medicare Annual Election Period (AEP) ?
10/15-12/7
Can a KPIF member make a payment online without the BUID ?
No
What system can we set up auto payment for KPIF members?
Client Console
What flow would we document if a member is trying to get a quote for a mammogram?
Benefit flow
When can we write down a members card number?
Never
What add on plan does a member have to have to have hearing aids and transportation coverage?
Advantage plus 2
A subscriber on an HBE plan is calling to update their address, how would you assist?
Direct to HBE and do not update the address
We can we direct a Medicare Advantage member to set up their Auto Payment?
Velocity- Walk them through the process
Can we quote a member for outpatient hospital copays?
yes
How would you assist members whose account in EPIC show bad debt ?
Warm transfer to the appropriate collection agency
What is the name of the Medicare enrollment/election period between January 1st and March 31st?
MA OEP
If a caller is checking the status of their enrollment on a KPIF plan, but they're not in eWatson, where will you check for enrollment?
MQV-Membership Quick View
If a member is disputing a charge in EPIC stating the service were preventive, how will you assist?
Send a Patient Account flow in EWatson and request a chart review
Where would you look to see if Medicare member is registered for online premium payments?
Velocity/ Admin Suite
Other than the subscriber who can set up autopay on ACI if the subscriber is not available?
DPOA
What forms of payments are accepted in IPayment ?
Visa, Discover, American Express, Mastercard
What is the name of gym membership that is offered to Medicare members?
OnePass
Where would we document calls regarding accounts in EPIC?
Patients Accounts