Enrollment
Enrollment applications submitted using this method are found on the Marketpoint website.
Paper
Members requesting a plan change prior to the effective date must complete _____________ in order to change plans.
A new application
All possible Section A violations are thoroughly documented and transferred where?
Oral Grievance Oversight Team
FastApp is used to find what type of enrollment application?
Electronic
When a Humana Member requests plan changes, CCS must transfer to which department?
Direct Marketing Services (DMS)
When a termination is requested prior to the plan’s effective date, it is considered a _______________.
Cancellation
Select the response showing the correct order Humana systems are searched when confirming enrollment status for members.
CRM, Customer Interface (CI), Automated Enrollment (AE)
Due to system lag times, CCS should always review which CI screen to confirm a member's plan status?
PAPI screen
Which CMS exception affords terminated members reinstatement rights for non-payment of premium?
Good Cause Reinstatement Provision
What are two Self-Service options Humana members can use to obtain proof of coverage?
MyHumana.com and IVR System
Voluntary termination requests to cancel or disenroll in a Humana plan are transferred to which area?
Disenrollment Cancellation Team in Enrollment
All permitted reinstatement requests require approval from _________.
CMS
Which Mentor document would a CCS use to determine who is authorized to make plan change requests for a member?
POA Types and Allowed Actions
Which of the following is NOT authorized to request a Humana plan termination?
Member, Power of Attorney, Humana, CMS, Agent
Agent
Which of the following is NOT a reason that warrants Reinstatement consideration?
Erroneous report of death
Member does not like their plan
Member mistakenly joined another carrier's plan
Member does not like their plan
Which are the three primary Customer Interface (CI) screens used to confirm why a member's plan terminated?
PAPI, PAAL, MREP