What job aid would we use in ET-Follow Up Index

Account Maintence

100

Where would I find the steps to Add a POA?

Account Maintenance

200

Can we make Demographic Updates for High Profile Employer Groups?

For Most High Profile Employer Groups we cannot.

300

What is the name of the Portal we use for Premium Billing Issues?(Two Part Answer)

EWD or Uflow

400

Where would we find HUD(Housing and Urban Development) documentation received from a Member?

View

500

How long do we wait since routing of a HUD Form in View?

48 Hours and then draft an email to Shaun Williams

Member

100

Member would like to grant her daughter access to her plan information. Since she has difficulty managing her own account. Which intent would we open

Manage Auxiliary person

200

Intent where provider information can be found

 Search and Assign Provider

300

Mrs.Member is requesting an email regarding the conversation we just had. How will I do this?

Send secure email

400

Member let us know his medication cost more than he can afford and does not qualify for Low income Subsidy what other options can we offer. 

Social Determinants of Health

500

Mr. Member is upset due to how he was treated at the doctors office. 

CAG intent-

complaints

Appeals

greviances 

Billing

100

Hello I didn't get my montly statement because I'm traveling. I'm not sure if I made my payment for last month. Can you check how much I owe you right now please?

General billing question

200

I recently recieved a bill from UHC stating I owe you 500.00 and if the payment is not made by 3/31/2023 they will terminate my plan. I can not afford to pay this all right now nor can I afford to lose my plan. Can we do a payment plan or something. I take very expensive medications. 

Establish Repayment Plan

300

Hi I'm calling to make my monthly payment can you help me out with this?

Manage payment

400

I recently signed up for UHC and I received a letter asking me if I had previous drug coverage. Can you help me fill out this form?

Manage LEP

500

So I've recieved a check for UHC for 200.00 but I do not have a clue why they have sent this check. Can you help me out? Which intent would we open

Check recieved by member

Pharmacy

100

So I have my formulary book here and I see Vicodin is consider a tier 2 can you tell me what my copay will be for this medication

Review Rx Benefits

200

Can you tell me how much I paid for my Oxymorphone 5mg for the month of February?

Claim History

300

I'm so use to recieving letter from UHC that tell me what medication I picked for that month and where I am at with my coverage stages. I did not get one for last month can you look into this for me and tell me why

Explanation of Benefits

400

Hello my doctor just prescribed Oxymorphone 5mg  and I would like to know if this is covered by my plan 

Formulary Look up

500

My pharmacist told me I was in some sort of Gap and that is why I'm paying more for my medication this month. Can you tell me more about this gap and where I am at? 

Coverage Stages

Enrollment/Application

100

I recently submitted 3 application by accident and I've totally confused myself. Can you tell me what is name of the plan on my last application submitted. Because I want to make sure it is to AARP Medicare Plans 1.

Review application Status

200

I no longer want to be part of the this plan. How can I disenroll from this plan. 

Enroll/Disenroll a member 

300

I was told my plan was set to start on 3/01/2023 but today is 3/12/2023 and I've not received anything can you help me with this?

Review application status

400

My plan is set to start on 4/1/2023 but I have change my mind and decide  to stay with my current plan. Can you help me cancel this plan?

Update Application

500

My plan was recently terminated because I lost my part A and B. I recieved a letter asking me to call Medicare. I've spoke to them and they have updated my information to show active. I was advise to call you all and asked to have my plan reinstated.

Reinstate a member