Fulfillment
What does OMS Stand for?
Order Management System
Wat is the main system that is used to check a member's billing profile.
E-Billing.
True or false a member is able to change their communication preference online.
True
How many days of communication is displayed in RTI?
90 days.
Can we ask a member for the SSN#? (Social Security Number)
No.
What is the first thing you should do before ordering any printed materials for a member?
Verify the address on file is correct.
There are 4 main ways in which a member can pay their premium. They are?
Credit/Debit card, Coupon book, ACH and SSA/RRB deduction.
What does a member click on the Humana website if they do not have an activated account.
Activate online account
Member got a bill from Humana tell them they have an outstanding balance. What is the Classification and Intent?
Communication/Got a letter/Call
What are the 2 systems that are used to request Id cards.
Id Card management and Id card Center.
Up to how may days can it take for SSA to start making payments on a members account?
120 days.
How long is a confirmation code valid for?
20 minutes.
A monthly, personal health finance and benefits statement that includes a member's medical and/or prescription drug claim information.
Smart summary.
Name of the document that is sent out to members that explain the changes to their plan for the upcoming year.
ANOC. (Annual notice of changes)
A member is technically "past due” if payment is not received by the _______.
1st of the month.
This process provides an extra layer of security when attempting to access personal information online.
2-Factor Authentication
Smart Summary statements are available to members on a _______ basis.
Monthly
Member calls to check if his plan is still active. what is the Classification and Intent?
Eligibility/Verification.
LEP's can be assessed if the initial enrollment period for the member has ended, and they have gone ____ consecutive days without creditable drug coverage.
63.
When setting communication preferences in MyHumana.com, what section can members specify their written and spoken format?
Language & Accessibility