A
Member calls to inquire about their SmartSummary. What is the correct C/I?
Communication:SmartSummary
Member calls to make a payment. What is the correct C/I?
Billing:Make Payment
Member calls to update their address because they moved. What is the correct C/I?
Demographics:Change
Member calls looking for a cardiologist in network. What is the correct C/I?
Provider:Locate
Member calls to request Provider Directory. What is the correct C/I?
Fulfillment:Benefit Information
Member calls because they want to receive their communications in Spanish. What is the correct C/I?
Communication:Member Preferences
Member calls to ask if his premium is up to date. What is the correct C/I?
Billing:Account Balance Inquiry
Member calls to verify we have a correct phone number on file. (It is correct)
Demogrphics:No Change
Member calling to change their PCP. What is the correct C/I?
PCP Change:PCP Change Made
Member calls to verify if their plan is active. What is the correct C/I?
Eligibility:Verification
Member calls because they do not understand a letter they received. What is the correct C/I?
Communication:Got a Letter/Call
Member calls to request new Coupon Book. What is the correct C/I?
Billing:Payment Changes
Member changed their name and needs it corrected. What is the correct C/I?
Demographics:Change
Member calls to verify whether their doctor is in network. What is the correct C/I?
Provider:Locate
Member calls to request a new ID card. What is the correct C/I?
Fulfillment:ID Card/Access Card Request
Member calls because they want to be removed from an automated (VAT) list. What is the correct C/I?
Communication:Got a Letter/Call
Member calls because they want to add their Credit Card as a Payment method. What is the correct C/I?
Billing:Pament Changes
Caller informing us that member is deceased. What is the correct C/I?
Demographics:Report Date of Death
Member calls to change their PCP but we are not able to make the change. What is the correct C/I?
PCP Change:PCP Not Changed
Member calls to request Consent Form. What is the correct C/I?
Fulfillment: Letter/Form Request
Member calls because they want to 'go paperless'. What is the correct C/I?
Communication:Member Preferences
Member calls because they accidentally overpaid for their premium and they want their money back. What is the correct C/I?
Billing:Premium Refund
Member calls because they forgot their password for MyHumana. What is the correct C/I?
Web/Mobile:User ID/Password
Member calling to ask for their PCP's number. What is the correct C/I?
Provider:PCP/PCD
Member calls to ask why they have not received their ID card for next year. What is the correct C/I?
Fulfillment:ID Card Status