verification
KA
Benefits
Service with Heart
100

Citi capture  states "full"

What is fully validated

100

Transportation

What is KA 4524?

100

Where we see if a referral is required

What is the Benefit tab in GPS

100

opening  greeting

What is Good Morning/afteroon Thank you for calling Aetna. This is (NAME) speaking who do I have the pleasure of assisting today?

200

We provide the MBI number to who?

Who is Mentor or MIUS

200

Template for contacting Case Manager

What is KA 3750?

200

I want to work out at 24 hr fitness

What is Silversneakers?

200

The end of the call

What is a recap of all discussed/done? Offer any additional assistance before ending the call by offering the survey?

300

Caller cannot verify phone number; however passed validation

Continue with the call

300

qualifying for the extra supports wallet

What is KA 4491?

300

I need an implant D6010 d6057 d6058

What is Dental coverage in the EOC

300

My Pharmacy states Aetna will not pay for my medication

What is Empathize with the member, repeat what meds are not authorized, and warm transfer to Part D while also providing the number.

400

Caller is fully validated however the phone number does not match

What is validating the phone number 

400

application has an invalid Medicaid number

What is KA 4428?

400

i want Zepbound or Wegovy 

Medicare GLP-1 program

400

This is my fourth call regarding my transportation, and they state they need Aetna approval.

What transformational service?  OK, do not worry. You can relax; I will take care of this for you

500

Form to file a grievance or appeal for a member

What is an AOR?  Appointment of Representative 

500

Diabetic Shoes

What is KA 4534?

500

I need Aetna to pay for a personal trainer

What is the Fitness Benefit Reimbursement DMR?

500

My son needs a new primary doctor, and every time I call, I have to get permission.

What is take ownership?  Sent out a PHI, look for a DR, and assist in assigning a new PCP as well as an appointment