B2B System
Termination
Random Questions
General Knowledge
100
Where can you find member signature date?
CAS
100
How far back can we do a retro termination over the phone?
60 days
100
What is FT DOH?
Full time date of Hire
100
What is needed to authenticate a group admin to speak about a group
Group name Group number Tax ID must be the group contact
200
Which system can you use to locate member Invoice
PBS AND Ebilling
200
Which document is used to do termination beyond 60 days?
Humana Business Services Billing Exception Requests
200
What are the three types of Provisions?
IM, FM AND GR
200
In the package ID 3 stand for ?
Indicate Dental plan
300
The member wants to add a newborn that is within 2 years old, which system would you use?
HRBA
300
When terming a member, what we must verify once they are alive?
Address
300
How long after the OE date member have to sign?
31 days
300
What is qualifying Event
A Qualifying Event (QE) is a special enrollment period for a member created by an event such as marriage, birth, or adoption, that changes a member or dependent eligibility status.
400
What is New case account manager use for?
Access New Case Paperwork, View Rates, Access Renewal Letters for Agents and Employers Plan Summaries via the Employer Benefit Center link
400
What's the name of the system that we use to do small group termination?
Small group correspondence request
400
If there is no probationary period or effective provision indicated, then the member is eligible when?
On the full time date of hire
400
If the group admin doesn't know the tax ID number, what else can be used to authenticate the call?
SSN if they are a part of the group, if not we need them to send an email that have their group Domain
500
The group want to enroll a member today, where would you go to locate the group open enrollment dates?
MTVX
500
The BA is calling in for a group that is from TX. The member last date of work is June 26th and the BA called on July 2nd. What will be the termination date?
60 days
FM
DHMO plan
June 30th
500
What is the difference between Eligibility date and Effective date
An eligibility date is the defined date a person becomes eligible for benefits under an existing contract. It does not imply that the person has elected and is able to use benefits from Humana.
An effective date is the day that the member’s benefit(s) go into effect. The effective date is the actual first day a member may use benefits from Humana.
500
What is the main mentor document for B2B calls?
Billing and Enrollment Calls Document Index