Sunfire
The tab in Sunfire to look at DSNP plans
Special Needs
The place to find past Marx attachments
Request Marx
Part A deductible for inpatient hospital stay benefit period, before Original Medicare starts to pay.
$1,632
When in the Present tab, what is considered an AUTOFAIL?
If we do not notify the beneficiary of the network status of Providers, Hospital and Pharmacy
The number of carriers Clearlink works with.
4 (UHC, Aetna, Humana and Wellcare)
Where do you find the personal code?
Top left
The place to enter notes about the needs analysis
Discover tab under needs & features
SEP used when a bene has lost extra help.
NLS
In the Application and Enrollment part of the call, there are TWO things you must do to make sure you do not autofail. What are they ?
Play/Read all plan disclaimers & Gather a valid signature
Dominion's Core Values
Respect, Integrity, Collaboration, Commitment, Accountability
Where do you find the summary of benefits or evidence of coverage in a plan/
Click "details" of plan and scroll all the way down to "Links to plan documents"
The sales process where you are using "the square"
Present tab
Part B deductible before Original Medicare starts to pay.
$240
Used superlatives
Unethical behavior (no leading statements)
Gave inaccurate info
Agent failed to resolve all of the beneficiaries concerns
HIPAA violation
Agent failed to offer and ask to set up the Customer Portal account
Program Manager for Clearlink campaign
Where to find whether a pharmacy is "preferred" or "standard"
In the plan details, drug cost details under pharmacy status
Where to find the Ref ID
Underneath "New Customer"
SEP used when a bene has recently returned to US after living abroad.
RUS
Points given when MAPD/MA QA required plan benefit review is done prior to enrollment
7
Clearlink's Values (hint: go to Clearlink's website)
Create community, Learn & Grow, Embrace Oppurtunity, Act as an Owner, Respect Every Person
TRUE OR FALSE: Use the drug tier information listed in the drug cost details to give the bene what their estimated cost will be for their prescriptions.
FALSE, go to the SOB and find prescription drug benefits and read from there and NEVER say "estimated"
TRUE
You can see any doctor that accepts Medicare with this specific Medicare plan.
Medicare Supplement/Medigap
Total number of autofails on QA scorecard
13
Dominion opened in what year?
2016