correspondence
What are types of letters that are sent out to members?
Change of medication, ANOC, Smart summary and more
What is the main mentor document you use?
Medicare Advantage Prescription Drug Document Index
What is a smart summary?
A monthly statement of their claim activity
What does COB stand?
Coordination of benefits
What is the classification and intent for when a member gets a letter?
Communication/got a letter/ call
What are VAT calls referred to as by members?
Robo calls
What is the classification and intent for smart summaries
Communication/Smart summary
Who make the COB changes?
the COB team
Where do you go to create a letter for the member?
EMME quick link on the CRM plan member page
How long is a letter stored in RTI?
90 days
Smart Summary statement overview
What is the classification and intent for COB calls?
COB/ verification
Where can you view letters that was recently sent out?
RTI communications
How many was can a member receive communication from humana?
Mail, Email, VAT calls
why can't you send a smart summary through email?
due to HIPAA
Where can you verify OI?
CRM, Plan information on the plan member page
What does EMME stand for?
Enterprise Measurable Messaging Ecosystem
How can a non-member get to speak on behalf of the member?
By having a consent form on file or verbal consent
Why do members receive a smart summary?
To track their monthly claims and spending
What is the screen on CI to view OI
PEOC screen