Show:
CATAGEORY
INTENT
MYSME
ACCOUNT SUMMARY
ACCRONYM
100
I WANT TO CHANGE MY PCP
What is PLAN
100
MEMBER WANTS TO SPEAK WITH A SUPERVISOR
What is ESCELATE TO SUPERVISOR
100
THIS SECTION ASK QUESTION TO PROVIDE YOU WITH A PROPER SOLUTION/JOBAID
What is WIZARD
100
USE THIS TAB TO VIEW WHO MEMBERS PCP IS
What is SUMMARY
100
ALL HMO MEMBERS NEEDS TO BE ASSIGNED ONE OF THESE
What is PCP
200
MEMBER JUST MOVED AND WANTS TO KNOW THE CLOSEST PLACE THEY CAN PICK UP THEIR MEDICATION
What is PHARMACY
200
MEMBER WANTS TO ADD A RIDER ON THE ACCOUNT
What is ADD RIDER
200
YOU CAN USE THIS JOBAID TO KNOW WHAT NEEDS TO BE AUTHENTICATED FROM EACH CALLER
What is HIPAA
200
USE THIS TAB TO SEE IF THE MEMBER HAS MEDICAID OR LIS
What is ELEGIBILIY
200
I DID NOT ENROLL IN A PART D PLAN WHEN I WAS FORST ELEGIBLE / WENT 63 DAYS WITHOUR CREDIBLE COVERAGE
What is LEP
300
MEMBER WANTS TO ADD DAUGHTER AS AN AUTHORIZED REP ON HER ACCOUNT
What is MEMBER
300
I HAVE NOT PAID MY PREMIUM IN 4 MONTHS
What is ESTABLISH REPAYMENT PLAN
300
USE THIS JOB AID TO DECIDE WHEN TO ADVISE A MEMBER TO CONTACT MEDICARE
What is APPROPIRATE REFERALS TO MEDICARE
300
USE THIS TAB TO QUOTE COPAY FOR MEMBERS
What is BENEFITS
300
I NEED ASSISTANCE PAYING FOR MY MEDICATION
What is LIS
400
I JUST SIGNED UP FOR UHC AND WILL LIKE TO KNOW THE STATUS
What is APPLICATION
400
I WANT TO KNOW IF A COLONOSCOOPY IS COVERED?
What is REVIEW MEDICAL BENEFITS?
400
YOU CAN USE THIS JOBAID TO ASSIT WITH VERIFYING MEMBER HIPAA WITH THE MEMBER
What is GREETING AND CLOSING - POSITIVE ENGAGEMENT
400
USE THIS TAB TO DETERMINE MEMBERS PREMIUM AMOUNT
What is BILLING
400
THIS ORGANIZATION CREATED ALL THE RULES AND REGULATIONS HEALTH INSURANCES HAS TO FOLLOW FOR THE 65 + OR DISABLED
What is CMS
500
MEMBER WANTS TO DISENROLL FROM A PLAN
What is ENROLLMENT
500
OTHER DEPARTMENT SYSTEM IS SHOWING THAT I HAVE MORE THAN ONE COVERAGE, THEREFORE,MEDICATIONS ISCOMMING US AS DENIED.
What is UPDATE MEMBER COB
500
USE THIS JOBAID TO ASSIST MEMBERS WITH THEIR DMR
What is DIRECT MEMBER REIMBURSEMENT DMR
500
THIS TAB SHOWS A OVERVIEW OF INFORMATION ABOUT THE MEMBER INCULDDING BENEFIT LEVEL, TIER COPAY AND PREMIUM AMOUNT
What is DASHBOARD
500
IF YOU PROVIDE INCORRECT OR NOT COMPLETE INFORMATION
What is WAPMO