Material Types
This is like a passport or driver's license; it gives you access to care and coverage.
ID CARD
the time frame when ordering an ID card for the member.
what is 5-7 days
this is the classification when ordering hard copy materials
what is fulfillment
this is the intent used in QS+ when requesting an EOC
what is benefit information
Centers for Medicare & Medicaid Services (CMS) require Medicare plans to alert their membership with the changes taking place for the upcoming year. Humana sends booklets to members called this.
ANNUAL NOTICE OF CHANGE (ANOC)
turnaround time the member can expect to receive hard copy materials.
what is 7-14 business days
the intent used when requesting a pharmacy DMR form in QS+
what is Letter/Form Request
A document that outlines a health plan's benefits and costs, how the plan works, and what the policyholder is responsible for paying.
EVIDENCE OF COVERAGE (EOC)
turnaround time to inform the member to receive materials via self service.
what is within minutes.
This document is requested when the mbr needs to browse health/wellness supplies and place an order using their Medicare benefit entitlement.
OVER THE COUNTER BOOKLET (OTC)
Form requested when a member needs reimbursement for a prescription drug.
PRESCRIPTION DRUG CLAIM FORM (DMR)