Enrollment
When is the Open enrollment period?
Nov. 1st - Jan. 31st
True or False: Can we verify if an account is OFFX or ONX on H3O
True
What is a subsidy?
Financial help from the state
Can we process payments with debit or credit card?
No, we can only process payment thru bank accounts (Checking or Saving)
Can I take a payment if the policy holder is not on the call?
Yes, as long as you do not provide billing information if there is no HIPAA or Verbal
Can we request the cancelation of an account eff on 10/22/2025?
No, it has to be on the last day of the month
What does H3O stands for?
Healthtrio
What is the grace period for an ONX Account without subsidy?
30 Days
What is the name of the app we use to process payments?
EBPP
True or false: the member can send the HIPAA form via email for us to received it and provide information on that same call
No, members are just able to send the HIPAA form via mail or fax and they have to wait 7 - 10 BD for approval
If member account has been cancelled due to non-payment is the member eligible to enroll on SEP?
Are we able to make updates on H3O?
No, we can just review information
Is a member with a group account applicable for subsidies?
No, a group account cannot have subsidies
What is the name of EBPP when searching it on IWAY?
Alacriti
Can we send ID card for all the members in the account if the spouse requests it?
No, we can only send ID card for all the member if the policy holder is on the call.
Which kind of enrollment details we do not handle for ONX or group accounts?
Add a member
changes (Address, DOB)
Term / Cancel the account
can I review information for previous accounts on H3O?
Yes, we can
What is the grace period for an account with subsidy?
90 Days
True or False: EBPP is the only place where we can find the invoice PDF
False: we can also review the invoices on Zelis.
What is the name of the form that allows us to make changes on the account with someone who is not the Policy Holder?
Personal Representative Form
True or False: Only Policy Holder and Spouse are able to request enrollment changes on the account
Are we able to confirm from H3O how much the policy holder pays for each member on the account?
Yes, we can if we access the account of each member on file.
What happen if the member reached the grace period?
The account would be cancel
What is the difference between Current Balance and Past Due Balance?
Current Balance > the total amount that member has to pay even if the member still has time to pay it.
Past Due Balance > Amount of money that is late or still needs to be paid.
What information can we provide to someone calling on behalf of other insurance company?
Eff date, Term Date, benefits and claims only if they have all the claims details.