Stay on the Path
(Call Flow Steps)
Its right in front of your face
(Question on the Call Flow)
Jargin
(Acronyms and the meanings of them)
High or Low
(Spotlight on Quality)
Complete the Circle
(Core Dialogue Skills)
100

You determine the election period in this step

Determine Eligibility

100

Currently I have...

Tell me about your current coverage.

100

QL

Quantity Limit

100

6 Points

High

100

Ability to convey interest, conviction, and energy

Presence

200

"I can help you with that. Before we begin, I need to ask you a few questions. How does that sound?

Purpose & Agenda

200

My doctors are super important to me

What’s important
to you in your
health coverage?

200

IRMAA

Income Related Monthly Adjustment Amount

200

2 Points

Low

200

Ability to build rapport, acknowledge, and empathize

Relating

300

This steps are interchangeable

Look up Providers

Look up Medications

Determine Plan

300

Oh ya I need my diabetic supplies covered too

Do you have any other health needs we should consider?

300

HCTZ

Hydrochlorothiazide

300

Stating the FULL name of the plan and effective date

High

300

Ability to elicit information

Questioning

400

If you have no further questions and elected to take the survey, please stay on the line while I connect you.

Call Wrap-up

400

hmmmmm..... I guess it would be nice to have dental but it isn't a deal breaker or anything.

Is there anything else we should consider?

400

PA

Prior Authorization

400

95 or BELOW

Failing

400

Ability to understand what the consumer is saying

Listening

500

In this step you dig deeper and uncover other needs the consumer might have forgotten.


Determine Plan

500

I saw a commercial and that plan looked pretty good.

Thank you for calling. My name is <first and last>. How may I help you today?

500

ST

Step therapy

500

"This is the biggest, best plan in your area!"

Low

500

Ability to present information persuasively

Positioning