Authentication
First Name, Last Name, DOB, Last 4 of SSN
What is full authentication?
Two Dental Carriers
What is Altus and Delta?
Unable to Use Benefits
what is enrollment?
web-based system that was created due to ACA requirements and is used by the Health Connector and MassHealth to determine eligibility for health and dental plans.
what is HIX?
Income, Residency, Family Size, Tax Filing Status
What is an eligibility appeal reason?
Can't verify HOH
What is Unauthorized Third Party?
Not Covered for Adults
What is Orthodontia?
Member Portal Issues
What is Tech Support?
tool used to process and view documents received by the Health Connector and MassHealth from members
What is MyWorkspace?
Online, Fax, Mail, and Phone
what is a way to submit an appeal?
Discuss the account
What is PSI and CDF?
the member's share of the cost they must pay out of pocket for dental services
what is cost sharing?
Terminated Plans
used to enroll members into dental without a health plan
what is member portal?
Homeless, Eviction, Bankruptcy
Discuss the account and make changes
what is ARD & NDF?
Maximum Annual Benefit is Unlimited
What is Pediatric Coverage?
Video Relay Service
What is Accommodations?
cloud computing company that uses their social, mobile, sales, service, and Customer Relationship Management (CRM) cloud technologies to help companies connect and collaborate with their customers, partners and employees.
what is salesforce?
Marketplace Participation, Premium Waiver/Reduction, Tax Penalty, Certificate of Exemption
what is appeal types?
"[HOH NAME], thank you for your help in verifying this information. Do I have your permission to speak with [CONTACT NAME] and for [CONTACT NAME] to be able to make changes to your account on your behalf for this call or would you like to complete the call yourself?"
What is One Time Verbal Authorization Script?
December 31st
What is plan end date?
Way to Create a Case
What is a guided workflow?
tool designed to automatically find answers from a designated Knowledgebase through a Microsoft Teams chat, making it easier and faster to assist members.
what is infobot?
60 days
what is timeframe to submit appeal?