This Intent is used to perform a 1-Time EFT Payment for the member.
What is REview Billing and Payment Intent
100
CCP's can use this jobaid to help them correctly greet the member.
What is Greetings and Closings Index
100
If this option is not selected, you will be prompted to verify the authorized rep or Create a Quick Contact.
What is "Caller is Member"
100
This area in Account Summary allows the CCP t complete an LEP Attestation.
What is Plan Details
100
This system is used to reprint a members monthly bill.
What is EDSS
200
Member: "Your Hold Music is aweful! Its the same sad violin from 3 years ago!"
This members dissatisfaction should be documented using this intent.
What is Complaints, Appeals, and Grievances
200
This tool will ask me a series of questions, ultimately leading to the resolution for my caller.
What is The Wizards
200
The drop sections in this screen are used only when there was no intent launched.
What is Wrap Up
200
True or False: Financial Activity is the area where 1-time payments can be processed for the member.
What is False
200
Member: "I sent the authorized representative form for my son back last week, did you receive it?"
What is ODM
300
Member: "I received a letter telling my premium is going to increase because I didn't have insurance? Can you help me" Launching this intent will start the process of assisting the member.
What is Manage LEP Intent
300
This area of mySME posts information such as job aids, announcements, and tool kits pertaining to ALL agents.
What is The Bulletin Board
300
Incomplete calls or work appear on this Tab in MIIM.
What is Work List
300
If the member defaulted on this option in twice in the same contract year, they are no longer eligible for this option until the following year.
What is Repayment Plan
300
The MOP in Account Summary shows EFT, but the MOP in MARx is Direct Self-Pay. This is referred to as a
What is Discrepancy
400
This category allows CCP's to Send Non-Marketing Materials and complete Grievance documentations for members.
What is Member Category
400
Member: "What if I can't remember what plan I had? What if I can't provide the information?" This job aid provides talking points to the CCP on how to assist a member that has been notified of a penalty.
What is Late Enrollment Penalty Index.
400
This task is performed when an incorrect intent has been launched.
HINT: Don't click the little "x".
What is Cancel this work
400
True or False: Alternate address options are not available when sending non-marketing materials to members.
What is False
400
Billing CCP's only use this system to view a members payment witholding
What is MARx
500
Using this Category and intent will allow you access to the intent to process a Account History Request request type for the member.
What is Billing Category and Review Billing and Payment Intent.
500
The requirements for authenticating a caller prior to assisting them can be found in this index.
What is HIPAA Index
500
These sub-categories are used to perform specific member request within intents. They can be selected from a drop-down menu.
What is Request Types
500
Saving information to the case must be completed before exiting this window.
What is Account Summary
500
"Good morning, and thank you for calling . My name is Adam. Do I have the pleasure of speaking with Mr. Jones today?” is this type of greeting