Ms. Baker calls in and states she received a letter from Anthem stating we are missing page 7 of her application that she mailed in. Where would you go to check the status of her app?

In Mainframe what does bill status RECON mean?

What 3 pieces of information should you attempt to verify first before substituting.

When is a service request number created?

What are the commands to get to the Audit Trail.

Mr. Harmon mentioned that he applied for coverage thru Covered California a week ago and is calling make his initial payment today. What system might you use to process his payment?

A member calls wanting to cancel their premium payment made 4 days ago. You can complete this transaction in CSI and must add brief notes in the comments section before cancelling. True or False

Health Insurance Portability and Accountability

Member is calling to cx a Life policy. Provide the info you would give to the member on this process.

What are the commands to get to the billing dues screen?

A member calls and advises she needs a premium report emailed to her asap, in what system will you complete this task and how?

If the members bill is set on a Summary bill, the member must use the summ bill # when making payment at all times...T or F

How would you handle a call with someone that refuses to provide their name to you?

The adult dependant calls to cx the medical policy. How would you handle this request.

What are the commands to get to Base Rate Calculator?

A members policy cx'd for non-payment but before you advise the member they are not eligible for reinstatement you must check that we sent proper notification to he the member that advises we missed their payment. What letter do you need to check for and in what system?

What number is needed when processing the members first initial payment?

What must you use on every call to ensure you do not make a hipaa error.

The member calls stating she received a letter in the mail advising her plan will not be offered in 2019. She wants to know if this is true or not. What tool will you use to verify this for the member.

Mainframe is out Source of Truth. T or F

A member call to cancel their plan and you need to cancel the AWD on the account too. In what system will you complete both task?

What are the grace periods for an ON and OFF Exchange member?

Mother calls to verify the amount due on her 5 yr old daughters account. List the pieces you will use to fully verify the account.

The member MUST be paid to date when activating AWD. T or F

From the billing dues screen...how do you get to the grace period screen?