ACRONYMS | MEDICARE | SSC | OSC | RESOURCES |
---|---|---|---|---|
What is Customer Identification Number
CID
|
What is 3 months before, the month of and three months after the 65th birthday.
When does ICEP take place
|
What is Finding Guides Tab
Where can you find if an account is joint or separate
|
What is Paraphrase/Acknowledge
This is the second step in the CSR call flow
|
What is Medicare.GOV
This has the most accurate information in relation to a customer’s Medicare plans. Can only check CMS plans
|
What is Service and Support System
SSC
|
Continuous coverage which no breaks and gaps longer than 30 days.
What is creditable coverage
|
What is Map to Customer Service
This action must be performed on every CSR call (to the OSC)
|
What is Product
This is considered the primary topic/reason of the call
|
What is Application Annotations
19. These are notes left by the Carrier team.
|
What is Oracle Service Cloud
OSC
|
What is during the AEP
When must a participant enroll to ensure a January 1st effective date
|
What is Funding Amounts Tab
Where can you find a participants next allocation amount and period
|
What is Guided Assistance
This tool is built into the OSC and used to assist associates; it is required on every call
|
What is Sharepoint
We go here to access the Client and Carrier Guides, and also to chat InfoSource
|
What is Health Portability and Accountability Act
HIPAA
|
Who is CMS
Who regulates Original Medicare
|
What is Signed Applications and Policies screen
Where can you access the Archived Applications
|
What is an Incident
Every time you receive a CSR call, you create/update this
|
What is InfoSource
This group is for ALL issues outside of Auto Reimbursement
|
What is Qualified Health Plan
QHP
|
What is Medicare
With Medicare Supplement plans, who pays first, Medicare or Gap
|
What is Mapped Payment/Sent to HRA
This is a payment notification from the Carrier that a customer and a plan have been found in the SSC
|
What is Disposition
This determines the status and queue of an incident
|
What is AR Helpdesk
This group is specifically for Auto Reimbursement payment issues
|