Funding Medicare SSC PEGA RESOURCES
100
Mail, fax or online
How can a participant submit a reimbursement request
100
3 months before, the month of and three months after the participants 65th birthday
When does ICEP take place

100
The funding guide tab
Where can you find if an account is joint or separate
100
Pega
This is where you will find guided assistance
100
Vantage
This is where you clock in and out of everyday
200
The file will be queued to be sent to the funding department for processing
What does payment mapped mean
200
Continuous coverage which no breaks and gaps longer than 30 days
What is credible coverage
200
The funding summary tab
Where can you find out if a participant had funds retracted
200
Denied reimbursement request
What case would you choose if a request had sufficient documentation but wasn't approved
200
The client guide
This is where you find client updates
300
An overpayment
If a participant passes away and a/r is still on, what can happen
300
During AEP
When must a participant enroll to ensure a January 1st effective date
300
The funding amounts tab
Where can you find a participants next allocation amount and period
300
Loss of funding
What case would you choose if a participant didn't meet the clients requirements
300
Sharepoint
We go here to access the client guide, carrier guides and resources
400
Incorrectly submitted case
What's an ISC
400
CMS
Who regulates original medicare
400
Signed applications and policies screen
Where can you access the archived applications
400
Missing allocation
What case would you choose if a participant meets the requirements but doesn't have funds loaded
400
Infosource
This group is for ALL issues outside of auto reimbursement
500
A social security award letter or a part b billing statement
What two documents can a participant use to get reimbursed for their medicare part b premiums
500
Medicare
With medicare supplement plans, who pays first, medicare or gap
500
Payment mapped
This is a payment status notification from the carrier that a participant has paid their monthly premium
500
When instructed by the client guide
When do you route to the data team through pega for a death notification
500
A/r helpdesk
This group is specifically for auto reimbursement payment issues






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