POC | RSA | Plan and Policy | Emergency | Discharges |
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What should you do if you receive an alert informing that the POC did not get sent out a.k.a POC failure?
Double check address of both provider and member. Submit IT ticket if still unable to send.
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When is an RSA completed?
Enrollment, annually, new policy,
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What 2 things must you do when updating to a new line of eligibility/new plan?
Complete RSA and send POC
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Daily Double ****** What are names of policies that indicate your member is a SNP policy?
CIP, SNP, Dual, Chronic
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Daily Double***** In what instances would it send a POC?
Discharge call contact, member request, upon enrollment, when completing RSA,
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What must you complete in order to update and send POC after a discharge?
Discharge opportunity
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What must be completed on signature page of POC review?
Agrees with POC, Next review date
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