Across
- 2. ____ A,with this,the subscriber will receive hospitalization, Skilled Nursing Facilities, Hospice and some home health.
- 5. This person is who we go to for any personal business.
- 7. If an application does not have a signature, it is this.
- 11. It is very important,this must always be in your notes.
- 12. The _______tool is one of the best resources to go to for information.
- 14. Acronym for someone who is an expert in our operations.
- 15. We require an answer to the question about this on our apps.
- 17. Type of facility where a mbr may live,they may enroll and Disenroll any time they choose, while living there.
- 19. We can't release any PHI without verifying this.
- 20. Great tool for viewing blank copies of our applications and for comparing SMURF ID.
- 21. This is the name of the central/east processing system.
- 24. Members use these to assist in the enrollment process.
- 25. This is the name of the west processing system.
- 26. Member’s who have this SEP may enroll and disenroll from plans, as long as they still qualify.
- 27. This number has a letter @ the beginning or on the end of it, and is used to identify a member.
- 28. This type of plan includes both medical and Rx.
Down
- 1. This elect type is number one on the ranking order.
- 3. The # of days for a response to a non-sep RFI.
- 4. Main system used to verify Medicare eligiblity.
- 6. You must always remember to put these in whenever you touch a record.
- 7. This medicare verification system is maintained by us.
- 8. A type of plan where Part B is not needed.
- 9. Many key pieces of information are needed in order to determine this kind of date.
- 10. This is the amount of months that a newly eligible individual has to enroll in.
- 11. You will find these contain the answers on how to perform the functions needed to complete a work item.
- 13. Name of a queue where you will find many of the same.
- 16. First of this month is eff date for AEP enrollment.
- 18. New to Part B only,this many months to enroll during.
- 22. _______Eligible- Member who has both Medicare and Medicaid.
- 23. This is the term for the monthly cost of the plan.
