Enrollment & Billing

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If an enrollee or subscriber who believes their plan contract, enrollment or subscription has been or will be improperly canceled, rescinded, or not renewed, can you request reinstatement pursuant to Section 1368 of AB2470?

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True

Front

What does DMHC stand for?

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Department of Managed HealthCare

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How long does Anthem have to address a member's request to avoid a penalty?

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72 Hours

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An AB2470 request is what type of appeal?

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Expedited Grievance & Appeal

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In order for an "authorized representative" to submit an AB2470 request a Verbal Authorization is required.

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True

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Where do you request an AB2470 review?

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T-CA LG AB2470 / CA AB2470 Assist POD

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Where can a member's enrollment status be verified?

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Member Composite Screen

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What must be read to the member?

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Verbal Script

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Once approved for reinstatement, you have called your member to assist with a payment what is the correct way to document this contact? Options: create a research task, assist with payment, route back to E&B, create a research task, assist with payment, route back to E&B, log as a repeat contact, create a live call, assist with the payment and route to E&B, create a live call, assist with the payment and post back to AB2470 chat, route to E&B, create a research task, assist with payment, route back to E&B, log as a repeat contact

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create a live call, assist with the payment and post back to AB2470 chat, route to E&B