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WorksheetsROC Group Review
Total questions: 15
Worksheet time: 45mins
Which step is required when requesting a subgroup transfer in ROC region?
Create a SharePoint
Create a case in EMWS
Place record On Hold for RFI
Call the LOB
FEHB High Option B form can be submitted with a Group EF in which Region?
Northern California
Colorado
Northwest
Georgia
Group SEP must be used when processing a 'retro' effective date.
True
False
What information do I need from a member MSME screen to verify a Group offers Medicare?
Group, Subgroup only
Group, Subgroup, Bill Group
MRN, MED#, DOB
Group, Subgroup, Program Carrier
In ROC region, click Route by System when submitting an EMWS case.
True
False
Choose the correct Election Period and Effective date for this Group Enrollment.
IEP for Part D, eff 06/01/2022
Group SEP, eff 06/01/2022
Five Star, eff 08/01/2022
Send to Retro team eligible for 03/01/2022
What do you do when a HI member provides a new address on their EF?
Send a SharePoint Escalations handoff
Update in PEP
Update in MP
Call HI MRN Corrections
What is the appropriate product when a contract has Part D, but the member only has Part B & D entitlements per MARx?
Enroll on MA-Only
Enroll on EGHP MAPD
Enroll on B & D only
Enroll in FEHP
What election period would you use to enroll the member for an 01/01/2023 effective date?
Five Star
MA-OEP
2nd IEP
AEP
What next steps would you take?
Enroll Member eff. 11/01/2022 using IEP for Part
Enroll Member eff. 05/01/2022 using W-SEP
Leave in Work and submit Medicare Escalations handoff
Deny for Out of Election.
When a member submits a FEHB High Option B form with their Group EF, what are your next steps?
Submit to the High Option B/NW Medicaid SharePoint
Call your TL
Submit to the MA Medicare Escalations SharePoint
Process the Enrollment in PEP
In EMWS, if you receive a "Group Status Warning" error when creating a case for a NW member, Use (a) as the Subgroup ID.
PERS member enrollment are sent to AME enrollment team for processing in the ROC region.
True
False
Select all that apply: Which two letters indicate a Group/ Subgroup carries Medicare in CM?
R
L
D
W
Which CM Navigation command allows you to view the members Eligibility history?
MSSU
MSME
MSMD
MSMN
