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D-SNP Verification Chat:

Please have all necessary pages pulled up in a separate set of tabs to ensure we are able to take care of leads in an efficient manner. Reminder that these leads are live and on the line with agent!

Humana Vantage UHC Jarvis Anthem mProducer Aetna Think Agent

MARx


We can verify Medicaid for the following States:

UHC Jarvis: AL, AZ, AK, CA, CO, CN, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, DC, WV, WI, and WY.

Humana Vantage: AL, AR, CA, CO, CT, DE, FL, GA, IA, IN, KY, LA, ME, MI, MO, MS, MT, NC, NE, NV, NY, OH, OK, PA, PR, SC, TN, TX, WA, and WV.

Anthem mProducer: CA, CO, CT, GA, FL, IN, IA, KY, LA, MO, NC, NJ, NV, OH, VA, WA, WI, TN, TX.

Aetna Think Agent: AL, AR, CA, CO, CT, DE, FL, GA, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NY, NJ, NC, OH, PA, TX, VA, WV.


Please note: Online Medicaid validation is not available for the New
York and Maine markets. Please call to the DSNP DVT line at (844) 274-6355 to verify
DSNP Medicaid eligibility for New York and Maine.


DIALER NOTE TEMPLATE

DSNP-

Medicaid level _insert_level_here_ verified by _Insert_where_you_verified_.

BFC currently enrolled in _insert_plan_showing_in_CMS_here_. LIS Level _Insert_level_of_LIS_, Per MARx. _Insert_which_enrollment_period_here_ are available to use.


Created By- { Your Name}
Agent of Record : { Agents Name }

View file
nameD-SNP Process.pdf

D-SNP Verification Training


D-SNP Campaign

View file
nameD-SNP Call Scripting.docx
View file
nameDESNP Denial Call Training (2).pdf

Call Script Training


View file
nameUHC Jarvis (2).pdf
View file
nameHumana DESNP Elegibility Tool (2).pdf
View file
nameAnthem DESNP Elegibility Tool (2).pdf
View file
nameAetna DSNP Eligibility Tool.pptx

Some of our carriers allow us to use a tool online to verify D-SNP Eligibility.


These carriers we will need to call directly to verify eligibility:

Wellcare Verification: 866-211-0544

Option 7. Have your NPN and the MBI for your beneficiary ready.


Job Aids

View file
name2021 Humana DESNP Verification Guide (1).pdf
View file
namePassiveEnrollmentCoordinationWithMedicareReassignment.pdf
View file
nameMedicareMedicaidEnrolleeCategories(2021).pdf