...
As always leave good notes in CCE!
What do the different application statuses mean- |
Withdrawn Duplicate Submission- |
The shopper has enrolled in the same plan for the new year that they had for the previous year. You will need to enroll a shopper in a plan with a different carrier. |
Withdrawn Existing Member |
The BFC has more than one application with the same carrier. Enroll BFC in a new plan with a different carrier. |
Withdrawn Voluntary- |
BFC voluntarily withdrew the application. You can enroll the BFC in any plan with any carrier. |
Withdrawn Closed- |
The application has been closed due to inaction. You will have to call to confirm with the shopper what coverage they want and enroll them. |
Requires Manual Intervention- |
There is an open issue with the application. You will need to call the shopper and transfer to the carrier to resolve the issue. |
Sent To Carrier- |
The application has been sent to the carrier but has not yet been approved. |
Carrier Approved- |
The application is approved. |
Pending CMS Approval- |
CMS is verifying eligibility. |
Pending Invalid Election Type- |
The Sep or election period was used incorrectly. Hunt for a valid SEP or set AEP callback |
Pending AOR Verification- |
Assurance has applied to be the agent of record, but still needs to be validated. |
Pending no part a/b- |
The applicant might not have a or b. Hunt for ICEP SEP. Make sure the effective date is before the effective date of a or b |
Pending Incomplete application- |
The application was submitted with missing information. Call the BFC and get them to the carrier to complete the application |
Pending Proof of Medicaid- |
The Medicaid level might be insufficient to qualify for the plan, or the medicaid status has to be validated. Connect BFC with the carrier and reshop for a different plan if necessary. |