Place the request on the Discrepancy Log.
Process a plan change to Humana through the SMMC wizard.
Inform mom to call Humana to assign the pcp.
Process request through the SMMC wizard.
Place the request on the Discrepancy Log.
Inform mom to call back on 12/01/2014.
Refer mom to DCF to confirm eligibility.
Refer the member to DCF to have the condition removed.
File a Complaint (Special Condition Update).
Place the request on the Discrepancy Log to be removed.
Place the request on the Discrepancy Log.
Process the request through the SMMC wizard. Contact Marsha immediately to process an early effective date.
Explain reinstatement process to member.
Process request through SMMC wizard for a 01/01/2014 effective date.
Process request through the SMMC wizard for a 01/01/2015 effective date.
Place the request on the Discrepancy Log.
Process request through the SMMC wizard for a 12/01/2014 effective date.
Process the request through the SMMC wizard.
Place the enrollment request on the discrepancy log for a 12/01/2014 effective date.
Place the enrollment request on the discrepancy log to be processed for a 01/01/2014 effective date.
Place the request on the Discrepancy Log.
Process a plan change through the SMMC wizard. Send an email request for an earlier effective date to Marsha and copy Lisa.
Inform the caller that the plan cannot be back dated at this time.
Process the request through the wizard and explain to the member that United will be effective again in January.
Convert the pending request to a voluntary choice.
Cancel the pending request.
Place the request on the Discrepancy Log.
Convert the current enrollment to a voluntary choice.
Refer member to DCF to have TPL 19 removed.
Place the request on the Discrepancy Log.
Explain to the member she is no longer able to be enrolled into a plan.
Cancel the pending request. Send a email request for an earlier effective date to Marsha and copy Lisa.
Inform the caller that the plan cannot be back dated at this time.
Place the request on the Discrepancy Log.
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