Verification
Ask the member if it is OK to proceed with the representative on the line.
Inform the representative that they will need to complete a DAR form. Offer to send the DAR via email, mail or fax and then continue with verification.
Advise the member we cannot continue with a health plan representative on the line, and advise the member to call back for assistance.
Document the representative’s Name, Agency & Title, work phone number, and ask them to provide detail on how they are authorized.
Advise the member that their mother will need to complete verification before we continue.
Inform the member that their mother will need to complete a DAR form. Offer to send the DAR via email, mail or fax and then continue with verification.
Tell the member we can’t speak to anyone else since they already verified their information and can obviously speak for themselves.
Continue the call with their mother. A member can authorize someone else to speak on their behalf after verification.
Continue with verification. The parent does not have to verify the correct year of birth.
Inform the parent that they are close, and ask them to try again. Keep hinting until they get the year of birth correct and then proceed with verification to determine if a plan change is possible.
Advise the parent that we cannot continue the call because they provided incorrect information. Refer to the AHCA Medicaid Helpline to file a complaint.
Advise the parent that the year of birth they provided is not what we have on file. If they are unable to verify the year of birth after being informed what they provided was incorrect, refer to DCF. DCF will be able to verify what year of birth is listed in the state system and update it if necessary.
A Case Number.
A Medicare ID Number.
A Social Security Number.
A Credit Card Number.
Ask the caller for the PIN. If they cannot verify the PIN, advise them to send in a DAR form. Offer to send the DAR via email, mail, or fax and then continue with verification.
Advise the caller we are unable to continue the call because they stated they are not legally authorized to speak on the member’s behalf.
Advise the caller we would need the member to verify the information on the case and then verbally authorize the caller to speak on their behalf before we could continue.
Ask the caller for the PIN. If they cannot verify the PIN, then continue with verification since they stated they received permission from the member.
Ask the mother for the PIN. If she cannot verify the PIN, advise her to send in a DAR form. Offer to send the DAR via email, mail, or fax and then continue with verification.
Provide the fax number and advise the mother that she will need to fax in documentation that she is the legal guardian of the child.
Ask the mother for the PIN. If she cannot verify the PIN, then continue with verification since she stated she is the parent.
Inform the mother we will need to verify the case information with the member, and will need verbal authorization from the member that she can speak on her daughter’s behalf before we can continue.
Quiz Review Timeline (Updated): Mar 20, 2022 +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
The Ultimate Tom Scott Quiz: Can You Answer His Weirdest Questions?
Ready to prove you're a true fan of Tom Scott’s amazing videos? The Tom Scott quiz is here to challenge your brain and test how well you know his intriguing topics!...
Questions:
15 |
Attempts:
23 |
Last updated:
Jun 24, 2025
|
Test Your Brainpower With The Ultimate Physics Girl Quiz!
Ready to flex your science brain? The Physics Girl quiz is here to test your knowledge of mind-blowing physics facts, cool experiments, and all the stuff that makes science so...
Questions:
15 |
Attempts:
10 |
Last updated:
Jun 24, 2025
|
How Well Do You Know About Digital Learning Day? Quiz
Ready to celebrate Digital Learning Day with a fun quiz? Take the Digital Learning Day Quiz and test your knowledge of all things digital education. From online tools to virtual...
Questions:
10 |
Attempts:
48 |
Last updated:
Feb 24, 2024
|
How Well Do You Know International Day Of Education?
Embark on a knowledge journey with our International Day of Education quiz! Delve into the significance of this global observance. Explore the history, objectives, and impact of...
Questions:
10 |
Attempts:
126 |
Last updated:
Dec 05, 2023
|
Do You Have Perfect Pitch? Take Our Test And Find Out
Embark on a captivating musical journey with our 'Do You Have Perfect Pitch' quiz. This personality-based test, comprising engaging multiple-choice questions, is crafted...
Questions:
10 |
Attempts:
306 |
Last updated:
Nov 17, 2023
|
How Much Do You Know About Teacher Attachment?
Welcome to the "How Much Do You Know About Teacher Attachment?" quiz. Teachers play a pivotal role in our lives, influencing and shaping our educational journeys. This...
Questions:
10 |
Attempts:
2718 |
Last updated:
Nov 16, 2023
|
Wait!
Here's an interesting quiz for you.