It's funny as hell you say this . Being one of the top United aep agents in the country I wrote at least 70 csnp's . I got hit with 17 csnps yesterday that haven't been verified . I was on the phone with United for 2 hrs yesterday verifying all csnps I wrote . I've had great success giving member verification phone # and there United member # . I tell them to get on the phone immediately with drs office and demand they call the # and verify or you'll have no ins . It takes 1 min . Today I actually drove a client to the drs office as it was near and we slapped down the csnp form and said do now . If you don't you'll cause him to have no ins. Some drs offices refuse to do it without a signed form and won't do it with only 3 way call with client
It's funny as hell you say this . Being one of the top United aep agents in the country I wrote at least 70 csnp's . I got hit with 17 csnps yesterday that haven't been verified . I was on the phone with United for 2 hrs yesterday verifying all csnps I wrote . I've had great success giving member verification phone # and there United member # . I tell them to get on the phone immediately with drs office and demand they call the # and verify or you'll have no ins . It takes 1 min . Today I actually drove a client to the drs office as it was near and we slapped down the csnp form and said do now . If you don't you'll cause him to have no ins. Some drs offices refuse to do it without a signed form and won't do it with only 3 way call with client
good info.i just got off the phone with uhc about this and did say anybody in doctors office can make the call.i have a couple of cases where i am having issues reaching the member to do a 3 way or to tell them to call provider so i was thinking i might just send an email to doctors office with the form attached and possibly even just call the providers office without the member on the line but not sure how far i would get without the member on the line because of hipaa
I hate writing these for this reason.. if I don't see them approved by the end of the last month I typically call client and switch them back to a standard plan as it's better than going a whole month on just A/B
Don't waste your time . The dr's office isn't doing squat without the client on the phone . Even if you fax in a signed client form they won't do unless it's brought in by the client or sent by the insurance company . Overall United's 10 times better than Humana is at calling the dr's office several times . Humana never even called the dr's office . On another note if your client disenrolled and returns to original Medicare when you rewrite for the next month you get true up commissions like new to Medicare . Reason why its full $613 true up and not prorated true up for remainder of yr they have no Rx card .
Don't waste your time . The dr's office isn't doing squat without the client on the phone . Even if you fax in a signed client form they won't do unless it's brought in by the client or sent by the insurance company . Overall United's 10 times better than Humana is at calling the dr's office several times . Humana never even called the dr's office . On another note if your client disenrolled and returns to original Medicare when you rewrite for the next month you get true up commissions like new to Medicare . Reason why its full $613 true up and not prorated true up for remainder of yr they have no Rx card .
Carriers get the CMS Cycle Year which keeps the D data within it. Not currently having PDP doesn't automatically wipe that Cycle Year to 0.
I've helped people go from Medicare (SSDI), then go back to work and off D, back to just MAPD, and it's still a prorated replacement rate. They aren't new.
Cycle years don't diminish and are reported by CMS. I use to see these reports often. Even with Cigna you can see the history (typically).
