Overview of OnExchange Humana Buyer Portal Calls-SPM

advertisement
HumanaOne
Public Exchange
OnExchange Humana Buyer’s Portal
Overview of the
Humana
Enrollment
Application Site
H1 12367-OnExchange Humana Buyer Portal Calls-SPM Revision: 12/13/2013
National Education Curriculum Team - for internal use only
Overview of the Buying Process
1.
Buyer reviews plan options on the Exchange
2.
Buyer selects HumanaOne Plan from offerings found on the
Exchange site.
3.
Buyer is taken to Humana’s Enrollment Application Site (Online
Humana Buyers Portal).
4.
Buyer will enter the requested information to apply for the
plan and coverage they have selected.
5.
When they are done, buyer will receive a confirmation email.
Buyer may also have benefit related questions.
Buying from the Marketplace (Public Exchange)
The
Marketplace
Humana OHBP
Mentor Documentation
•
•
•
•
•
GCP Advanced Search Tab
OHBP Provider Information Assistance
OHBP Billing Information Assistance
OHBP Signature Information Assistance
On Exchange Humana Buyer Portal (OHBP) VOB Assistance
Searching
This is where
CSRs search
OHBP for
calling
member.
Applicant Welcome screen - Top
The applicant will see this upon entering
the OnExchange Humana Buyer Portal
Applicant Welcome Screen - Lower
Guidance is provided to the applicant
about what to expect and what they will
need to proceed with their enrollment
application
internal use only
Locate OHBP via GCP Advanced Search Tab or HSS
Search Mentor for “GCP Advanced Search Tab”
Locate OHBP via GCP Advanced Search or HSS
continued
OHBP
internal use only
Search Results
internal use only
Applicant: Review Details
internal use only
Applicant: Primary
internal use only
Up next…….
Assisting with Provider Information
internal use only
Mentor Documentation
OHBP Provider Information Assistance
internal use only
Selecting a PCP
Select “yes” and click on
Select PCP
internal use only
Adding a Provider
Select the appropriate
member
internal use only
Selecting a PCP
Select the “search within”
distance
Click “agree and search”
internal use only
Search results
“select” the appropriate
provider to be added
internal use only
Added Provider
Check indicates
added
Added PCP
Click “next”
internal use only
Option to select a
provider for another
applicant
Up next…….
Assisting with Billing Information
internal use only
Mentor Documentation
OHBP Billing Information Assistance
internal use only
Billing
internal use only
Payment Information
Enter Billing information
internal use only
First month’s payment
Select initial payment
method
internal use only
Select recurring payment method
Select recurring payment
method and click “next”
internal use only
Billing: Recurring Payment
•
Payment Choices
•
Initial
•
Recurring
•
ACH (automatic from checking acct)
•
ACH
•
CC
•
Payment Choices
Initial
ACH (automatic from
Recurring
ACH
checking acct)
CC
CC
CC
ACH
Paper bill
•
ACH
ACH
CC
•
Paper bill
•
CC
Paper bill
ACH
•
CC
CC
ACH
•
CC
•
Paper bill
•
CC
•
ACH
internal use only
Accepted Credit Cards (CC)
Visa
MasterCard
Up next…….
Assisting with Agreement and
Signature Information
internal use only
Mentor Documentation
OHBP Signature Information Assistance
internal use only
Agreements and Payment Authorization
internal use only
Agreements and Payment Authorization
internal use only
T-Signature
This is the document the
caller will be approving
internal use only
What T-Sig Line will Say
internal use only
Up next…….
Assisting with Verification of Benefits
internal use only
Mentor Documentation
On Exchange Humana Buyer Portal (OHBP) Benefit Assistance
internal use only
Verification of Benefits
Click the pdf file to select
the Benefit Summary or
Summary of benefits and
coverage
internal use only
Benefit Summary
internal use only
Summary of Benefits and Coverage
internal use only
Mentor Documentation
•
•
•
•
•
GCP Advanced Search Tab
OHBP Provider Information Assistance
OHBP Billing Information Assistance
OHBP Signature Information Assistance
On Exchange Humana Buyer Portal (OHBP) VOB Assistance
internal use only
Download