Dunning and Dispute Process
Dunning and Dispute Process Quiz
Test your knowledge on the Dunning and Dispute Process! This quiz is designed to evaluate your understanding of key concepts and policies related to Good Cause Reinstatement and premium payment issues.
- 9 engaging multiple-choice questions
- Learn about disenrollment and eligibility criteria
- Enhance your understanding of the Dunning process
Which of the following is a circumstance for which Good Cause Reinstatement could apply to?
Death of spouse
Away on vacation
AOR forgot to pay the plan
Unreported address change
If the first dunning letter is mailed on August 16, 2022 what is the last day the member can request good cause for disenrollment?
11/29/22
10/30/22
12/30/22
If a member is disenrolled due to losing Part D eligibility, where should the CCR look for verification?
Marx
Med D Tab
ONEclick
Med D Comments
Auto pay is required for members who enroll in a payment plan.
True
False
If a member is disenrolled due to non-payment of premium they can wait until AEP to join a new PDP without paying their balance.
True
False
'Log Activity 1327 = Premium Billing' should be selected if there is a premium payment dispute submitted.
True
False
Which of the following is NOT a payment option for past due premium(s)?
Online payment
IVR payment
Mail in payment
E-check
Credit card via phone
How many days can a member go without a PDP before an LEP is assessed?
63
60
90
93
If a member disputes their dunning/disenrollment, how many days could it take for a determination to be made?
10 days
72 hours
24 hours
5 business days
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