Enable members to update preferred language + accessibility format on member portal
Create tool for members to update preferred language (Spanish, Chinese, etc.) and accessibility format (large print, Braille) on member portal and have that information transmitted to the plan.
Develop a standard appeal form ExR available on the Member Portal. Allow members to complete a set of data fields to submit an appeal and that data is transmitted to Lumeris electronically. Offer option/button to appeal from the Claim view.
Submit an AOR and Hipaa Auth form via the Member Portal
Develop a standard AOR and HIPAA form ExR available on the Member Portal. Allow members to complete a set of data fields to submit a AOR and HIPAA form and that data is transmitted to Lumeris electronically.
Trigger EFT set up letter when member selects EFT payment option on member website
Currently, members who want to set up EFT are prompted to call Customer Service to set up EFT and then they have to mail in a voided check. Explore possibility of member "selecting" EFT on member website and then automatically trigger a letter to ...
Integration with a Pay by Phone app for our members
We get so many grievances because members receive notices that they must pay their premium or lose enrollment or OSB privileges...and then we can't even take their payment right there on the phone. I know we don't want to store credit card info ou...
Guest
over 3 years ago
in New SOW
2
Will not implement
To improve member communication and accountability, we could send an email to every member who calls into customer service with a picture of the rep and a summary of the call.
Submit a LEP Attestation form via the Member Portal
Develop a standard LEP Attestation Form ExR available on the Member Portal. Allow members to complete a set of data fields to submit a LEP Attestation form and that data is transmitted to Lumeris electronically.
Karen Stocke
almost 4 years ago
in
3
Will not implement
As a Lumeris Business unit I want a process that allows me to enter operational enhancement ideas So that ideas can be captured centrally, reviewed and prioritized for implementation
Guest
almost 4 years ago
in Not Supported
1
Already exists