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Customer Service Ideas Portal
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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.
Guest over 3 years ago in  1 Needs review

Submit an Appeal via the Member Portal

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.
Guest almost 4 years ago in  0 Needs review

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.
Karen Stocke almost 4 years ago in  1 Needs review

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 ...
Guest about 3 years ago in  2 Likely to implement

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

Send Email to Member After Customer Service Call

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.
Guest over 3 years ago in  0 Needs review

Request Health Plan formularies,directories of participating providers, Explanation of coverage and ANOCS.

No description provided
Guest almost 4 years ago in Current SOW 2 Likely to implement

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

Request a Case Manager via Member Portal

Give members the ability to request a case manager through the member portal.
Guest almost 4 years ago in  4 Needs review

TEST- Implement an Ideas portal

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