48
Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Embed Size (px)

Citation preview

Page 1: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Advantage Health Care Management Company (AHCMC)

Quoting and Enrollment PortalUser Guide

11/01/2015

Page 2: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Agenda

Agenda: Running an

individual quote

Enrolling a FFM eligible account

Enrolling a standard online account

Accessing and updating any enrollment

Running a Quote

Standard Online

Enrollment

FFM Eligible

Enrollment

Accessing all

Enrollments

Page 3: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Creating and Running a Quote

Creating an

Individual Account

Running a Quote

Page 4: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Adding a Consumer

Page 5: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enter Demographic Information & Run Quote

Page 6: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Select Enrollment Period

Page 7: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Quote Plans

Page 8: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Review Selected Plans

Page 9: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Report Options

Page 10: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Proposal Center

Page 11: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Broker Enrollment

Standard Enrollment

from the Broker

Account

Running a Quote

Standard Online

Enrollment

Page 12: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Broker Enrollment

Select Enrollment Icon

Page 13: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enrollment Type

Page 14: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Applicant Information

Enter Applican

t Informat

ion

Page 15: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

15

Applicant Information Continued

Enter Applican

t Informat

ion

Page 16: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Payment Information

Enter Payment Method

Page 17: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Waiver of Coverage

Acknowledge

Waiver

Page 18: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Payment by Credit Card

Page 19: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Conditions for Enrollment

Acknowledge

Enrollment

Conditions

Page 20: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Account Summary

Edit Applicati

on if Necessa

ry

Page 21: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

21

Account Summary- Finish & Submit

Edit Applicati

on if Necessa

ry

Page 22: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enrollment Complete

Application

Complete

Page 23: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Broker Enrollment

FFM Integrated

Enrollment from the Broker

Account

Running a Quote

Standard Online

Enrollment

FFM Eligible

Enrollment

Page 24: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Ebix/FFM Enrollment Flow

Steps on Carrier side

Steps on the FFM side

Register on QHP Website

Enter Demogra

-phic Informati

on

Select Enrollment Period

Compare Plans

Retrieve

Eligibility

Details

Enrollment

Attestations/Pay

ment

Submit Enrollme

nt

Register With FFM

Eligibility Determin

-ation Flow

Fetch Eligibilit

y Details

Select Plan

Accept/ Process Enrollm

ent

Secure Redirect

HTTP.WB.FFE.01

Secure Redirect

HTTP.FFE.WB.01

XMLWS.WB.FFE.0

1

XMLWS.WB.FFE.0

2

Send x12-834

To Issuer

Page 25: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Broker Enrollment

Select Enrollment Icon

Page 26: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

26

Link to FFM Site

Page 27: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Required Information for Eligibility

REQUIRED FFM DOCUMENTATIONRequired Information

NamesBirthday- DOBs Income Information

Pay StubsW-2’s

Social Security Numbers

Additional Information Information about current health

insurance plan Information about job related health

coverage

Page 28: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

FFM Login ScreenBrokers View

Broker usernam

e and password should

be populated in the space

provided. If it is

not populate

d then……

Broker Information should be populated

You are quoting as a a consumer, the information will be available on the carrier side but not through your FFM

broker login. *Please note*-- If this login is blank you are encouraged to enter your broker FFM login to run a quote.

Page 29: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Apply for FFM Eligibility

Page 30: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Review FFM Account Information

Review for

accuracy

Additional Information is

needed

This information is complete

Page 31: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

FFM Eligibility Results

View member eligibility

Return to issuers website

Page 32: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Broker Enrollment

Select Enrollment Icon

Page 33: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enrollment Type

Page 34: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Applicant Information

Enter Applican

t Informat

ion

Page 35: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

35

Applicant Information Continued

Enter Applican

t Informat

ion

Page 36: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Payment Information

Enter Payment Method

Page 37: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Waiver of Coverage

Acknowledge

Waiver

Page 38: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Payment by Credit Card

Page 39: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Conditions for Enrollment

Acknowledge

Enrollment

Conditions

Page 40: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Account Summary

Edit Applicati

on if Necessa

ry

Page 41: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

41

Account Summary- Finish & Submit

Edit Applicati

on if Necessa

ry

Page 42: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enrollment Complete

Application

Complete

Page 43: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Consumer Link

Viewing, Editing and

Re-Submitting Existing

Enrollments

Running a Quote

Standard Online

Enrollment

FFM Eligible

Enrollment

Accessing all

Enrollments

Page 44: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Review Enrollments

Enrollment tab

Date Signature was

competed

Last status updates

Enrollment type

Account name

Page 45: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Update Enrollments

Change Status- Update

Information

Page 46: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Update Enrollments

Submit to FFM

Page 47: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Enrollment Views

Current View

Page 48: Advantage Health Care Management Company (AHCMC) Quoting and Enrollment Portal User Guide 11/01/2015

Support

Support Contacts

For questions about specific plan designs call:1-855-463-7275

For web site support and technical issues contact:[email protected]

1-855-463-7275