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MHBE IAC Meeting Carrier Relations – Existing System

MHBE IAC Meeting Carrier Relations – Existing System. July 17, 2014 Mike Strange Carrier Relations MHBE PMO. Carrier Relations – Existing System. Status. Major activities with carriers winding down Life Events Testing Life Events Processes Backlog Reduction Reconciliation

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MHBE IAC Meeting Carrier Relations – Existing System

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  1. MHBE IAC MeetingCarrier Relations – Existing System July 17, 2014 Mike Strange Carrier Relations MHBE PMO

  2. Carrier Relations – Existing System Status Major activities with carriers winding down • Life Events Testing • Life Events Processes • Backlog Reduction • Reconciliation Goal is to wrap up any major activities before end of July Operationalize new operational processes and EDI

  3. Carrier Relations – Existing System Life Events • EDI Testing with Medical Carriers winding down • On target to complete by months end • Process in place to operationalize • Backlog Reduction • Backlog reduced almost 50% since May • Developed operational and technical processes • Outreach strategy • Policy for SEP • Outreach underway for aging out dependents

  4. Reconciliation • Dry Run • Designed to test the overall process • Carriers able to process files • A few ran a trial run and reported back • Results were positive (albeit from a small sample) • June Production Run • Designed to reconcile contracts and members • Files transmitted to all carriers by first week of July • Waiting on reconciliation reports • Still need to refine process for data cleansing • Anticipate one or two more cycles before data is completely reconciled and cleansed

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