|
Retroactive Enrollment Reminders
Hello,
Did You Know - CMS monitors and scrutinizes retroactive enrollments that result from broker errors during the initial enrollment application process? As such, these largely preventable, broker-related errors present compliance issues for Centene that may have downstream effects on any related broker contractual arrangements. As a best practice, please review all applications prior to submitting to ensure accuracy of the submission.
For further insight, we have identified some of the most common mistakes to watch for:
- Incorrect effective dates selected
- Plan name and plan number mismatches
- Missing required information, and no responses to our requests for information (“RFI”)
- Incorrect plan segment (PBP) selected by agent during agent assisted web application
As always, we appreciate your cooperation and partnership.
|
