Just got Anthem email . 48 scope does not apply to inbound calls

[DonP]

Call centers will go wild with millions of foreign outbound calls transferred to agent like its inbound . This was made to appease carriers who get inbound . They want the agent gone

 

[Duaine]

Call centers will go wild with millions of foreign outbound calls transferred to agent like its inbound . This was made to appease carriers who get inbound . They want the agent gone

From Aetna:

Waiting Period of 48 hours between the Completion of the SOA and the Personal Marketing Appointment
-
At least 48 hours prior to the scheduled personal marketing, the MA plan (or agent or broker, as applicable) must agree upon and record the Scope of Appointment with the beneficiary(ies), except for: (A) SOAs that are completed during the last four days of a valid election period for the beneficiary. (B) Unscheduled in person meetings (walk-ins) initiated by the beneficiary.
42 CFR 422.2264 (c) (3)(i)

Note: CMS has indicated that this 48-hour period is not required for inbound calls from enrollees. At this time, unless CMS provides further clarification, this requirement applies to outbound calls.

SOA valid for 12 months
-

 

[DonP]

From Aetna:

Waiting Period of 48 hours between the Completion of the SOA and the Personal Marketing Appointment
-
At least 48 hours prior to the scheduled personal marketing, the MA plan (or agent or broker, as applicable) must agree upon and record the Scope of Appointment with the beneficiary(ies), except for: (A) SOAs that are completed during the last four days of a valid election period for the beneficiary. (B) Unscheduled in person meetings (walk-ins) initiated by the beneficiary.
42 CFR 422.2264 (c) (3)(i)

Note: CMS has indicated that this 48-hour period is not required for inbound calls from enrollees. At this time, unless CMS provides further clarification, this requirement applies to outbound calls.

SOA valid for 12 months
-

Cms wants to protect their buddies at the carriers which protects call centers great . Simply mark all you calls in bound . Talk with the enrollee . Talk for 10 seconds then tell them you’ll call them back .Call them back and say “ Senior solutions this is Don. “ . Any agent working leads abiding by 48 hr rule will lose 90% of their sales team call centers . The playing field is tilted 90% against the agent .

 

[sshafran]

Yeah....

Susan clicks my calendly link - requests a call.

I call her. I'm calling that inbound i.e. she initiated contact.

This is so stupid.

 

[sshafran]

Yeah....

Susan clicks my calendly link - requests a call.

I call her. I'm calling that inbound i.e. she initiated contact.

This is so stupid.

I mean - what's the worst that could happen.

Ive had to show 1... maybe 2 scopes in 13 years.

 

[sshafran]

John texts me "got a minute? I have a question." I call him - it's an inbound "conversation" there we go

 

[DonP]

I mean - what's the worst that could happen.

Ive had to show 1... maybe 2 scopes in 13 years.

Bingo cms left a crack . Everything’s inbound . You think agents are going to let call centers have a different playing field .

 

[goillini52]

Bingo cms left a crack . Everything’s inbound . You think agents are going to let call centers have a different playing field .

They're making it easier for cheaters to cheat.

 

[sshafran]

They're making it easier for cheaters to cheat.

I told one of my clients about the 48 hr SOA rule. He's in sales. He was absolutely baffled at the stupidity. "Telling your customer to come back or call back in 2 day is just plain poor service."

I concur.

 

[Yagents]

Presumably, in 48 hrs from time of signing, the client will be smarter or sober