Articles 2 - Centralpoint

What is the new name in 2023, of the plan "Balanced Care 11"?

• Focused Silver

• Complete Silver

• Everyday Gold

• Everyday Bronze

Answer explanation

You can find the answer in this article: Ambetter Plan Products

What services require referral for the "Select" plan?

• Referrals are required for all medically necessary

• Anesthesia

  Behavioral health 

  Emergency care 

  Laboratory services 

• N/A - a prior authorization may still be required. 

• OBGYN 

  Radiological/imaging 

  Substance abuse disorders

  Urgent care 

Answer explanation

You can find the answer in this article: Ambetter Plan Products

Where can we see information of an account, if it is cancelled?

• Issues

• Benefits & eligibility

• Billing & payment

• Softheon

Softheon may be used for?

• Member is Requesting to make a payment

• Member has enrolled but not yet in system (Member Not  found) Quick pay option

• Member owes a payment and would like to set up Auto pay

• Member is current on payment and would like to set up Auto pay

• Member is currently set up on Auto pay and needs to update or modify the Auto pay Profile

Answer explanation

Article: Softheon Payment Processing

What is the member code for Abenity Discount Program?

• I AM AMBETTER

• iamambetter

• abenitymember

• MemberPerks

Answer explanation

article: Abenity Discount Program

How do I redeem a discount on Abenity?

• Go to the link: https://ambetter.abenity.com/

• Send an email to: [e-mail]

• Discounts on Abenity each have their own redemption method.

• contact via: [e-mail]

Answer explanation

Article: Abenity Discount Program

Brokers can request?

• ***Cancellation of an account

  ***Personal information

  ***Invoices

• ***Invoices

  ***Refunds of overpayments

  ***Member handbooks

  ***ID cards

  ***My Health Pays cards on behalf of the member provided they are being mailed to the current address on file.

• ***Refund

  ***ID Card

  ***Invoices

  ***Cancellation request

  ***Change of personal information

• ***Nothing

Answer explanation

article: How to handle OMNI Broker Calls