Function Keys Specific to the Latest Customer Coverage Screen

Key Name Function
F3 Exit Exits the current screen; Escape and returns to the previous level
F6 Premium Due Notice Displays PDN information and history
F7 Billing Displays billing information and history
F8 Fulfillment History Displays the status of fulfillment and previous carriers
F9 Comments Displays comments made to the coverage record
F10 Cancel Duplicate Certificate Request Cancels the previous request for duplicate certificate
F11 Refunds Displays refund information and history
F12 Duplicate Certificate Request Queues a request for re-fulfillment
F13 Letters Displays letters available to send to the customer
F15 Activity Displays actions performed on the customer record
F16 Flash Displays client flash information applicable to the specific coverage
F18 Workflow Request Displays workflow request form to send messages to Customer Relations/Claims
F19 Display Product Displays detailed product information to include SES and Spoken Key applicable to the insured’s coverage
F20 Restore Non-Contributory Restores Non-contributory coverage, if canceled
F21 Display Related Customer Displays joint account holder information
F22 Display Enrollment Method Displays the enrollment method
F23 Suppress Mail Removes customer’s name and address from future phone and/or mail solicitations.
F24 Display More Commands Cycles through function key guide at the bottom of the window

Premium Due Notice (PDN) Information <F6>

In order to display information regarding a Premium Due Notice, press <F6> from the Latest Customer Coverage screen. The Revenue Processing PDN screen is displayed. This screen shows detailed information about the courtesy reminder (PDN) Franklin Madison sends customers when premiums are not collected.

PDN Field Function
Effective Date Displays the billing date on which premiums were not collected
PDN Type Displays the version of PDN sent (1, 2 or 3)
PDN Amount Displays the premium amount due
Creation Date Displays the date on which the PDN was generated/mailed; drives the PDN Due date
PDN Due Date Displays the date on which the premiums are due, equal to the Creation Date plus the grace period
Grace Period Displays the length (in days) of the grace period (045)
Isf Lvl (not utilized in the contact center)
Status (not utilized in the contact center)
Hld Flag Displays “H” if the PDN is on hold from mailing.  This occurs occasionally when billing changes are made to a select group of customers.

Billing <F7>

In order to display information regarding Billing, press <F7> from the Latest Customer Coverage screen. The Display Customer Billings screen is displayed.

Billing Field Function
Effective Billing Date Displays the date on which billing data is transferred to the Billing Processor
Amount Billed Displays the premium amount billed
Amount Collected Displays the premium amount collected
Collection Status Displays the status of collection…
BILLED:          Premiums may have been collected
REBILLED:     Premiums were not collected; will bill again
REFUNDED:  Premiums have been refunded
Posting Date Displays the actual date on which the account is/will be billed
Comment Displays information on premiums (waived/pending/refunds)

From the Display Customer Billings screen, there are three (3) options which can be applied to a billing record:

Option Description
<F6> ISF’s
<F9> Prepayments
<F11> Refunds
<X> Display Billing Details

ISF (Insufficient Funds) <F6>

From the Display Customer Billings screen, press <F6> to view information regarding insufficient funds rejects. The Revenue Processing PDN screen is displayed.

Pre-note is essentially a “test” of the account to ensure that Franklin Madison has the correct account information for future deductions. The billing amount will be listed as $0.00.

Prepayments <F9>

From the Display Customer Billings screen, press <F9> to view prepayment billing information. The Display Customer Prepayments screen is displayed.

Be sure to check the prepayment “bucket” (balance) if the customer inquires about payments that have been submitted but not applied.
Prepayment Field Function
Effective Date Displays the date on which billing data is transferred to the Billing Processor
Remittance Amount Displays the amount of premium submitted in excess of the premium billed.
Remittance Balance Displays the balance of all premiums submitted in excess of the premium billed.
Return Amount Displays the amount (if any) returned to the customer
Due Date Displays the premium due date to which the prepayment is applied.
Create Date Displays the date on which the prepayment entry was created

Refunds <F11>

From the Display Customer Billings screen, press <F11> to view information regarding refunds. The Display Customer Refunds screen is shown. From here, the user can determine the refund method, customer who was refunded and refund amount.

Refund Field Function
Period to Period Displays the date range of the coverage period refunded
Amount Displays the premium amount refunded
Entry Date Displays the date on which the refund was requested
Method Displays the refund method…
C:  Check (Paper or Manual)
E:  Electronic
Paid Date Displays the date on which the refund was paid
Status Displays the status of collection…
REQUESTED:   Pending approval from Customer Relations
APPROVED:     Pending approval from Accounting
WAITING:         Refund will be paid on the next refund date
DENIED:           Refund denied; will not be granted
PAID:                Refund processed/mailed

Display Billing History <X>

From the Display Customer Billings screen, enter any key in the box to the left of the billing record to view detailed billing information. The Display Billing History screen is shown. From here, the user can determine if the billing was collected, rejected or has been paid (mailed in premium). Note: The billing reject reason should never be provided to a caller.

Fulfillment History <F8>

In order to display information regarding fulfillment, press <F8> from the Latest Customer Coverage screen. The Coverage Fulfillment History screen is displayed. This screen also displays any previous carriers.

From the Coverage Fulfillment History screen, there is one (1) option which can be applied:

Option Description
<F8> Request Hand-typed Certificate
(not utilized by Contact Center)

Hand Typed Certificate <F8>

From the Coverage Fulfillment History screen, press <F8> again to request a hand-typed certificate.

Comments <F9>

In order to view and/or add comments to a customer record, press <F9> from the Latest Customer Coverage screen. The Letters / Comments screen is displayed. This screen also contains information about certificate and fulfillment hold status.

Create Comment <F6>

From the Comments screen, press <F6> to add a new comment to the customer record. A blank entry field is displayed with several lines to enter text.

It is important to enter the material and substantial points of the call in a clear, concise manner. The history of comments paints a chronological picture of actions, requests for a given customer record. Each comment entry is time/date stamped. Comments cannot be edited. Shorthand is acceptable, with the understanding that standard abbreviations are used.

Letters that have been mailed (or requested) also appear on the Comments screen. It is not necessary to create a new comment if a letter is being requested. When a letter is requested, a comment is automatically populated. The same rules apply to commenting a letter.

Comments should never include emotion, opinion, or profanity (even if directly quoted). Always stick to the facts!

  1. The caller or relationship should be identified as ‘PI’ (Primary Insured), ‘SP’ (Spouse), ‘FI’ (Financial Institution) or other.
  2. Then, the reason for call and/or action taken on the call is noted. For example: ‘cld to vfy cvg’ = ‘called to verify coverage’
  3. Comments are always closed with the user’s first initial and last name. For example ‘RNixon’ = Randy Nixon
  4. Be sure to use the appropriate Call Reason Code
Remember: Call Reason Codes should always be entered from the Caller’s perspective

There should only be one comment per call. Do not add another comment because of a typo, an incomplete comment, etc. One comment per call!

Sample comments:

PI cld to vfy cov jbrown

(Primary Insured called to verify coverage)

SP cld to req clm frm txfr to clms jbrown

(Spouse called to request claim forms – transferred to Claims)

PI cld req dup cert jbrown

(Primary Insured called. Duplicate certificate Requested)

Certificate and Fulfillment Hold Status

In the top, left-hand corner of the Comments / Letter screen, the Cert Status is displayed. In the top right-hand corner, the Fulfillment Hold Status is displayed. Possible values for these fields are as follows:

Cert Status Description
NO FULFILL REQUIRED All fulfillment requests have been processed
DUP CERT REQUIRED A duplicate certificate has been requested
DUP CERT PENDING A duplicate certificate request has been forwarded for fulfillment

Cancel Duplicate Certificate Request <F10>

From the Latest Customer Coverage screen, press <F10> to cancel a duplicate certificate request. A confirmation prompt is displayed. Press <Enter> to accept or <F3> to exit.

Duplicate Certificate Request <F12>

From the Latest Customer Coverage screen, press <F12> to request a duplicate certificate for the customer. A confirmation prompt is displayed. Press <Enter> to accept or <F3> to exit.

Letters <F13>

From the Latest Customer Coverage screen, press <F13> (<Shift> + <F1>) to display a list of letters available to send for the customer record. The Select Letter screen is displayed.

It is important to note that some letters are just that, a letter to the customer. Other letters perform an action on the customer record with some generating a letter to the customer and others just preforming the action.

If more than one cancellation letter (CXL) is requested for the same coverage record in the same business day, the actions cancel each other out and the coverage will remain active.

Letter Descriptions

Alternate Address

Some letters can be sent to an alternate address if the customer requests. In order to enter an alternate address, press <F10> after the appropriate letter is displayed. All letters sent to an alternate address, MUST be addressed to the insured and to the attention of an alternate name/address.  The primary insured’s first and last name are required in the First and Last Name fields. The address, city, state, and zip fields are to be used to enter the alternate name and address.

Alternate Email Address

Some letters can be sent to an alternate email address if the customer requests by entering a “Y” next to the alternate email field. The alternate email address is NOT stored in Artemis. An appropriate use of the alternate email address is in cases where receiving the letter is urgent or time sensitive (i.e., No Cash Value letter for a landlord or Medicare).

 

Activity <F15>

The Activity screen provides a history of any changes that have been made on an insured’s account. Functionality allows the user request written change requests to be retrieved, and then sent to the customer (I.e. Proof of enrollment). The change descriptions listed on this screen can be somewhat puzzling. A reference table is included in this section to help define change descriptions.

From the Latest Customer Coverage screen, press <F15> (<Shift> + <F3>). The Display Customer Change Activity screen is displayed. You can also press <F13> (<Shift> + <F1>) to update a customer’s address and phone number.

Activity Field Description
Batch ID Unique identifier for a physical piece of documentation added to a coverage record
0 – Online modification (no batch available)
99 – Manual modification (batch possibly available)
123456789 – Physical documentation (batch available)
Trns Date The date on which a change was processed
Effective The date on which a requested change is effective
Change Description Code for the type of change processed

Change Description Explanations:

Activity Code Description
ACCTYPE ACCOUNT TYPE CHANGE
ADD NEW ENROLLMENT
ADDCVG ADD COVERAGE TO EXISTING CUSTOMER
APPDWNG APP DOWNGRADE
APPUPG APP UPGRADE
ASSGN CHANGE COVERAGE ASSIGNEE
CANCL CANCEL COVERAGE
BILLMETH CHANGE TO BILLING SET OR BILLING ORGANIZATION ID
BILLORG CHANGE TO BILLING ORGANIZATION ID
CARRCONV CARRIER CONVERSION
CHACC CHANGED ACCT NUMBER
CHCOV CHANGE COVERAGE LEVEL
CHADR CHANGED ADDRESS
CHGDOB CHANGE TO BIRTHDATE
CHGEFF CHANGE TO EFFECTIVE DATE
CHNAME CHANGE TO PI NAME
CHSEG CHANGE TO COVERAGE SEGMENT (SES)
CHBENE CHANGE OF BENEFICIARY
CHTR# CHANGE OF TRANSIT ROUTING NUMBER
CLIENT CHANGE FROM ONE CLIENT TO ANOTER
CNBAS CANCELED THE BASIC COVERAGE
COVTYP CHANGE TO COVERAGE TYPE
DOC DOCUMENTATION ENTRY
DOCUMENT ENROLLMENT DCMENTATION (pulled from Legacy system)
FTOI CHANGED COVERAGE FROM FAMILY TO INDIVIDUAL
GROUP GROUP CHANGE
MULTI (B, F, E, P) MULTIPLE CHANGES
PRMAMT CHANGE TO PREMIUM AMOUNT
RBASC BASIC COVERAGE <F20> RESTORED
RDBAS COVERAGE REDUCED TO BASIC ONLY
READD COVERAGE ADDED TO PREVIOUS CUSTOMER
REINS COVERAGE REINSTATED
RSTRSUP SUPPLEMENTAL COMPONENT RESTORED
RSTRBAS BASIC COMPONENT RESTORED
RSUPC SUPPLEMENTAL COVERAGE REINSTATED (FROM CXL)
SESCHG SES ID CHANGED
ACTIVITY CODE DESCRIPTION
RTOB REDUCE TO BASIC
TAKOV TAKEOVER
TELE TELEPHONE NUMBER CHANGED
TRNUM TRANSIT ROUTING NUMBER CHANGED
UPCOV COVERAGE INCREASED
UBTOS INCREASED COVERAGE FROM BASIC TO SUPPLEMENTAL

From the Display Customer Change Activity screen there are only two options which the agent can select:

Option Description
B Beneficiary batch pull
S Signature batch pull

From the Display Customer Change Activity screen, enter the appropriate batch type (B, or S) in the box to the left of the Batch ID to request a particular batch to be sent to the customer. Press <Enter> to process the batch pull request.

When requesting a batch pull, always scan the list of Batch IDs and select the most recent batch that applies to the change. When verifying coverage amount, select the supplemental batch instead of the basic.

Display Batch ID <5>

From the Display Customer Change Activity screen, enter <5> in the box to the left of a given Batch ID to display the batch details.  The Customer Change History Detail screen is displayed.

The batch details are displayed in two sections: “Before” and “After”. The sections correspond to customer information as it existed before and after a change was processed respectively.

Make Changes <F13>

From the Display Customer Change Activity screen, press <F13> in to change customer information (name, address or phone). The Customer Change History Detail screen is displayed.

Enter the necessary updates to the customer’s information and press <Enter> to process and apply changes. It is important to note that the user must press <Enter> or changes will not be saved.

Flash <F16>

A Flash contains important information regarding the client that the agent would need to know. The agent should read the Flash anytime one is included in the coverage record. A Flash is available when the client id appears in red flashing numbers on the Latest Customer Coverage screen To display the flash press <F18> (<Shift> + <F4>).

Restore Non-Contributory Coverage <F20>

From the Latest Customer Coverage screen, press <F20> (<Shift> + <F8>) to restore Non-Contributory coverage (within 60 days of cancelation) for a given coverage record. Before doing so, verify with the customer that his/her account is open and active. In addition, verify that the financial institution still participates in the program requested.

Note: If the customer requests to add Supplemental coverage, an AD_006 letter must be sent.

Display Related Customer <F21>

From the Latest Customer Coverage screen, press <F21> (<Shift> + <F9>) to display the joint account coverage record if a red “J” appears to the right of the account number. This function is helpful in resolving issues where the wrong customer is billed.

Suppress Mail <F23>

Customer is Currently Enrolled

From the Latest Customer Coverage screen, press <F23> (<Shift> + <F11>) to suppress (stop) future solicitations (mail, phone or both) for the coverage record. The Suppress Solicitation Mailings prompt is displayed. Enter the appropriate suppression code:

Suppression Code Description
M Suppress future mail solicitations only
T Suppress future phone solicitations only
B Suppress both future mail and phone solicitations

For ‘M’ type solicitation suppression within a coverage record, there is no need to enter an address. The address currently on file will be suppressed.

For ‘T’ and ‘B’ type solicitation suppression’s, the user must enter the phone number to be suppressed, even if a phone number is listed for the coverage record.

Press <Enter> to confirm suppression and a message will be displayed.

Caller is Not Enrolled

To suppress solicitation of a customer who has not enrolled, you would press the <F23> key from the Customer Inquiry Screen. You would have the same M, T, and B choices but you would also need to complete the customer’s information.

When suppressing multiple coverage records, the customer’s personal information must be identical on all records for suppression to be successful. If the customer’s personal information is not identical across all coverage records, process a suppression on each record.

More Commands <F24>

From the Latest Customer Coverage screen, press <F24> (<Shift> + <F12>) to cycle through the applicable function key help guides at the bottom of the screen.