EXAMPREP FULL QUESTIONS AND SOLUTIONS
GUARANTEED TO PASS
⩥Callback permission shows 'FALSE' - Ask for verbal permission to
return calls and update the record if granted.
⩥Returned mail is flagged - Confirm address and correct it before
proceeding with other call items.
⩥Offer the survey - At the end of every call before closing.
⩥Closing reminder for open enrollment - Remind them open enrollment
runs Nov 1-Jan 15 and thank them for calling Georgia Access.
⩥Non-authenticated inbound call - Verify with name, ZIP, and last four
of SSN (or address/DOB if SSN not available).
⩥Caller with the applicant on the line - Get verbal consent, note witness
and relationship, and proceed normally.
⩥Verify a Power of Attorney or Authorized Representative - Confirm
representative's name, POA documentation, and permission before
discussing account.
, ⩥ScreenPop - To confirm authentication, view household info, prevent
duplicate accounts, and log detailed call notes.
⩥Two CAP views - CSR View (for account management) and Member
View (for consumer actions).
⩥Claimed vs unclaimed accounts - Send activation for unclaimed
accounts; reset/unlock for claimed accounts. Never claim for a
consumer.
⩥Responsibilities of Georgia Access vs Issuer vs EDE - Georgia Access
updates enrollment; Issuer handles billing; EDE provides enrollment
guidance.
⩥Difference between termination and cancellation - Termination ends
active coverage (retro allowed 1st-14th); cancellation ends coverage
before it starts.
⩥Retro terminations apply - Within first 14 days, 6 months for
Medicare, or 60 days for Medicaid.
⩥Carrier updates take effect - Within 2-3 business days after change
submission.