Submit an Incomplete Paper Application for Healthcare Assistance

 

Use this guide to submit an incomplete paper application for healthcare assistance.  

 

 

From the Home Page access the Admin Dashboard screen and click on the Start a Paper Application link.

 

Process Steps

 

To submit an incomplete paper application:

 

1.      Click on the Start Paper Application link in the Individual Administration section on the Admin Dashboard screen.

 

·        The Paper Application screen is displayed.

 

2.      On the Paper Application screen select Incomplete Paper Application from the Incomplete Paper Application dropdown menu.

 

3.      Enter the applicant’s:

 

a.      First Name in the First Name textbox.

 

b.      Middle Name in the Middle Name textbox.

 

c.      Last Name in the Last Name textbox.

 

d.      Address in the Address textboxes.

 

e.      Select the account holder’s date of birth from the Date of Birth calendar in the format MM/DD/YYYY, if known.  This field is not mandatory.

 

f.       Social Security Number in the format XXX-XX-XXXX, if the applicant has one.  This field is not mandatory.

 

g.     Select the date the application was received from the Application Received calendar.

 

h.      Select the status of the application from the Application Status drop down menu. Options are: Pending, Incomplete and Denied.

 

4.      Click Next.

 

·        The Paper Application – Upload a Document screen is displayed.

5.      Click the Browse button and select the application file from your computer.

 

6.      Select Paper Application from the Document Category drop-down menu.

 

7.      Click Upload.

 

·        The application is uploaded.

 

8.      Click Next.

 

·         The Incomplete/Other Notifications screen is displayed.

 

9.      Select a reason for the notification from the  Comment/Notification drop down menu. Options are: Narratives, Requests for Doc, Denied Notification and Other Communication.

 

10.   Enter the text for the notification in the Description box.

 

11.   Click Submit.

 

·        The notification is displayed under the Existing Notifications section.

 

An incomplete paper application can be converted into a complete paper application when the applicant provides all required information. To update the application, locate the applicant’s account by clicking the Manage an Individual Account link in the Admin Dashboard, entering search criteria for the account and selecting View Account from the Admin Functions drop-down menu.

 

On the Admin View of the Individual Account Dashboard,  click the Update Application button. This navigates to the Paper Application – User Information screen. Select Complete Paper Application from the drop-down menu and follow the procedure to submit a complete paper application as described in the Submit a Complete Paper Application user guide .

 

 

Results of the Procedure

 

The incomplete paper application is submitted.

A notification is sent to the applicant requesting the missing information.