AOR At-Risk Clients Export and Tab

The AOR at-risk clients export is a valuable tool provided by HealthSherpa to help agents and agencies identify clients whose Agent of Record (AOR) status might be at risk. Let us break it down:

1.      Purpose of the Export:

  • The Export aims to proactively identify current plan year enrollments within an agent’s book of business where their AOR status could be jeopardized.
  •  It helps agents in keeping correct records and ensuring compliance with enrollment processes.

2.      How agents access the Export:

  • Agents can find this export in the Exports tab of their HealthSherpa account.
  • By clicking “Generate,” agents start the export process.
  • Once complete, the export is sent to their inbox for download and access.

3.      Export Columns:

  • The export has three essential columns:
    • Federal Exchange ID: also known as the FFM Application ID
    • Client Details Page URL: Clicking this URL directs agents to the client details page, triggering a sync with the CMS Marketplace.
    • Archived Status: Shows whether the enrollment is archived.

4.      At-Risk AOR tab:

  • HealthSherpa agent accounts feature an At-Risk AOR tab within the client’s page. This tab lists the Client name, Federal Exchange ID, and the date of the last sync (last synced at).

5.      Fraud Suspicions:

  • If an agent suspects fraudulent activity related to AOR status, they need to follow CMS guidance. You can visit this page on how to report fraudulent activity here.

For additional reference, click here.

Remember, maintaining AOR integrity ensures trust and transparency in the enrollment process!

 

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