Greeting: Thank you for calling customer service my name is _______, how may I help you?
Actively listen to what the callers reason for calling is. Without interruption.
Once the caller tells you the reason for the call reply back with "I can help you with that".
Ask the caller" May I have your policy number, thank you, may I have your name, DOB and address? Only ask for name and policy if the caller (Five9) has not already provided it.
Once you have this information proceed to resolving the reason for the call.
Our Contact Info:
Selman & Company One Integrity Parkway Cleveland, OH 44143-1500
Tricare:
Customer Service Phone 1-800-638-2610 (x____) Claims Fax: 1.800.310.5514 Fax 1-800-311-3124
My Fax ______________________
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Outgoing Letters:
TSE – Corporate TSA – Retail
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TRICARE Contact Info: East – 1-800-444-5445 West – 1-844-866-9378 Overseas www.tricare.mil TC for Life 1-866-773-0404 |
CHAMPVA Contact Info:
1-888-289-2411 phone or 1-800-733-8387 phone 1-303-331-7804 fax
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ENTER OFFICE EMAILS:
DEERS: 1-800-538-9552
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Calls for Account Management:
General claims issues can be handled by Customer Service.
All other calls from HR Reps should be directed to Client Services Transfer calls to Twanna Tilghman, Alanna Jordan & Yolonda Roulette . |
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Our Websites & Email Addresses You Can Share With The Customers:
Https://Apply.selmanco.com/gea (GEA enrollment)
https://apply.selmanco.com/vfw (VFW enrollment)
memberservices@selmanco.com (email to Customer Svc)
www.selmanco.com/eService (to access Customer eService)
My email _____________________________@selmanco.com
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Calls from Brokers & Agents: Ron Erjavec & Matt Blanks use Fuze Phone |
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Some Retail Associations: We Use These Associations with Hartford as the Carrier
Government Employees Association (GEA) Uniformed Services Benefit Association (USBA)
**Previous Associations Used While AEGA/Transamerica Was the Carrier (Ended 01/01/2020)
National Armed Forces Association (NAFA) Non-Commissioned Officers Association (NCOA) Retired Association for the Uniformed Services (RAUS) Uniformed Services Benefit Association (USBA) American Military Retirees Association (AMRA) Armed Forces Benefit Association (AFBA) Armed Services Mutual Benefit Association (ASMBA)
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How to Enroll:
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Claim Notes:
Filing limit 24 months from TC process date.
Send standard claim forms and EOB. If Rx, send detailed bag receipt.
See online manual for claim forms.
Use check tracer worksheet if caller did not rec’ve claims benefit check. Email to Tricareclaims@selmanco.com
Pre-Ex – 6 months back, 6 months fwd
Dup EOB – Use Send Fax Icon on desktop
MR – Medical Records from doctor
PMH – Previous Medical History from Patient (completed claim form listing doctor names and permission for us to obtain medical records).
PEC – Pre-Existing Condition
Claims Issues/Research – “Claim Question Signature.” Send email to Tricareclaims |
EOB Remark Codes:
08 –Pending Rcpt Of Info Membr/Provdr 16 – Need CHAMPVA EOB for Rx 21 – Denied for Pre-Ex 28 – Amount paid by primary payer 30 – Supp Deductible 31 – Previously Considered 34 – TC Ded Not Cov’d or Exhausted 51 – Need TC EOB 55 – Denied by TC
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Claims Submissions:
Selman and Company Attention Claims: P O Box 14043 Lexington, KY 40512
Fax 1-800-310-5514 Fax 1-301-926-2621
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Boeing/BAO Claims Address:
Selman and Company Attention Claims: P O Box 14043 Lexington, KY 40512
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Payments Address on Bills:
Selman & Company PO Box 92920 Cleveland, OH 44194
Employer Group Payment Address: PO Box 43161 Cleveland, OH 44143-0161
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FedX/USPS Special Delivery/DHL/ UPS/Urgent Claims:
Selman & Company Claims Department Attn: Rose Babe One Integrity Parkway Cleveland, OH 44143-1500
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Cancels/Remove Family Mbrs:
Review the Corporate Rate Manual in the Tricare Shortcuts:
List Bill Gen’l Dynamics, Okaloosa County Schools, P31 Incorporated, ManTech, or The SI – See special instructions.
List Bill All Others – Refer caller to his/her benefits office.
Direct Bill – Email Tricarebillingworkflow@selmanco.com |
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Claim Not On File:
I’m sorry. We do not have that claim on file. Would you please fax a copy of the claim (s) along with the primary EOB to 1.800.310.5514.
If the provider/member can NOT fax the claim and EOB please advise of our claims address:
Selman & Company Attn: Selman and Company Attention Claims: P O Box 14043 Lexington, KY 40512
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Dup Cert: send email to ”Certificate” Dup Cert + ID Cards: Same as above but add ID Cards to subject line Dup Welcome Pkt: Same as above but write Dup Welcome Pkt in subject ID Cards Only: Diary M58, ID Cards Printer, Actual Size Urgent or 2nd/3rd Requests: Email Tricareenrollment@selmanco.com |
Billing:
EFT (M, Q, S, A) Paper (Q, S, A)
If more than 90 days late, send GHS form to caller. Email it or mail it using the address cover sheet.
EFT 1st attempt on 5th. EFT 2nd attempt on 15th. |
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Provider Calling & You Cannot ID Member:
What company are you trying to reach? Do you have a copy of the supplement ID card? Remember to check Emerge. Remember to search by name and/or Social Security #.
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Most Common Corporate Rates:
$67.50/month EE Only $132.50/month EE+C or EE+SP $178.50/month EE+C+SP
or
$60.50/month EE Only $119.50/month EE+C or EE+SP $160.50/month EE+C+SP
**not all groups use these rates** |
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Claim Suspended for Corporate Payment:
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Who is Selman? Do I need new cards?
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Caller Gives Policy Number:
That starts with MZ or AGP please ask… Do you have a smaller number or a number that begins with the letter P? |
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Caller Trying to Reach CHAMPVA or Tricare:
You have reached Selman & Company. We are a small, private business in Cleveland, Ohio. We sell Tricare & CHAMPVA supplement policies carried by Hartford Accident & Life, but we are not a part of Tricare or CHAMPVA. CHAMPVA is administered and funded by the Department of Veterans Affairs. Tricare is administered by the DOD.
The phone number listed for CHAMPVA is 1-800-733-8387 or 1-888-289-2411.
Tricare’s contact number: East – 1-800-444-5445 West – 1-844-866-9378 Overseas www.tricare.mil
TC for Life 1-866-773-0404.
Please contact Tricare or CHAMPVA for more assistance.
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P Number |
This is the main ID number. For persons who started with ASI, this is a new number. |
**EITHER the P-number or the shorter number may be used when a member/provider contacts us or submits an item.** |
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Emerge Number |
This is also an ID number. For persons who started with ASI, this is the old certificate number.
We still use these numbers and we have cross-referenced them with the P-numbers. |
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Policy Number |
The policy number begins with AGP.
This number identifies the blanket policy under which the insured is covered.
It identifies the coverage, not the person. Many people can have the same policy number. |
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Group Number |
We do not use group numbers. |
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