What to Do When an Application Stalls or a DMI Opens
When a client’s application stalls or a Data Matching Issue (DMI) comes up, knowing how to respond can make all the difference. Understanding what needs attention, what steps to take, and where to find support can help you move forward with confidence and keep your client’s coverage on track.
Your next steps when an application or DMI issue appears
- Identify the DMI. Start by understanding what information needs attention. Common issues include income, citizenship, Social Security number, and more.
- Review the Eligibility Notice. This notice outlines the DMI type, acceptable documents, submission deadline, and instructions for submitting them.
- Gather the required documents. Collect the necessary paperwork and make sure everything is ready before submitting.
- Submit by the deadline. Pay close attention to the due date. Missing it could result in a loss of subsidies or coverage.
- Keep copies and confirm receipt. Save copies of everything submitted and confirm the documents were received.
- Reach out if you need help. If the issue remains unresolved, contact the Marketplace for assistance.
Get ahead of it
The client intake questionnaire includes an agent checklist of items to confirm with every case:
- Marketplace information updated
- Income verified
- Consent recorded
- Documents uploaded
- Enrollment confirmed
- Binder payment explained
- Welcome email sent
Taking care of income verification and document uploads upfront can save time and make resolving a DMI easier if one comes up later.
Where to get help
You can find the client intake questionnaire on page 8 of the OEP Guide.
OEP GuideIf you’d like to work through a specific case, join the next OEP Drop-In Session on Tuesday, November 17 at 10 AM CT with Belynda DiCiaccio and John Ross Hopkin.
Register for the WebinarYou can also reach the Health Team at (469) 635-6771 or healthteam@thebrokerageinc.com.
DMIs are a normal part of the business, and when they come up, the best approach is to address them as soon as possible. You don’t have to work through every issue on your own. The Brokerage, Inc. has resources and support available to help guide you along the way.
While not every issue can be prevented, taking time to review information and follow industry best practices before submitting an application can help reduce unnecessary delays and make the enrollment process smoother for you and your clients.
