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Last Updated v11.3.0

Allows submissions

v1

This screen allows the online submission of certain forms

over the web, such as, Address Changes, Enrollment Forms, Termination Forms, ID Card Requests, etc. This screen

and questions, and also provides access to PDF forms that can be downloaded for fax or mail submission.


Info

** The screen samples shown in this help system are just examples and the .  The forms or options you see may differ. Each client group can customize the options available. The forms listed will , and may vary from client to client.

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  • Questions and Web Forms
    • Click on forms to fill out information on the data entry screen. Each form will vary in appearance and required fields
    .

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Search for, then select a participant that the form is in relation to (if applicable to the form)
    • .
  • Fill out the form data.
      • Some forms allow for file attachments.  Only allowed file types can be uploaded with the form, and some disallowed special characters in the file name will be removed during the file upload.
  • Click SAVE.
    • Content by LabelshowLabelsfalsemax5showSpacefalsesorttitletitleRelated Pagescqllabel = "employer-center"labels
      • Click SAVE to submit the form/question.
        • A transaction ID will be displayed for tracking.  All previously submitted transactions (questions and forms) can be viewed from the My Account\My Transactions main menu option.
          • Submitted forms/questions will be reviewed/processed by HealthSmart Network Solutions teams and the transaction will be updated with information as it is processed.
    employer-center