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You're speaking to a member with LIS, & you see a CARA note in MARX. You mention it to the member & they say they're in an "at-risk" program. What does that mean?
A member calls & says they received a letter from CMS indicating they're in a "poor performing plan". Is this an SEP?
A member calls in, insisting that their plan violated their contract, & the member insists to be enrolled in another plan immediately. Is this an SEP?
