AR
Ana Faye Reyes
Region III — Central Office
Knowledge

Knowledge Base

Playbooks, scripts, and policy references.

Coverage rules for Senior Citizen members
Coverage · Updated 2026-07-10 · Policy Team

How lifetime coverage applies to senior citizens under RA 11223 and what agents should verify at intake.

Published
How to convert a Request into a Case
Case Management · Updated 2026-07-14 · Ops Enablement

Step-by-step conversion of a Request record into a Case, including category mapping and SLA implications.

Published
Provider dispute handling — first response script
Provider Relations · Updated 2026-07-12 · PR Team

First-response script for providers raising a dispute, including required documentation and holding statements.

Published
Escalation matrix (L1 → L3)
Escalations · Updated 2026-07-08 · Policy Team

Reference for when to escalate a case to L1 Team Lead, L2 Regional Manager, or L3 Executive Office.

In Review