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