When offering CIL

                                  CIL CASH IN LIEU /CASH OUT

1. Validate if the wo has been authorized

If Yes, proceed step 2 If No, educate mbr. No existing wo, do not offer.

1. Check the decision

All repairs/replacement is covered, proceed to step 3 Partial Denial, proceed to step 3 Complete Denial, do not offer. Job Completed, do not offer. LTD Only, do not offer. AHS Estimate/ Deny tagging

1. Seek Supervisor Approval
2. Educate Member with CIL Process

AHS will reimburse a covered amount in exchange of our service. Member can continue the job on their own (repair/replace the unit). Member will be required to send a Proof of repair to ahspor@ahs.com. Once we have accepted the proof, we will process the check. It will be received in 14-21 business days. Once the member agrees proceed with step 5.

1. Agent to process CIL Form

KEYS > Smartforms > Accounting and Payments > Offer Cash in Lieu Advised that Cash out department (Option Specialist Department) will call the member within 3-5 business days to discuss the offer. Note: Cash out department are the ones processing the amount, and they will call the member for the amount and instructions. Document: CIL Email Sent "CIL form requested" Customer Called in: Mbr Uriel (buyer) called in to req more options on the wo since they want to do job on their own. Md mbr awr that we can offer CIL. Advised that we have submitted the req, and expect a call from Cash out department within 3-5 business days for the offer and instruction. Mbr ok. (Approved by JLASCUÑA)