CONTACTS 

SUBJECTS
Statement Authorized Representative Filed Kaiser Assist Millie Claim

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 1 4S93.
110502 -
110503 -
110504 -
110506 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - Background is reported on 100609 1522. ref SDS 1 E46O
110902 -
110903 - Yesterday, Jennifer asked Millie to file an updated statement of
110904 - authorized representative.  She advised that the statement of
110905 - authorized representative Millie filed last year dated 090529, has
110906 - just expired, because no specific expiration date was entered, so by
110907 - policy authorization defaults to expire after 1 year.
110909 -  ..
110910 - She sent an email with a Microsoft word document attached, which
110911 - Millie filled out on the computer, printed, and then signed, reported
110912 - on 100609 1522. ref SDS 1 4S93
110914 -  ..
110915 - This morning Millie drove to Kaiser Park Shadelands and submitted the
110916 - document to Member Services that is a Statement of Authorized
110917 - Representative.
110919 -  ..
110920 - Enriela Panis asked who should get the fax, and if Millie has a fax
110921 - number?
110923 -  ..
110924 - Millie explained Jennifer's call yesterday planning to call Enriela
110925 - to be prepared for sending a fax on Millie's Statement of Authorized
110926 - Representative.
110928 -  ..
110929 - Enriela advised that she has not received a call nor a letter from
110930 - anyone on this matter.  She asked for a name of anyone who can receive
110931 - the fax.
110933 -  ..
110934 - Mentioned Jennifer in the Claims Resolution Department down in
110935 - Pleasanton.  Eenriela asked for Jennifer's last name, but didnt' think
110936 - to write this down for making the trip to Kaiser this morning.
110938 -  ..
110939 - Explained that Paula [gave her last name] sits across from Jennifer,
110940 - so Enriela could fax the document to her, and she can give it to
110941 - Jennifer.
110943 -  ..
110944 - Enriela used Kaiser's computer and eventually found Jennifer's last
110945 - name, and a fax number.
110947 -  ..
110948 - Enriela faxed the document to Jennifer
110949 -
110951 -
110952 -            [On 100611 1521 Jennifer reported receiving Millie's
110953 -            letter, ref SDS 2 FP5M, submitting the record of telecon
110954 -            with Jennifer on 100609 1522. ref SDS 1 036C
110956 -             ..
110957 -            [On 100611 2326 Millie receives Jennifer's letter
110958 -            confirming that she got the response date extended from
110959 -            100610 to 100624. ref SDS 3 CV4O
110960 -
110961 -
110962 -
110963 -
110964 -
1110 -