Common Issues & Solutions
This reference guide covers the top issues you'll encounter daily and provides proven resolution methods for quick member support.
Critical Issues First
Always prioritize member safety and urgent access issues. If a member needs immediate medical care or has a time-sensitive healthcare need, escalate immediately while working on their platform issue.
Most Common Issues
Top Support Issues
Members cannot access their account, forgot passwords, or experiencing authentication errors.
Quick Fix: Verify account status → Reset password → Check 2FA settings → Test login
Members are not finding providers or procedures in their search results.
Quick Fix: Check location settings → Verify insurance plan → Expand search radius → Try alternative terms
Quoted prices don't match what the member was told or expected to pay.
Quick Fix: Verify plan details → Check deductible status → Explain estimate vs. actual → Provide cost breakdown
Slow loading, crashes, or features not working properly in mobile app.
Quick Fix: Check app version → Clear cache → Restart app → Update if needed → Switch to web version
Member's preferred provider shows as out-of-network or not covered.
Quick Fix: Verify provider credentials → Check latest network updates → Explain network tiers → Find alternatives
Detailed Resolution Steps
Pro Tips for Faster Resolution
- Screen Share When Possible: Visual confirmation helps identify issues faster
- Keep Common Solutions Handy: Bookmark frequently used reset links and troubleshooting pages
- Document Patterns: Note recurring issues to help identify system-wide problems
- Follow Up: Check back with members on complex issues to ensure resolution
When to Escalate
Escalation Triggers
Escalate immediately if:
- Member reports a medical emergency or urgent care need
- System-wide outages or technical failures affecting multiple members
- Data security concerns or suspected account compromises
- Insurance or billing disputes requiring specialized knowledge
- Issues persist after following all standard troubleshooting steps