Common use of Entering Applications Clause in Contracts

Entering Applications. The State may have a need for supplemental services to enter paper applications for health insurance. When requested by the State, subject to staffing availability, the Contractor will provide Contact Center agents to process paper applications that are received by the State. In the event these services are needed, the State will provide Contractor with an estimate of the number of applications and timeframe within which they are to be completed. The process of entering applications includes the review and consolidation of all associated Service Requests with additional information, and/or attachments. The Contractor will follow the State’s procedures for the initial review and consolidation, application entry including either or both phone and letter outreach for additional information, automated eligibility determination through the VHC Portal and plan selection. In addition, the Contractor will manage to these tasks according to the timeline as agreed upon by the Contractor and the State identified in the process documentation provided. For example the initial application outreach process includes an outreach telephone call. If the Contractor is unable to connect with the customer within one business day, the Contractor will send a follow-up notice. If the customer does not respond within 15 calendar days, the Contractor will close the associated Service Request. Similar timelines apply to the eligibility and plan selection processes.. The State estimates that from start to finish an application takes on average, 1 hour to complete over a period of 2 to 3 weeks. The Contractor shall enter paper applications into the VHC system on a FIFP (First-In First-Processed) basis. To ensure all outreach is conducted within State guidelines, the Contractor shall develop CSR scripts to be approved by the State based on existing VHC process documentation. The Contractor shall:  Enter applications into the VHC system using process documentation provided by the State processes  Draft customer outreach scripts for approval by the State  Conduct outreach to customers to obtain any missing information needed to complete the application  Submit escalations using escalation support processes outlined in the documentation provided by the State.  Provide feedback on identified process improvements for the State to review and implement as appropriate. The State shall provide access to the appropriate reporting queries and data that will allow Contractor to produce the deliverables set forth in Section 2 below.

Appears in 1 contract

Samples: dvha.vermont.gov

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Entering Applications. The State may have a need for supplemental services to enter paper applications for health insurance. When requested by the State, subject to staffing availability, the Contractor will provide Contact Center agents to process paper applications that are received by the State. In the event these services are needed, the State will provide Contractor with an estimate of the number of applications and timeframe within which they are to be completed. The process of entering applications includes the review and consolidation of all associated Service Requests with additional information, and/or attachments. The Contractor will follow the State’s procedures for the initial review and consolidation, application entry including either or both phone and letter outreach for additional information, automated eligibility determination through the VHC Portal and plan selection. In addition, the Contractor will manage to these tasks according to the timeline as agreed upon by the Contractor and the State identified in the process documentation provided. For example the initial application outreach process includes an outreach telephone call. If the Contractor is unable to connect with the customer within one business day, the Contractor will send a follow-up notice. If the customer does not respond within 15 calendar days, the Contractor will close the associated Service Request. Similar timelines apply to the eligibility and plan selection processes.. . The State estimates that from start to finish an application takes on average, 1 hour to complete over a period of 2 to 3 weeks. The Contractor shall enter paper applications into the VHC system on a FIFP (First-In First-Processed) basis. To ensure all outreach is conducted within State guidelines, the Contractor shall develop CSR scripts to be approved by the State based on existing VHC process documentation. The Contractor shall: Enter applications into the VHC system using process documentation provided by the State processes Draft customer outreach scripts for approval by the State Conduct outreach to customers to obtain any missing information needed to complete the application Submit escalations using escalation support processes outlined in the documentation provided by the State. Provide feedback on identified process improvements for the State to review and implement as appropriate. The State shall provide access to the appropriate reporting queries and data that will allow Contractor to produce the deliverables set forth in Section 2 below.

Appears in 1 contract

Samples: Business Associate Agreement

Entering Applications. The State may have a need for supplemental services to enter paper applications for health insurance. When requested by the State, subject to staffing availability, the Contractor will provide Contact Center agents to process paper applications that are received by the State. In the event these services are needed, the State will provide Contractor with an estimate of the number of applications and timeframe within which they are to be completed. The process of entering applications includes the review and consolidation of all associated Service Requests with additional information, and/or attachments. The Contractor will follow the State’s procedures for the initial review and consolidation, application entry including either or both phone and letter outreach for additional information, automated eligibility determination through the VHC Portal and plan selection. In addition, the Contractor will manage to these tasks according to the timeline as agreed upon by the Contractor and the State identified in the process documentation provided. For example the initial application outreach process includes an outreach telephone call. If the Contractor is unable to connect with the customer within one business day, the Contractor will send a follow-up notice. If the customer does not respond within 15 calendar days, the Contractor will close the associated Service Request. Similar timelines apply to the eligibility and plan selection processes.. The State estimates that from start to finish an application takes on average, 1 hour to complete over a period of 2 to 3 weeks. The Contractor shall enter paper applications into the VHC system on a FIFP (First-In First-Processed) basis. To ensure all outreach is conducted within State guidelines, the Contractor shall develop CSR scripts to be approved by the State based on existing VHC process documentation. The Contractor shall: Enter applications into the VHC system using process documentation provided by the State processes Draft customer outreach scripts for approval by the State Conduct outreach to customers to obtain any missing information needed to complete the application Submit escalations using escalation support processes outlined in the documentation provided by the State. Provide feedback on identified process improvements for the State to review and implement as appropriate. The State shall provide access to the appropriate reporting queries and data that will allow Contractor to produce the deliverables set forth in Section 2 below.

Appears in 1 contract

Samples: dvha.vermont.gov

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Entering Applications. The State may have a need for supplemental services to enter paper applications for health insurance. When requested by the State, subject to staffing availability, the Contractor will provide Contact Center agents to process paper applications that are received by the State. In the event these services are needed, the State will provide Contractor with an estimate of the number of applications and timeframe within which they are to be completed. The process of entering applications includes the review and consolidation of all associated Service Requests with additional information, and/or attachments. The Contractor will follow the State’s procedures for the initial review and consolidation, application entry including either or both phone and letter outreach for additional information, automated eligibility determination through the VHC Portal and plan selection. In addition, the Contractor will manage to these tasks according to the timeline as agreed upon by the Contractor and the State identified in the process documentation provided. For example the initial application outreach process includes an outreach telephone call. If the Contractor is unable to connect with the customer within one business day, the Contractor will send a follow-up notice. If the customer does not respond within 15 calendar days, the Contractor will close the associated Service Request. Similar timelines apply to the eligibility and plan selection processes.. . The State estimates that from start to finish an application takes on average, 1 hour to complete over a period of 2 to 3 weeks. The Contractor shall enter paper applications into the VHC system on a FIFP (First-In First-Processed) basis. To ensure all outreach is conducted within State guidelines, the Contractor shall develop CSR scripts to be approved by the State based on existing VHC process documentation. The Contractor shall:  Enter applications into the VHC system using process documentation provided by the State processes  Draft customer outreach scripts for approval by the State  Conduct outreach to customers to obtain any missing information needed to complete the application  Submit escalations using escalation support processes outlined in the documentation provided by the State.  Provide feedback on identified process improvements for the State to review and implement as appropriate. The State shall provide access to the appropriate reporting queries and data that will allow Contractor to produce the deliverables set forth in Section 2 below.

Appears in 1 contract

Samples: Business Associate Agreement

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