Member Services. The Manager shall (i) manage and coordinate distributions and payments to Members; (ii) manage and coordinate communications with Members; (iii) distribute reports, updates, and other information to Members; (iv) handle redemption requests from Members; and (v) provide services in the nature of investor relations.
Member Services. The HMO must maintain a Member Services Department to assist Members and Members’ family members or guardians in obtaining Covered Services for Members. The HMO must maintain employment standards and requirements (e.g., education, training, and experience) for Member Services Department staff and provide a sufficient number of staff for the Member Services Department to meet the requirements of this Section, including Member Hotline response times, and Linguistic Access capabilities, see 8.1.5.6
Member Services. The MCO must maintain a Member Services Department to assist Members and their family members or guardians in obtaining Covered Services for Members. The MCO must maintain employment standards and requirements (e.g., education, training, and experience) for Member Services Department staff and provide a sufficient number of staff for the Member Services Department to meet the requirements of this Section.
Member Services a. Instructions on how to contact the Member Services Call Center and a description of the functions of Member Services;
b. A description of availability of and instructions on how to access clinical personnel who act within the scope of their licensure to practice medical and behavioral health-related profession twenty-four (24) hours, seven (7) days per week;
c. A description of availability of and instructions on how to utilize the twenty- four (24) hours, seven (7) days per week nurse advice line;
d. A description of EPSDT screenings and services and instructions advising Members about how to access such services;
e. A description of all available covered services, including inpatient services, behavioral health/substance use disorder, Non-Emergency Transportation, dental, maternity, pharmacy, and preventive services, services available to children in xxxxxx care, if applicable, and an explanation of any service limitations, referral and Prior Authorization requirements. This description should include that the Member may receive a minimum of a three (3)-day emergency supply for prior authorized drugs until authorization is completed;
f. Information about the features of Care Management, the responsibilities of the Contractor for coordination of Member care, and the Member’s role in the Care Management process;
g. Procedures for notifying Members of the termination or change in any benefits, services, or locations;
h. A description of the enhanced services the Contractor offers, if applicable;
i. A description of the Contractor’s confidentiality policies;
j. An explanation of any service limitations or exclusions from coverage; including limitations that may apply to services obtained from Out-of-network Providers;
k. A notice stating that the Member shall be liable only for those services subject to Prior Authorization and not authorized by the Contractor and non-covered services;
l. Circumstances under which an eligible Member may disenroll or be involuntarily disenrolled from the Contractor and/or MississippiCAN Program;
Member Services. 4.1 Marketing and Outreach
Member Services. Supplier will consult with each Member to identify the Member's policies relating to access to facilities and personnel. Supplier will comply with such policies and will establish a specific timetable for sales calls by sales representatives to satisfy the needs of the Member. Supplier will promptly respond to Members' reasonable requests for verification of purchase history. If requested by Novation or any Members, Supplier will provide, at Supplier's cost, on-site inservice training to Members' personnel for pertinent Products.
Member Services. As used in this Agreement, the package of health care and related services described in Member Services / Membership Fee (Appendix A), which is attached to this Agreement, and incorporated by reference.
Member Services. The Contractor must submit reports related to Member Services in accordance with Section 11, Reporting Requirements, and Exhibit H, Reporting Requirements, of this Contract.
Member Services a. Instructions on how to contact the Member services call center and a description of the functions of Member services;
b. A description of availability of and instructions on how to access clinical personnel who act within the scope of their licensure to practice medical and Behavioral Health/Substance Use Disorder-related profession twenty-four (24) hours, seven (7) days per week;
c. A description of availability of and instructions on how to utilize the twenty-four
Member Services. The Advisor shall (or shall retain other Persons to):
(i) Manage communications with the Members, including answering phone calls, preparing and sending written and electronic reports, providing recommendations for marketing materials and other communications;
(ii) Assist in public relations activities relating to the Company including, but not limited to, the development and administration of press releases, media relations, media coverage and by-lined articles and the development of websites to provide access for investors to financial reporting, financial advisor access to sales materials, and general information relating to the Company, such as government filings and informational presentations; and
(iii) Establish technology infrastructure to assist in providing Member support and service.
