Common use of Member Services Function Clause in Contracts

Member Services Function. (A) The Contactor shall operate a Member Services function during regular business hours. (B) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees. (C) At minimum, Member Services staff shall be responsible for the following: (1) explaining the Contractor’s rules for obtaining services; (2) assisting Enrollees to select or change Providers; and (3) fielding and responding to Enrollee questions including questions regarding Grievances. (D) The Contractor shall conduct ongoing assessment of its orientation staff to determine staff members’ understanding of the Dental Plan and its CHIP managed care policies and provide training, as needed

Member Services Function. (A) The Contactor shall operate a Member Services function during regular business hours. (B) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees. (C) At minimum, Member Services staff shall be responsible for the following: (1) explaining the Contractor’s rules for obtaining services; (2) assisting Enrollees to select or change Primary Care Providers; and (3) fielding and responding to Enrollee questions including questions regarding Grievances. (D) The Contractor shall conduct ongoing assessment of its orientation staff to determine staff members’ understanding of the Dental Contractor’s Health Plan and its CHIP managed care policies and provide training, as needed