Organizational Set up and Functions Sample Clauses

Organizational Set up and Functions a. In addition to the support staff for other duties, the Insurer shall recruit or employ experienced and qualified personnel exclusively for the purpose of implementation of the AB-PMJAY and for the performance of its obligations and discharge of its liabilities under the Insurance Contract.Detailed list of staff to be provided by Insurer is provided under Schedule 16: b. In addition to the personnel mentioned in Schedule 16, the Insurer shall recruit or employ experienced and qualified personnel for each of the following roles within its organisation exclusively for the purpose of the implementation of the Scheme: (i) To undertake Information Technology related functions which will include, among other things, collating and sharing claims related data with the SHA and running of the website at the State level and updating data at regular intervals on the website. The website shall have information on AB-PMJAY in the local language and English with functionality for claims settlement and account information access for the AB- PMJAY Beneficiaries and the EHCP. (ii) To implement the grievance redressal mechanism and to participate in the grievance redressal proceedings provided that such persons shall not carry out any other functions simultaneously if such functioning will affect their independence as members of the grievance redressal committees at different levels. (iii) To coordinate the Insurer’s State level obligations with the State level administration of the SHA. c. In addition to the personnel mentioned above, the Insurer shall recruit or employ experienced and qualified personnel for each of the following roles within its organisation at the State/district level, exclusively for the purpose of the implementation of the AB- PMJAY: (i) To undertake the Management Information System (MIS) functions, which include creating the MIS dashboard and collecting, collating and reporting data. (ii) To generate reports in formats prescribed by the SHA from time to time or as specified in the Scheme Guidelines, at monthly intervals. (iii) Processing and approval of beneficiary identity verification requests, received from Xxxxxxxx Xxxxxx at the hospitals, as per the process defined in the scheme. Scrutiny and approval of beneficiary identity verification requests if all the conditions are fulfilled, within 30 minutes of receiving the requests from Xxxxxxxx Xxxxxx at the network hospital. (iv) To undertake the Pre-authorisation functions under AB-PMJAY. (v) To ...
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Organizational Set up and Functions a. In addition to the support staff for other duties, the ISA shall recruit or employ experienced and qualified personnel exclusively for the purpose of implementation of the Ayushman Uttarakhand and for the performance of its obligations and discharge of its liabilities under the Implementation Support Contract: (i) One State Coordinator who shall be responsible for implementation of the Scheme and performance of the Implementation Support Contract in the State. (ii) One Full Time District coordinator for each District , and additional One District Coordinator for Dehradun, Haridwar, Xxxxx Xxxxx Nagar and Nainital Districts (13+4) shall be placed at District Chief Medical Officer’s (CMO)
Sample 1
Organizational Set up and Functions a. In addition to the support staff for other duties, the TPA shall recruit or employ experienced and qualified personnel exclusively for the purpose of implementation of the MEDISEP scheme for the performance of its obligations and discharge of its liabilities under the SLA. Detailed list of staff to be provided by TPA : 1 State Head for OIC 1 2 State Head at Project office 1 3 District coordinator 14 4 MIS - OIC 1 5 MIS -Project office 1 7 Grievance officer 3 8 MBBS Doctors 10 9 Expert Doctors(Full time & Part time) 5 10 Project office 1 11 District may ask to set up an office 12 Medical Auditor - MBBS 4 14 Miscellaneous 5 15 Executive having IT Background 2 16 Call Center – 3 executive for day time and 2 night time. One of the executive should be group leader. 5 Total 57 b. In addition to the personnel mentioned above, the TPA shall recruit or employ experienced and qualified personnel for each of the following roles within its organisation exclusively for the purpose of the implementation of the Scheme: (i) To undertake Information Technology related functions which will include, among other things, collating and sharing claims related data with the OICL and running of the website at the State level and updating data at regular intervals on the website. The website shall have information on MEDISEP in the local language and English with functionality for claims settlement and account information access for the MEDISEP Beneficiaries and the EHCP. (ii) To implement the grievance redressal mechanism and to participate in the grievance redressal proceedings provided that such persons shall not carry out any other functions simultaneously if such functioning will affect their independence as members of the grievance redressal committees at different levels. (iii) To coordinate the TPA’s State level obligations with the State level administration of the SNC. c. In addition to the personnel mentioned above, the TPA shall recruit or employ experienced and qualified personnel for each of the following roles within its organisation at the State/district level, exclusively for the purpose of the implementation of the scheme (i) To undertake the Management Information System (MIS) functions, which include creating the MIS dashboard and collecting, collating and reporting data. (ii) To generate reports in formats prescribed by the OICL from time to time or as specified in the Scheme Guidelines, at monthly intervals. (iii) To undertake the Pre-authorisation function...
Sample 1
Organizational Set up and Functions. ‌ The TPA / ISA shall recruit or employ experienced and qualified personnel exclusively for the purpose of implementation of the AB PM-XXX – KASP and for the performance of its obligations and discharge of its liabilities under the Contract. The minimum required manpower as listed in Schedule 15 should be met by the TPA.
Sample 1

Related to Organizational Set up and Functions

  • Organizational Matters The Partners agree as follows:

  • Organizational Security It is the responsibility of the individuals across the organization to comply with these practices and standards. To facilitate the corporate adherence to these practices and standards, the function of information security provides:

  • Proposed Policies and Procedures Regarding New Online Content and Functionality By November 1, 2017, the College will submit to OCR for its review and approval proposed policies and procedures (“the Plan for New Content”) to ensure that all new, newly-added, or modified online content and functionality will be accessible to people with disabilities as measured by conformance to the Benchmarks for Measuring Accessibility set forth above, except where doing so would impose a fundamental alteration or undue burden. a) When fundamental alteration or undue burden defenses apply, the Plan for New Content will require the College to provide equally effective alternative access. The Plan for New Content will require the College, in providing equally effective alternate access, to take any actions that do not result in a fundamental alteration or undue financial and administrative burdens, but nevertheless ensure that, to the maximum extent possible, individuals with disabilities receive the same benefits or services as their nondisabled peers. To provide equally effective alternate access, alternates are not required to produce the identical result or level of achievement for persons with and without disabilities, but must afford persons with disabilities equal opportunity to obtain the same result, to gain the same benefit, or to reach the same level of achievement, in the most integrated setting appropriate to the person’s needs. b) The Plan for New Content must include sufficient quality assurance procedures, backed by adequate personnel and financial resources, for full implementation. This provision also applies to the College’s online content and functionality developed by, maintained by, or offered through a third-party vendor or by using open sources. c) Within thirty (30) days of receiving OCR’s approval of the Plan for New Content, the College will officially adopt, and fully implement the amended policies and procedures.

  • MANAGEMENT FUNCTIONS B.1 The Association recognizes that the management of the Hospital and the direction of working forces are fixed exclusively in the Hospital and shall remain solely with the Hospital except as specifically limited by the provisions of this Agreement and, without restricting the generality of the foregoing, the Association acknowledges that it is the exclusive function of the Hospital to: (a) maintain order, discipline and efficiency; (b) hire, assign, retire, discharge, direct, promote, demote, classify, transfer, lay- off, recall, and suspend or otherwise discipline nurses, provided that a claim of discharge or discipline without just cause may be the subject of a grievance and dealt with as hereinafter provided; (c) determine, in the interest of efficient operation and high standards of service, job rating and classification, the hours of work, work assignments, methods of doing the work, and the working establishment for the service; (d) generally to manage the operation that the Hospital is engaged in and, without restricting the generality of the foregoing, to determine the number of personnel required, methods, procedures, and equipment in connection therewith; (e) make, enforce, and alter from time to time reasonable rules and regulations to be observed by the nurses which are not inconsistent with the provisions of this Agreement. B.2 These rights shall not be exercised in a manner inconsistent with the provisions of this Agreement.

  • CUSTOMER SERVICE FUNCTIONS The Servicer shall handle all Customer inquiries and other Customer service matters according to the same procedures it uses to service Customers with respect to its own charges.

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