Provider Web Portal Complaints Sample Clauses

Provider Web Portal Complaints. The MCO must check ODM's Provider Web portal (hereinafter referred to as HealthTrack) complaint inbox daily for updates and new complaints assigned to them. The MCO must acknowledge receipt of a HealthTrack complaint within five business days of the date the complaint was submitted by: Conducting outreach to the provider through an in-person visit, a phone call, or an email. If attempting to make contact via phone and the appropriate person is unavailable, the MCO must leave a voicemail. Outreach must include that the complaint was received and that the MCO will respond by the assigned due date; and Documenting the MCO's initial contact with the provider in HealthTrack within six business days of the submission of the complaint to include the following information: The date(s) that outreach was made to the provider (a future date of contact will not be accepted); A call reference number if applicable; The method(s) of contact; The person that made the contact; and The name of the individual(s) contacted. The MCO must perform internal research, contact the provider, and present its findings to the provider within 15 business days. Provider contact must include: Outreach Monday through Friday between the hours of 8:00 am and 5:00 pm Eastern Time; The assigned MCO provider representative's contact information; The HealthTrack complaint number or call reference number; and The MCO's findings, including all relevant information, to ensure the provider is educated on how to access all supporting policies or procedures. If the provider is non-responsive, prior to closure of the complaint, the MCO must make a minimum of three outreach attempts to the provider. The MCO must document the following in HealthTrack by the assigned due date: The date or dates that the MCO contact was made or attempted with the provider (a future date of contact will not be accepted); The method or methods of contact; The name of the individual or individuals contacted; The findings shared with the provider; The policies and procedures to support the findings; and The root cause analysis or CPSE details. If already reported to ODM as a CPSE then the MCO must include the report month and row number. If the MCO requires additional time to research a provider complaint, the MCO must: Contact the provider, advise the provider of the delay in response, and indicate that the MCO will ask ODM to grant an extension. ODM will not grant the MCO an extension if the request does not include evidence...
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Provider Web Portal Complaints. The MCO must check ODM's Provider Web portal (hereinafter referred to as HealthTrack) complaint inbox daily for updates and new complaints assigned to them. The MCO must acknowledge receipt of a HealthTrack complaint within five business days of the date the complaint was submitted by:
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Provider Web Portal Complaints i. The OhioRISE Plan must check ODM's Provider Web portal (hereinafter referred to as Healthtrack) complaint inbox daily for updates and new complaints assigned to it.
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Related to Provider Web Portal Complaints

  • Customer Complaints Each party hereby agrees to promptly provide to the other party copies of any written or otherwise documented complaints from customers of Dealer received by such party relating in any way to the Offering (including, but not limited to, the manner in which the Shares are offered by the Dealer Manager or Dealer), the Shares or the Company.

  • Provider Services Charges for the following Services when ordered by a Physician for the treatment of an Injury or Illness.

  • Client Complaints The Operator and AHS shall promptly inform the other party of any material complaints, concerns or grievances made to or against the Operator with respect to the Services. The Operator acknowledges that AHS is required to establish and maintain a patient concerns resolution process in accordance with the Patient Concerns Resolution Process Regulation (AR 124/2006) and that AHS has been advised by the Office of the Alberta Ombudsman that all contracted service providers are also required to have a patient concerns resolution process in place. The Operator shall comply with the Patient Concerns Resolution Process in Schedule “D”, Appendix 5.

  • Queries 1. If the Cardmember has any queries about any of the Charges or Transactions which appear in any Statement of Account, the Cardmember must contact AEME immediately and in any event, no later than 90 days from the date on which the Transaction or Charge was processed and debited to the Card Account. If the Cardmember fails to notify AEME of any queries or disputes within the 90 day period, then the Cardmember agrees and acknowledges that all Charges and Transactions which appear on the Statement of Account are true, accurate and correct and hereby waives any right to object, dispute or challenge, in any manner whatsoever, any such Transactions, Charges or amounts. AEME will assume all Charges and Transactions to be true, accurate and approved by the Cardmember upon the lapse of the said 90 day period.

  • Anonymous Complaints When an anonymous complaint, where the complaint, if true, would not or could not lead to criminal charges, is made against a member and no corroborative evidence is obtained through a prompt investigation by management, the complaint shall be classified as unfounded. No disciplinary action may be brought as the result of unfounded complaints.

  • CUSTOMER SERVICE ACCESS The Competitive Supplier agrees to provide, or cause to be provided, certain customer services to Participating Consumers. Such services shall be reasonably accessible to all Participating Consumers, shall be available during normal working hours, shall allow Participating Consumers to transact business they may have with the Competitive Supplier, and shall serve as a communications liaison among the Competitive Supplier, the Town, and the Local Distributor. A toll-free telephone number will be established by Competitive Supplier and be available for Participating Consumers to contact Competitive Supplier during normal business hours (9:00 A.M. - 5:00 P.M. Eastern Standard Time, Monday through Friday) to resolve concerns, answer questions and transact business with respect to the service received from Competitive Supplier. The Town will post program-related information on the Town’s website which will be available to Participating Consumers for general information, product and service information, and other purposes.

  • PROVIDER PERSONNEL 9.1 The Department and Provider agree and acknowledge that in the event of the Provider ceasing to provide the Services or part of them for any reason, Clause 25 (Re-Provision of the Services) of the Agreement will apply.

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