ProviderWeb Portal Complaints Sample Clauses

ProviderWeb Portal Complaints. The MCOP should check the ProviderWeb portal (hereinafter referred to as HealthTrack) complaint inbox daily for updates and new complaints assigned to them. 1. The MCOP shall acknowledge receipt of a HealthTrack complaint within 5 business days of the complaint’s submission by outreaching to the provider through an in-person visit, a phone call, or an email. If attempting to make contact via phone and the person is unavailable, a voicemail must be left. Outreach must include that the complaint was received and that the MCOP will respond by the assigned due date. 2. The MCOP shall document provider initial contact in HealthTrack within 6 business days of the complaint’s submission and including the following: a. The date(s) that outreach was made to the provider (a future date of contact will not be accepted); b. A call reference number if applicable; c. The method(s) of contact; d. The person that made the contact; and e. The name of the individual(s) contacted. 3. The MCOP shall perform internal research, contact the provider, and present its findings to the provider within 15 business days. 1. Provider Contact shall include: i. Outreach Monday through Friday between the hours of 8:00am and 5:00pm Eastern Standard Time; ii. The assigned provider representative’s contact information; iii. The HealthTrack complaint number or call reference number; and iv. The MCOP’s findings, including all relevant information, to ensure the provider is educated on how to access all supporting policies or procedures. 2. If the provider is non-responsive, prior to closure of the complaint, a minimum of three outreach attempts must be made to the provider by the MCOP. 3. The MCOP shall document the following in HealthTrack by the assigned due date: i. The date(s) contact was made, including all attempted contacts, with the provider (a future date of contact will not be accepted); ii. The method(s) of contact; iii. The name of the individual(s) contacted; iv. The findings shared with the provider; v. The policies and procedures to support the findings; vi. Root cause analysis or CPSE details; and vii. If already reported to ODM as a CPSE then the MCOP shall include the report month and row number. 4. If the MCOP requires additional time to research a provider complaint, the MCOP shall: i. Contact the provider, advise the provider of the delay in response, and indicate that the MCOP will ask ODM to grant an extension. ODM will not grant the MCOP an extension if the request does...
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Related to ProviderWeb 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.

  • Product Complaints Subdistributor shall promptly notify Distributor of (but in no event later than 24 hours after receipt), and provide, upon Distributor’s request, reasonable assistance to address and investigate, any complaint or adverse claim about any Product or its use of which Subdistributor becomes aware;

  • Customer Cooperation 3.2.1. Customer shall provide and make available all Customer personnel as may be further addressed in an applicable Order Form or that SAP reasonably requires in connection with performance of the Services. 3.2.2. Customer shall appoint a contact person with the authority to make decisions and to supply SAP with any necessary or relevant information expeditiously.

  • Complaints If you have a complaint relating to the sale of energy by us to you, or this contract generally, you may lodge a complaint with us in accordance with our standard complaints and dispute resolution procedures. Note: Our standard complaints and dispute resolution procedures are published on our website.

  • Problem Solving Employees and supervisors are encouraged to attempt to resolve on an informal basis, at the earliest opportunity, a problem that could lead to a grievance. If the matter is not resolved by informal discussion, or a problem-solving meeting does not occur, it may be settled in accordance with the grievance procedure. Unless mutually agreed between the Employer and the Union problem-solving discussions shall not extend the deadlines for filing a grievance. The Union Xxxxxxx or in their absence, the Local Union President, or Area Xxxxxxx, or Chief Xxxxxxx, either with the employee or alone, shall present to the appropriate supervisor a written request for a meeting. If the supervisor agrees to a problem- solving meeting, this meeting shall be held within fourteen (14) calendar days of receipt of the request. The supervisor, employee, Union Xxxxxxx, and up to one (1) other management person shall attempt to resolve the problem through direct and forthright communication. If another member of management is present that person will not be hearing the grievance at Step Two, should it progress to that Step. The employee, the Union Xxxxxxx or in their absence, the Local Union President, or Area Xxxxxxx, or Chief Xxxxxxx, may participate in problem-solving activities on paid time, in accordance with Article 31, Union Rights, Section 1H.

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  • Complaints Process The School shall establish and adhere to a process for resolving public complaints which shall include an opportunity for complainants to be heard. The final administrative appeal shall be heard by the School's Governing Board, except where the complaint pertains to a possible violation of any law or term under this Contract. The complaints process shall be readily accessible from the School’s website, as described in Section 11.4.1.

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