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Document #07-12G 1 RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch) Customer Supplier Customer authorizes Enrollment.

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Presentation on theme: "Document #07-12G 1 RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch) Customer Supplier Customer authorizes Enrollment."— Presentation transcript:

1 Document #07-12G 1 RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch) Customer Supplier Customer authorizes Enrollment (11.3.2.1) Supplier sends Enrollment Request to RA (11.3.2.2) RA receives Enrollment Request from Supplier (11.3.2.3) RA sends Enrollment Rejection to Supplier (11.3.2.13) (11.3.2.14) (11.3.2.15) (11.3.2.16) No Supplier receives Enrollment Rejection (11.3.2.13)(11.3.2.14) Yes Valid ESI ID confirmed (11.3.2.3) No Yes Enrollment Request contains the required elements (11.3.2.4) 1 RA sends Enrollment Request to Distribution Company (11.3.2.5) RA sends Drop Request to current Supplier (11.3.2.11) Distribution Company Receives Enrollment Request from RA for Evaluation (11.3.2.5) Distribution Company sends Enrollment Confirmation to RA (11.3.2.7) (11.3.2.8) RA receives Enrollment Confirmation and forwards to New Supplier (11.3.2.7) (11.3.2.9) (11.3.2.10) New Supplier receives Enrollment Confirmation (11.3.2.9) Registration Agent Distribution Company Valid Enrollment Request (11.3.2.5) (11.3.2.6) Yes No RA receives Enrollment Rejection from Distribution Company (11.3.2.15)(11.3.2.16) Current Supplier Receives Drop Request (11.3.2.11) 1

2 Document #07-12G 2 Customer Registration Agent Supplier Customer receives enrollment confirmation letter (11.3.2.17) RA sends enrollment confirmation letter to Customer (10.3.2.17) RA required to send notification letter to Customer (10.3.2.17) No notification letter sent No Yes Customer wants to Rescind enrollment (11.3.2.18) No further action required No Customer Rescission Period Expired (11.3.2.18) No further action required No Yes 1 2 3 RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)

3 Document #07-12G 3 Customer Registration Agent Distribution Company Customer notifies RA to rescind enrollment and continue with current Supplier (11.3.2.18) 2 4 RA Cancels Pending Enrollment (11.3.2.19) (11.3.2.24) RA sends Cancel Enrollment Request to pending Supplier, Distribution Company, and current Supplier (11.3.2.20) (11.3.2.21) (11.3.2.24) (11.3.2.25) Supplier Current Supplier receives Cancel Enrollment Request (11.3.2.20) (11.3.2.21) (11.3.2.24) (11.3.2.25) Pending Supplier receives Cancel Enrollment Request (11.3.2.20) (11.3.2.21) (11.3.2.24) (11.3.2.25) Distribution Company receives Cancel Enrollment Request (11.3.2.20) (11.3.2.21) (11.3.2.24) (11.3.2.25) Customer notifies pending Supplier to rescind enrollment and continue with current supplier (11.3.2.22) Customer contacts RA to rescind Yes No Customer contacts pending Supplier to rescind (11.3.2.22) Yes No No further action required Pending Supplier sends Cancel Enrollment Request to RA (11.3.2.22) (11.3.2.23) Distribution Company Cancels Pending Enrollment (11.3.2.27) Distribution Company Sends Cancel Enrollment Response to RA (11.3.2.27) (11.3.2.28) RA receives Cancel Enrollment Response (11.3.2.27) (11.3.2.28) RA forwards Cancel Enrollment Response to pending Supplier (11.3.2.26) Pending Supplier receives Cancel Enrollment Response (11.3.2.26) RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)

4 Document #07-12G 4 RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Move-In) Customer Supplier Customer authorizes Enrollment (11.3.3.1) Supplier sends Enrollment Request to RA (11.3.3.2) RA receives Enrollment Request from Supplier (11.3.3.3) RA sends Enrollment Rejection to Supplier (11.3.3.6) (11.3.3.7) (11.3.3.14) No Supplier receives Enrollment Rejection (11.3.3.6) (11.3.3.7) Yes Valid ESI ID confirmed (11.3.3.3) No Yes Enrollment Request contains the required elements (11.3.3.4) 1 RA sends Enrollment Request to Distribution Company (11.3.3.5) RA sends Drop Request to current Supplier (11.3.3.15) (11.3.3.16) Distribution Company Receives Enrollment Request from RA for Evaluation (11.3.3.8) Distribution Company sends Enrollment Confirmation to RA (11.3.3.9) (11.3.3.10) RA receives Enrollment Confirmation and forwards to New Supplier (11.3.3.9) (11.3.3.10) Supplier receives Enrollment Confirmation (11.3.3.11) (11.3.3.12) Registration Agent Distribution Company Valid Enrollment Request (11.3.3.8) Yes No RA receives Enrollment Rejection from Distribution Company (11.3.3.13)(11.3.3.14) Current Supplier Receives Drop Request (11.3.3.15) (11.3.3.16) Customer wants to cancel Move- In (11.3.3.19) 1 No further action required No Yes

5 Document #07-12G 5 Customer Registration Agent Distribution Company 4 RA Cancels Pending Enrollment (11.3.3.21) RA sends Cancel Enrollment Request to Distribution Company (11.3.3.21) (11.3.3.22) Supplier Distribution Company receives Cancel Enrollment Request (11.3.3.21) (11.3.3.22) Customer notifies pending Supplier to cancel enrollment and continue existing service (11.3.3.19) Pending Supplier sends Cancel Enrollment Request to RA (11.3.3.20) Distribution Company Cancels Pending Enrollment (11.3.3.23) Distribution Company Sends Cancel Enrollment Response to RA (11.3.3.23) (11.3.3.24) RA receives Cancel Enrollment Response (11.3.3.23) (11.3.3.24) RXQ.11.4.1 Customer Enrollment Using a Registration Agent Process Flow Diagram (Move-In) 1


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