Presentation is loading. Please wait.

Presentation is loading. Please wait.

Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes

Similar presentations


Presentation on theme: "Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes"— Presentation transcript:

1 RXQ.11.4.1 Customer Enrollment Using a Registration Agent (RA) Process Flow Diagram (Move-In)
Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes Current Supplier sends Drop Confirmation to RA ( & ) Current Supplier receives Drop Request from RA ( & ) Supplier receives Enrollment Rejection from RA ( & ) Pending Supplier receives Enrollment Confirmation from RA ( ) Supplier sends Enrollment Request to RA ( ) No Current Supplier sends Drop Rejection to RA ( & ) Supplier No further action RA receives Enrollment Request from Supplier ( ) RA sends Enrollment Rejection to Supplier ( & & ) RA receives Drop Rejection from current Supplier ( & RA receives Drop Confirmation from current Supplier ( & ) No No No RA receives Enrollment Rejection from Distribution Company ( ) Does a current Supplier exist? ( ) Enrollment Request contains the required elements ( ) ESI ID confirmed ( ) Yes Yes Yes RA sends Enrollment Request to Distribution Company ( ) RA receives Enrollment Confirmation and sends to pending Supplier ( ) RA sends Drop Request to current Supplier ( & ) Rejected by Evaluation? ( ) Yes Registration Agent No Distribution Company processes Enrollment Request and sends Enrollment Confirmation to RA ( & ) Distribution Company Sends Enrollment Rejection to RA ( ) No Distribution Company receives Enrollment Request from RA ( ) Inspection required ( ) ESI ID confirmed ( ) No Distribution Company Yes Yes 1 2

2 RXQ.11.4.1 Customer Enrollment Using a Registration Agent (RA) Process Flow Diagram (Move-In)
Customer receives notification and contacts Applicable Regulatory Authority ( ) Applicable Regulatory Authority receives notification ( ) Applicable Regulatory Authority contacts Distribution Company and provides inspection information ( ) Customer/Inspection Authority Pending Supplier receives Notification of Inspection Required and notifies Customer ( ) Pending Supplier sends Notification of Inspection Required Response to RA ( ) Supplier RA sends Notification of Inspection Required to pending Supplier ( ) RA receives Notification of Inspection Required Response ( & ) RA receives Notification of Inspection Required from Distribution Company ( & ) RA sends Notification of Inspection Required Response to DC ( ) Registration Agent Distribution Company Receives Notification of Inspection Required Response ( ) Distribution Company updates Enrollment Request with inspection information ( ) Distribution Company sends Notification of Inspection Required to RA ( & ) Distribution Company receives inspection information ( ) 1 2 Distribution Company

3 Customer Cancellation
RXQ Customer Enrollment Using a Registration Agent Process Flow Diagram (Move-In) Customer Cancellation Customer wants to cancel Move-in ( ) No 3 No further action required Yes Customer notifies pending Supplier to cancel enrollment ( ) Customer Pending Supplier sends Cancel Enrollment Request to RA ( & ) Pending Supplier receives Cancel Enrollment Rejection from RA ( & ) Pending Supplier receives Cancel Enrollment Confirmation from RA ( & ) Supplier No RA sends Cancel Enrollment Rejection to pending Suppler ( , , , & ) RA sends Cancel Enrollment Request to Distribution Company ( & ) RA receives Cancel Enrollment Request ( & ) Is Enrollment Request able to be cancelled ( ) RA receives Cancel Enrollment Confirmation and sends to pending Supplier ( & ) RA Cancels Pending Enrollment ( ) Yes Registration Agent Distribution Company Sends Cancel Enrollment Confirmation to RA ( & ( ) No Distribution Company sends Cancel Enrollment Rejection to RA ( & ) Distribution Company Cancels Pending Enrollment ( ) Distribution Company receives Cancel Enrollment Request ( & ) Is Enrollment Request able to be cancelled ( ) Yes Distribution Company

4 RXQ.11.4.2 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)
authorizes Enrollment ( ) Customer Current Supplier Receives Drop Request from RA ( & ) ESI ID confirmed ( & ) Yes Current Supplier sends Drop Confirmation to RA ( & ) Supplier sends Enrollment Request to RA ( ) Pending Supplier receives Enrollment Confirmation from RA ( & ) Supplier receives Enrollment Rejection from RA ( & ) No Current Supplier sends Drop Rejection to RA ( & ) Supplier RA sends Enrollment Confirmation to pending Supplier ( & ) RA sends Enrollment Rejection to Supplier ( & & ) RA receives Drop Confirmation from current Supplier ( & ) RA receives Drop Rejection from current Supplier ( & ) RA receives Enrollment Request from Supplier ( ) No No Enrollment Request contains the required elements ( ) Yes ESI ID confirmed ( ) RA sends Enrollment Request to Distribution Company ( ) RA receives Enrollment Rejection from Distribution Company ( & ) RA receives Enrollment Confirmation ( & ) RA sends Drop Request to current Supplier ( & ) No Rejected by Evaluation? ( ) Yes Yes 1 Registration Agent ESI ID confirmed ( ) No Distribution Company Sends Enrollment Rejection to RA ( ) Distribution Company Receives Enrollment Request from RA ( ) Distribution Company sends Enrollment Confirmation to RA ( & ) Distribution Company Yes

5 RXQ.11.4.2 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)
No further action required No further action required Yes No Customer requests Rescission ( ) Customer Rescission period expired ( ) Customer receives Pending Enrollment letter ( ) No Yes Customer 2 RA sends Pending Enrollment letter to Customer ( ) Yes RA required to send letter notifying Customer of Pending Enrollment ( ) 1 No No further action required Registration Agent Supplier

6 RXQ.11.4.2 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)
Customer Rescission No Customer contacts pending Supplier for Rescission ( ) Customer contacts RA for Rescission ( ) Customer contacts RA for Rescission ( ) 2 3 Yes Yes Customer No No further action required Current Supplier receives Cancel Enrollment Request ( & ) Current Supplier sends Cancel Enrollment Confirmation to RA ( & ) Pending Supplier sends Cancel Enrollment Confirmation to RA ( & ) Supplier Pending Supplier receives Cancel Enrollment Request ( & ) RA receives Cancel Enrollment Confirmation ( & ) RA sends Cancel Enrollment Request to Distribution Company ( & ) RA Cancels Pending Enrollment ( ) RA receives Cancel Enrollment Rejection to pending Suppler ( & ) RA sends Cancel Enrollment Request to current and pending Suppliers ( & ) Registration Agent Distribution Company receives Cancel Enrollment Request ( & ) Is Enrollment Request able to be cancelled ( ) No Distribution Company sends Cancel Enrollment Rejection to RA ( & ) Distribution Company sends Cancel Enrollment Confirmation to RA ( & ) Distribution Company cancels Pending Enrollment ( ) Distribution Company Yes

7 RXQ.11.4.2 Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)
Customer Rescission Customer notifies pending Supplier for Rescission ( ) 3 Customer begins service with pending Supplier ( ) Customer Pending Supplier sends Cancel Enrollment Request to RA ( & ) Pending Supplier receives Cancel Enrollment Confirmation ( & ) Pending Supplier receives Cancel Enrollment Rejection from RA and notifies Customer ( & ) Supplier RA receives Cancel Enrollment Request from pending Supplier ( & ) RA sends Cancel Enrollment Confirmation to pending Supplier ( & ) RA sends Cancel Enrollment Rejection to pending Suppler ( & ) RA sends Cancel Enrollment Request to Distribution Company ( & ) RA Cancels Pending Enrollment ( ) RA receives Cancel Enrollment Rejection ( & ) RA receives Cancel Enrollment Confirmation ( & ) Registration Agent Distribution Company receives Cancel Enrollment Request ( & ) Is Enrollment Request able to be cancelled ( ) No Distribution Company sends Cancel Enrollment Rejection to RA ( & ) Distribution Company sends Cancel Enrollment Confirmation to RA ( & ) Distribution Company cancels Pending Enrollment ( ) Distribution Company Yes

8 RXQ.11.4.3 Customer Drop Using a Registration Agent (RA) Process Flow Diagram (Move-Out)
Customer receives Drop notification ( ) Customer contacts Supplier authorizing Move-Out ( ) Customer receives information from Supplier ( ) Customer Supplier initiates Drop Request and notifies Customer ( ) Supplier sends Drop Request to RA ( ) Supplier investigates rejection notifies Customer ( ) Supplier receives and processes Drop Confirmation ( & ) Supplier receives Drop Rejection ( & ) Supplier RA receives & processes Drop Confirmation and sends to Supplier ( & ) RA receives Drop Request ( ) RA sends Drop Rejection to Supplier ( , , & ) No Drop Request contains the required elements ( & ) Rejected by Evaluation? ( ) Yes Yes ESI ID confirmed ( & ) No RA receives Drop Rejection from Distribution Company and cancels the Pending Drop ( & ) No Registration Agent RA sends Drop Request to Distribution Company ( ) RA logs Drop Request in its info system ( ) Yes ESI ID confirmed ( ) Distribution Company sends Drop Rejection to RA ( & ) No Distribution Company Sends Drop Confirmation to RA ( & ( ) Distribution Company receives Drop Request ( & ) Distribution Company Yes 4

9 RXQ.11.4.4 Account Information Change Request
Using a Registration Agent Submitted by Supplier Process Flow Diagram Registration Agent Customer Supplier receives Account Information Change Confirmation ( & ) Supplier sends Account Information Change Request to Distribution Company ( ) Supplier receives Account Information Change Rejection ( & ) Supplier Distribution Company sends Account Information Change Rejection to Supplier ( & ) No No No Distribution Company processes Account Information Change Request and sends Account Information Change Confirmation to Supplier ( & ) Distribution Company receives Account Information Change Request from Supplier ( ) ESI ID confirmed ( & ) Yes Contains the required elements ( & ) Customer currently being served by Supplier ( ) Yes Distribution Company

10 RXQ.11.4.5 Account Information Change Request
Using a Registration Agent Submitted by Distribution Company Process Flow Diagram Customer Supplier sends Account Information Change Confirmation to RA ( & ) Supplier receives Account Information Change Request ( & ) Contains the required elements ( & ) ESI ID confirmed ( ) Yes Yes Supplier sends Account Information Change Rejection to RA ( & ) No No Supplier RA sends Account Information Change Confirmation to Distribution Company ( & ) Yes RA Sends Account Information Change Request to Supplier ( & ) ESI ID confirmed ( ) Yes Contains the required elements ( & ) RA receives Account Information Change Rejection from Supplier ( & ) RA receives Account Information Change Request ( & ) No RA receives Account Information Change Confirmation from Supplier ( & ) RA sends Account Information Change Rejection to Distribution Company ( & ) No RA sends Account Information Change Rejection to Distribution Company ( & )) Registration Agent Distribution Company receives Account Information Change Confirmation ( & ) Distribution Company receives Account Information Change Rejection from RA ( & ) Distribution Company sends Account Information Change Request to RA ( & ) Distribution Company receives Account Information Change Rejection ( & ) Distribution Company


Download ppt "Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes"

Similar presentations


Ads by Google