Document #07-2I RXQ.11.4.1 Customer Enrollment Using a Registration Agent (RA) Process Flow Diagram (Move-In) (mod 7/25 & clean-up 8/20) Customer Supplier.

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Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes
Customer authorizes Enrollment ( ) 3 Customer ESI ID confirmed ( ) Yes
Presentation transcript:

Document #07-2I RXQ Customer Enrollment Using a Registration Agent (RA) Process Flow Diagram (Move-In) (mod 7/25 & clean-up 8/20) Customer Supplier Customer authorizes Enrollment ( ) Supplier sends Enrollment Request to RA ( ) RA receives Enrollment Request from Supplier ( ) RA sends Enrollment Rejection to Supplier ( xx & xx & xx & xx) No Supplier receives Enrollment Rejection from RA ( xx & xx) Yes Valid ESI ID confirmed ( ) No Yes Enrollment Request contains the required elements ( ) RA forwards Enrollment Request to Distribution Company ( ) RA sends Drop Request to current Supplier ( & ) RA receives Enrollment Confirmation and forwards to pending Supplier ( & ) Pending Supplier receives Enrollment Confirmation from RA ( & ) Registration Agent Distribution Company RA receives Enrollment Rejection from Distribution Company ( & ) Current Supplier receives Drop Request ( & ) Distribution Company receives Enrollment Request from RA ( ) Distribution Company processes Enrollment Request and sends Enrollment Confirmation to RA ( & ) No ESI ID confirmed ( ) Yes Distribution Company Sends Enrollment Rejection to RA ( & ) Does a current supplier exist? Yes No further action No Inspection required ( ) No Yes 12 3

Document #07-2I RXQ Customer Enrollment Using a Registration Agent (RA) Process Flow Diagram (Move-In) (mod 7/25 & clean-up 8/20) Customer/Inspection Authority Supplier 1 RA receives Notification of Inspection Required and forwards to pending Supplier ( & ) Pending Supplier receives Notification of Inspection Required and notifies Customer ( & ) Registration Agent Distribution Company sends Notification of Inspection Required to RA ( & ) 1 Customer receives notification and contacts inspection authority ( & ) Inspection authority receives notification ( ) Inspection authority contacts Distribution Company and provides inspection information ( ) Distribution Company receives inspection information ( ) Distribution Company updates Enrollment Request with inspection information ( & ) 2 Pending Supplier sends Notification of Inspection Response to RA ( & ) RA receives Notification of Inspection Response ( & )

Document #07-2I Customer Registration Agent Distribution Company 4 RA receives Cancel Enrollment Request and Cancels Pending Enrollment ( & ) RA forwards Cancel Enrollment Request to Distribution Company ( & ) Supplier Distribution Company receives Cancel Enrollment Request ( & ) Customer notifies pending Supplier to cancel enrollment ( ) Pending Supplier sends Cancel Enrollment Request to RA ( & ) Distribution Company Cancels Pending Enrollment ( ) Distribution Company Sends Cancel Enrollment Confirmation to RA ( & ( ) RA receives Cancel Enrollment Confirmation and forwards to pending Supplier ( & ) RXQ Customer Enrollment Using a Registration Agent Process Flow Diagram (Move-In) Customer Cancellation (mod 7/25 & clean-up 8/20) Customer wants to cancel Move- in ( ) No further action required No Yes Pending Supplier receives Cancel Enrollment Confirmation ( & ) 3

Document #07-2I RXQ Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch) Customer Supplier Customer authorizes Enrollment ( ) Supplier sends Enrollment Request to RA ( ) RA receives Enrollment Request from Supplier ( ) RA sends Enrollment Rejection to Supplier ( & & & ) No Supplier receives Enrollment Rejection ( & ) Yes Valid ESI ID confirmed ( ) No Yes Enrollment Request contains the required elements ( ) RA forwards Enrollment Request to Distribution Company ( ) RA sends Drop Request to current Supplier ( ) Distribution Company Receives Enrollment Request from RA ( ) Distribution Company sends Enrollment Confirmation to RA ( & ) RA receives Enrollment Confirmation and forwards to pending Supplier ( & & ) Pending Supplier receives Enrollment Confirmation ( ) Registration Agent Distribution Company ESI ID confirmed ( & ) Yes No RA receives Enrollment Rejection from Distribution Company ( & ) Current Supplier Receives Drop Request ( ) 1

Document #07-2I Customer Registration Agent Supplier Customer receives Pending Enrollment letter ( ) RA sends Pending Enrollment letter to Customer ( ) RA required to send letter notifying Customer of Pending Enrollment ( ) No further action required No Yes Customer requests Rescission ( ) No further action required No Customer Rescission period expired ( ) No further action required No Yes 1 2 RXQ Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)

Document #07-2I Customer Registration Agent Distribution Company Customer contacts RA for Rescission ( ) 2 RA Cancels Pending Enrollment ( & ) RA sends Cancel Enrollment Request to pending Supplier and Distribution Company ( & & & ) Supplier Current Supplier receives Cancel Enrollment Request ( & & & ) Pending Supplier receives Cancel Enrollment Request ( & & & ) Distribution Company receives Cancel Enrollment Request ( & & & ) Customer notifies pending Supplier for Rescission ( ) Customer contacts RA for Rescission Yes No Customer contacts pending Supplier for Rescission ( ) Yes No No further action required Pending Supplier sends Cancel Enrollment Request to RA ( & ) Distribution Company Cancels Pending Enrollment ( ) Distribution Company Sends Cancel Enrollment Confirmation to RA ( & ) RA receives Cancel Enrollment Confirmation ( & ) RA forwards Cancel Enrollment Confirmation to pending Supplier ( ) Pending Supplier receives Cancel Enrollment Confirmation ( ) RXQ Customer Enrollment Using a Registration Agent Process Flow Diagram (Switch)

Document #07-2I Customer Registration Agent Distribution Company 4 RA receives Move-Out Request ( xx) RA sends Move-Out Reject Response to current Supplier ( xx & xx) Supplier Distribution Company receives Move-Out Request ( xx & xx) Customer notifies current Supplier requesting Move- Out (11.3.xx) Current Supplier sends Move-Out Request to RA (11.3.xx) Distribution Company Sends Move-Out Response to RA ( xx & ( xx) RA receives Move-Out Response and sends to current Supplier ( xx & xx) RXQ.11.4.X Customer Drop Using a Registration Agent Process Flow Diagram (Move-Out) Account identity confirmed ( xx) Yes No Current Supplier receives Move-Out Reject Response ( xx & xx) Current Supplier investigates reject reason and contacts customer for verification ( xx & xx) Account identity confirmed ( xx) No Yes Current Supplier receives and processes Move-Out Response ( xx & xx) Customer receives contact from current Supplier ( xx & xx) Distribution Company sends Move-Out Reject Response to RA ( xx & xx)