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Process Tracking System Narrative Report

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Objective #2: Develop Onboarding Process Tracking System Historical Account
The purpose of this objective was to develop a tracking system in order to establish guidelines for how and when potential CO APCD claims submitters are to be contacted, and to ascertain a tracking/follow-up mechanism for CIVHC. This included gathering all information, looking at previous samples of tracking methods and researching optimal ways to design the tracking system in a concise and methodical fashion. After the configuration groundwork for this was done, I proceeded to fill in the blanks for determining which health plans provide what type of services i.e. dental, medical, or pharmacy. I was to essentially consolidate a list of potential health plans identified and informed of the insurance claims submission process, when they were contacted, their contact information, when to follow up, and if the health plan fell under the legislative number of covered lives requirements. Results
In order to accomplish this objective I worked on developing appendix C and appendix D. I continued to report my findings to the APCD Program Manager and seek guidance for any setbacks in my outreach process. The obstacles I encountered were due to the lack of communication from contacted health plans and the scarcity of information on …show more content…
After the meeting I assisted my reporting manager Erin Perry in setting up reporting requirements meeting with, CIVHC and CIVHCs APCD data manager, 3M. The meetings purpose was to review the data intake process, establish the timeline for testing submission files, and to review any questions the TPA might have concerning the data submission

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