Blue Distinction Centers e-RFI Application

Blue Distinction Centers e-RFI Application

ATTACHMENT A

Blue Distinction Centers/E-RFI

Business Rules

©BCBSA, 2009 Confidential

This material is a trade secret. Please refer to the confidentiality reminder in the front of the

BCBSA Facility User Manual.

Blue Distinction Centers

® e-RFI Application: Facility Administrator and User Guide

e-RFI Application

Facility Business Rules

Version 3.0

05/08/2009

1. Log-in

1.1 If Facility Users forget their Username, Users should contact the Facility Administrator (Admin) for their correct information. If the Facility Administrator forgets his/her password, the Plan

Administrator should be contacted for assistance.

1.2 Facility User roles should be set-up in the e-RFI application with the respective company or facility e-mail username and e-mail address.

2. Password

2.1 When a Facility User requests a password to be reset, it is necessary to close out existing browser sessions before attempting to follow the hyperlink in the e-mail message from the e-RFI application. If the initial hyperlink expires, the User returns to the e-RFI application Web site and clicks on the Forgot Password button again. The User will receive a new link to reset the password.

2.2 The link to reset the password is time sensitive and may be clicked only once by the User.

3. Access and Privileges

3.1 The Facility Admin can only grant Roles/Permissions to other facility Users, the same or lesser security roles and access privileges for a BDC Program as has been assigned to the Facility

Admin. (i.e. Facility Admin for BDC Cardiac program cannot assign a User to the BDC

Transplants program).

4. RFI Process

4.1 The nominated facility must complete and save all BDC clinical survey information in the e-RFI application. Incomplete survey submissions will not be accepted or scored by the BCBSA

Clinical Reviewers. The Facility Administrator is responsible for completing the Attestation statement as the last step to submit the BDC clinical surveys in the e-RFI application

©BCBSA, 2009 Confidential

2

This material is a trade secret. Please refer to the confidentiality reminder in the front of the

BCBSA Facility User Manual.

Blue Distinction Centers

® e-RFI Application: Facility Administrator and User Guide

Version 3.0

05/08/2009

4.2 Facility Users will be able to print their submitted clinical surveys only while the current BDC designation cycle is open.

4.3 If the BDC Survey is not completed before the end of the current designation cycle, the nominated facility’s designation process will be closed.

5. Attestation

5.1 A facility's RFI survey submission is not complete until the BDC attestation of accuracy statement has been acknowledged by the Facility Administrator in the e-RFI application.

6. Designation

6.1 To be considered for BDC designation, a facility must be nominated and pass the BDC clinical review process. The facility must also return the signed BDC participation agreements.

6.2 Facility Users will be notified via letter from the BCBS Plan or BCBSA of the BDC designation decisions. This information is not available via the e-RFI application.

7. Appeals

7.1

For a nominated facility to appeal a status determination following the BDC clinical review process, the facility should contact the local Blue Cross and/or Blue Shield Plan BDC contact for a copy of the BDC Appeal Policy.

©BCBSA, 2009 Confidential

3

This material is a trade secret. Please refer to the confidentiality reminder in the front of the

BCBSA Facility User Manual.

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