Telephone Abandonment Rate for Covered California Expectation Sample Clauses

Telephone Abandonment Rate for Covered California Expectation. No more than 3% of incoming calls in a calendar month. 5% of total performance penalty at risk. Performance Level: >3% abandoned-: 5% performance penalty. 2-3% abandoned: no penalty. <2% abandoned: 5% performance credit.
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Telephone Abandonment Rate for Covered California Expectation. No more than 3% of incoming calls in a calendar month. 5% of total performance penalty at risk. Performance Level: >3% abandoned-: 5% performance penalty. 2-3% abandoned: no penalty. <2% abandoned: 5% performance credit. Initial Call Resolution Expectation: 85% of enrollee issues will be resolved within one (1) business day of receipt of the issue. 5% of total performance penalty at risk. Performance Level: <85%: 5% performance penalty. 85-95%: no penalty. >95%: 5% performance credit. Grievance Resolution Expectation: 95% of enrollee grievances resolved within 30 calendar days. 5% of total performance penalty at risk. Performance Level: <95% resolved within 30 calendar days: 5% performance penalty. 95% or greater resolved within 30 calendar days: no penalty. 95% or greater resolved within 15 calendar days: 5% performance credit Chart 2: Covered California Performance Standards for Contractor Operational Standards 25% of Performance Penalty or Credit Operational Standards Covered California Performance Requirements Enrollment and payment transactions 6 month pilot period: 10/1/13-3/31/14 Measurement period: 4/1/14-12/31/14 Expectation: The Exchange will receive the 999 file within one business day of receipt of the 834/820 file 85% of the time and within 3 bus days of receipt of the 834/820 file 99% of the time within any given month. Expectation and Performance Level and methodology to be determined after the pilot period (based on pilot period). Effectuation of enrollment upon receipt of payment 6 month pilot period: 10/1/13-3/31/14 Measurement period: 4/1/14-12/31/14 Expectation: The exchange will receive the 834 file within one business day of receipt of the member's initial payment file 85% of the time and within 3 bus days of receipt of the member's initial payment 99% of the time within any given month. Expectation and Performance Level and methodology to be determined after the pilot period (based on pilot period). Member payment 6 month pilot period: 10/1/13-3/31/14 Measurement period: 4/1/14-12/31/14 Expectation: The Exchange4 will receive the 820 file within one business day of receipt of the member's payment file 95% of the time and within 3 business days of receipt of the member's payment 99% of the time within any given month. Expectation and Performance Level and methodology to be determined after the pilot period (based on pilot period). Enrollment change upon non-receipt of member payment, 30 day notice and termination 6 month pilot period:...

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