empanelment – cr medco-amcco workflow purpose of...

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EMPANELMENT – CR MEDCO-AMCCO WORKFLOW Purpose of the document: An empanelled hospital can apply for change of MEDCO/AMCCO, if hospital is changing the existing MEDCO/AMCCO and appointing a new MEDCO/AMCCO in his place. This module explains the online process of change request of MEDCO. The module also explains how the hospital should raise the request for change of MEDCO/AMCCO and the process involved in processing the change request. Conditions: The hospital should be already empanelled under the scheme. The hospital should be in active status. The hospital is should have a existing MEDCO's/AMCCO's previously. CR MEDCO/AMCCO- WORKFLOW Navigation: MEDCO-->EEX-->EPO--> JEO-EDM 1. Medco will initate the Change request for Medco/Amcoo by entering the details. Once the request along with the attachments are submitted by the Medco,the status will be "Change request for Medco/Amcco". 2. Then the request will go to EEX ,wherein EEX has provision to Recommend Approve or Reject or keep the request on Pending. Recommend Approve: If the request is approved, then the status will be "Empanelment Team Accepted" and it will be forwarded to EPO. Reject : If the request is rejected, then the status will be "Empanelment Team Rejected" and that is final rejection, medco need to raise the request again. Pending : If the request is kept pending,then the status will be "Request kept Pending". Then the Medco need to update the request then the status will be "Request pending updated" and it will be forwarded to EEX. 3.EPO will also have the provisions to Accept/Pending/ Reject. Accept : If the request is approved, then the status will be "EPO Accepted-Medco/Amcoo" and it will be forwarded to JEO-EDM. Reject : If the request is rejected, then the status will be " EPO Rejected-Medco/Amcoo" and that is final rejection, medco need to raise the request again. Pending : If the request is kept pending,then the status will be "Request kept Pending". Then the Medco need to update the request then the status will be "Request pending updated" and it will be forwarded to EEX and process continues. 4.JEO-EDM will also have the provisions to Accept/Pending/ Reject. Accept : If the request is approved, then the status will be "Medco/Amcoo -JEO-EDM Accepted" and it will be final approval and account number gets changed.

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Page 1: EMPANELMENT – CR MEDCO-AMCCO WORKFLOW Purpose of …app.ysraarogyasri.ap.gov.in/ASRI/EXT_IMAGES/documents/Change Request... · Reject : If the request is rejected, then the status

EMPANELMENT – CR MEDCO-AMCCO WORKFLOW

Purpose of the document:

An empanelled hospital can apply for change of MEDCO/AMCCO, if hospital is changing the existing MEDCO/AMCCO and appointing a new MEDCO/AMCCO in his place. This module explains the online process of change request of MEDCO. The module also explains how the hospital should raise the request for change of MEDCO/AMCCO and the process involved in processing the change request.

Conditions:

The hospital should be already empanelled under the scheme. The hospital should be in active status. The hospital is should have a existing MEDCO's/AMCCO's previously.

CR MEDCO/AMCCO- WORKFLOW

Navigation: MEDCO-->EEX-->EPO--> JEO-EDM

1. Medco will initate the Change request for Medco/Amcoo by entering the details. Once the request along with the attachments are submitted by the Medco,the status will be "Change request for Medco/Amcco".

2. Then the request will go to EEX ,wherein EEX has provision to Recommend Approve or Reject or keep the request on Pending.

Recommend Approve: If the request is approved, then the status will be "Empanelment Team Accepted" and it will be forwarded to EPO.

Reject : If the request is rejected, then the status will be "Empanelment Team Rejected" and that is final rejection, medco need to raise the request again.

Pending : If the request is kept pending,then the status will be "Request kept Pending".Then the Medco need to update the request then the status will be "Request pending updated" and it will be forwarded to EEX. 3.EPO will also have the provisions to Accept/Pending/ Reject. Accept : If the request is approved, then the status will be "EPO Accepted-Medco/Amcoo" and it will be forwarded to JEO-EDM.

Reject : If the request is rejected, then the status will be " EPO Rejected-Medco/Amcoo" and that is final rejection, medco need to raise the request again.

Pending : If the request is kept pending,then the status will be "Request kept Pending".Then the Medco need to update the request then the status will be "Request pending updated" and it will be forwarded to EEX and process continues. 4.JEO-EDM will also have the provisions to Accept/Pending/ Reject. Accept : If the request is approved, then the status will be "Medco/Amcoo -JEO-EDM Accepted" and it will be final approval and account number gets changed.

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Reject : If the request is rejected, then the status will be " Medco/Amcoo-JEO-EDM Rejected" and that is final rejection, medco need to raise the request again.

Pending : If the request is kept pending,then the status will be "Request kept Pending".Then the Medco need to update the request then the status will be "Request pending updated" and it will be forwarded to EEX and process continues.

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FLOW DIAGRAM:

Pending

Rejected

Hospital User(Medco) willRaise the request

EEX

EPO

JEO-EDM

Adds or changes the MEDCO/AMCCO

Recommended approval

Recommended approval

ApprovedFinal

rejection

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MEDCO WORKFLOW :

1. Login as Medco with username ( e.g., medco1_ius_hyd )and password as shown in screenshot-1.

Screen shot 1

2. For change request of Medco or addition of new medco same process should be followed. For CR of Medco , click on EDM--> Worklist --> Initiate cases --> Change request form as shown as shown in screen shot 2.

Screen shot 2

3 . For addition of new Medco, click on EDM--> Worklist --> Initiate cases --> Request for addition of new Medco as shown in screen shot 3.

Screen shot 3

Click here

Click here

Click here

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4. For the above two ways, after clicking on the menu, select medco radio button as shown in screen shot 4.

Screen shot 4

5 . Select the type of Medco, qualification and other details of the medco and click on submit button as shown in screenshot 5.

Screen shot 5

6. Then click the digital signature form link and fill the form and click on submit button as shown in screenshot 6.

Click here

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Screen shot 6

7. Add the digital signature form e-copy,other proofs in the attachments and click on submit as shown in screenshot 7.

Screen shot 7

8. Upload the photograph and other attachments and click on submit button as shown in screen shot 8.

Click here

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Screen shot 8

Screens in Approval levels login:

9. Login as EEX(Empanelment Executive) with username and password as shown in screen shot 9.

Screen shot 9

10. Click on EDM--> Worklist-->My cases--> Change Requests as shown in screenshot 10.

Click here

Click here

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Screenshot-1011. Enter the CR ID and click on search as shown in screenshot11.

Screenshot-11

12. Click on the CR ID link with status as change request for Medco. EEX can either Approve/Reject/keep pending. Enter the remarks and click on Pending as shown in screen shot12.

Click here

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Screenshot-12

13. Then the request will be sent to Medco with status as "Request kept pending". Login as Medco as shown in screenshot1 .Click on EDM-> worklist->initiate cases --> Hospital change requests. Then enter the CR ID and search. Then click on the ID as shown in screenshot-13.

Screenshot-13

Enter remarks and click on Pending button

Click here

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14. Enter the remarks and click on update button as shown in screenshot14.

Screenshot-14

15. Then the request gets displayed in EEX worklist and process continues similar to screen shot 9,10,11.16 .Click on reject as shown in screenshot 15. Then the request gets rejected with status as "Empanelment Team rejected", Medco need to raise the request again.

Screenshot-1517. If EEX clicks on Recommend approve as shown in screenshot16. Then the request will be forwarded to EPO with status as "Empanelment Team accepted."

Click here

Click here

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Screenshot-1618. Login as EPO and click on EDM-->worklist--> Mycases --> change requests as shown in

screenshot10. Enter the CR ID and search. Click on the CR ID as shown in screenshot 11.EPO will have the provision to Accept/ Reject/ Pending.

19. Enter the remarks and if EPO clicks on reject as shown in screen shot 15, then request gets rejected with status as "EPO rejected-MEDCO" and Medco need to apply for request again.

20. If EPO clicks on Pending button as shown in screen shot 12 . It will be sent to medco and if medco updates again the process continues from EEX.

21. If EPO clicks on Accept as shown in screen shot17 , then the request will be forwarded to JEO-EDM with status as "EPO Accepted-MEDCO".

Screenshot-16

Click here

Click here

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22. Login as JEO-EDM and click on EDM-->worklist--> Mycases --> change requests as shown in screenshot10. Enter the CR ID and search. Click on the CR ID as shown in screenshot 11.JEO-EDM will have the provision to Accept/ Reject/ Pending.

23. Enter the remarks and if JEO-EDM clicks on reject as shown in screen shot 15, then request gets rejected with status as "MEDCO-JEO-EDM rejected" and Medco need to apply for request again.

24. If JEO-EDM clicks on Pending button as shown in screen shot 12 . It will be sent to medco and if medco updates again the process continues from EEX.

25. If JEO-EDM clicks on Accept as shown in screen shot17 , then the request gets approved with status as "MEDCO-JEO-EDM accepted" and that is the final approval. Then existing medco gets replaced with new medco.

Screenshot-17

Click here

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AMCCO WORKFLOW :

1. Login as Medco with username ( e.g., medco1_ius_hyd )and password as shown in screenshot-1.

2. For change request of Amcco or addition of new Amcco same process should be followed. For CR of Amcco , click on EDM--> Worklist --> Initiate cases --> Change request form as shown as shown in screen shot 2.

3. For addition of new Amcco, click on EDM--> Worklist --> Initiate cases --> Request for addition of new Amcco as shown in screen shot 3.

4. For the above two ways, after clicking on the menu, select Amcco radio button as shown in screen shot 18.

Screenshot-185. Enter all the details of the Amcoo and click on submit as shown in screen shot19.

Screenshot-19

Click here

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6. Then click the digital signature form link and fill the form and click on submit button as shown in screenshot 20.

Screenshot-20

7. Upload the photograph and other attachments and click on submit button as shown in screen shot 21.

Screenshot-21

Click here

Click here

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Screens in Approval levels login:

8. Login as EEX(Empanelment Executive) with username and password as shown in screen shot 9.9. Click on EDM--> Worklist-->My cases--> Change Requests as shown in screenshot 10.10.Enter the CR ID and click on search as shown in screenshot22.

Screenshot-22

11. Click on the CR ID link with status as change request for AMCCO. EEX can either Approve/Reject/keep pending. Enter the remarks and click on Pending as shown in screen shot12.12. Then the request will be sent to Medco with status as "Request kept pending". Login as Medco as shown in screenshot1 .Click on EDM-> worklist->initiate cases --> Hospital change requests. Then enter the CR ID and search. Then click on the ID as shown in screenshot-23.

Screenshot-23

13. Enter the remarks and click on update button as shown in screenshot24.

Click here

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Screenshot-24

14. Then the request gets displayed in EEX worklist and process continues similar to screen shot 9,10,11.15. Click on reject as shown in screenshot 15. Then the request gets rejected with status as "Empanelment Team rejected", Medco need to raise the request again.16. If EEX clicks on Recommend approve as shown in screenshot16. Then the request will be forwarded to EPO with status as "Empanelment Team accepted."17.Login as EPO and click on EDM-->worklist--> Mycases --> change requests as shown in screenshot10. Enter the CR ID and search. Click on the CR ID as shown in screenshot 11.

EPO will have the provision to Accept/ Reject/ Pending. 18.Enter the remarks and if EPO clicks on reject as shown in screen shot 15, then request gets rejected with status as "EPO rejected-AMCCO" and Medco need to apply for request again.19. If EPO clicks on Pending button as shown in screen shot 12 . It will be sent to medco and if medco updates again the process continues from EEX.20. If EPO clicks on Accept as shown in screen shot25 , then the request will be forwarded to JEO-EDM with status as "EPO Accepted-AMCCO".

Click here

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Screenshot-25

21. Login as JEO-EDM and click on EDM-->worklist--> Mycases --> change requests as shown in screenshot10. Enter the CR ID and search. Click on the CR ID as shown in screenshot 11.JEO-EDM will have the provision to Accept/ Reject/ Pending. 22. Enter the remarks and if JEO-EDM clicks on reject as shown in screen shot 15, then request gets rejected with status as "AMCCO-JEO-EDM rejected" and Medco need to apply for request again.23.If JEO-EDM clicks on Pending button as shown in screen shot 12 . It will be sent to medco and if medco updates again the process continues from EEX.24.If JEO-EDM clicks on Accept as shown in screen shot26 , then the request gets approved with status as "AMCCO-JEO-EDM accepted" and that is the final approval. Then existing Amcco gets replaced with new Amcco.

Screenshot-26

Click here

Click here