Validation Procedures

Validation Procedures On the home page in CS Tools please select under Customer Request- Supplier account activation. When selected the declined validations will appear with a reason why it was declined from the lab. DECLINED: 1. Declined requests should be processed within the 48 hour time frame. 2. Look up each cbu in the CS Tool to determine if it's an Uprise validation. 3. Verify account is not already set up on their cbu. 4. If lab provides the correct information, make the necessary corrections on the request. However, we are unable to make corrections for Uprise validations. 5. Create a case on the ecp's Uprise opportunity for any declined Uprise validations. Provide a screenshot of the decline and attach it to the case. 6. If unable to make corrections if the lab did not provide the correct information, call the practice to resubmit with correct account information. Make sure to get contact name from ECP. 7. For VCP validations that are declined please tell the ECP to log in at mycompbenefits.com website and select register with a new VCP contract lab with their correct acct information. For co-brand validations such as, Nassau247, Avesis, etc. that are declined have the ECP log into that co-brand website to register their supplier with the correct account information. 8. Make sure to copy the declined notes from the lab and put in comments with your initials and date. Do not use special characters in declined notes. PENDING: 1. Pending requests should be processed within the 48 hour time frame. If the request has been there for more than 48hours call lab to get approval to add the account to the CBU. 2. Call the validation contact for the lab for approval. Upon obtaining approval from the lab, add notes to the request, ?Approved by name at the lab and your initials. 3. For Uprise Validations, obtain approval from the lab. If account information is different, add notes to the validation, and decline the request. Create a case for Uprise to let that team know the request was declined. Include a screenshot of the validation along with the correct account information. 4. For VCP Validations, inform ECP to go through mycompbenefits.com and register their supplier. We cannot add a supplier for an ECP if they are using a MCB cbu. 5. If the status has been pending for two weeks after attempting to contact the lab for approval, decline the request with the reason ?no response? from lab and contact the ECP to let them know.