UHCD Ideas

Request intake portal for the UnitedHealthcare Digital product team

Pre-Sale PCP Search for SAM v2 (SAM Cirrus)

Looking to define a pre-sales PCP search solution for SAM v2 (Sales Automation Management for Cirrus) as part of Cirrus/Polaris. SAM Cirrus will be the strategic  quoting, enrollment and renewal tool for UHC Oxford small business. Targeting to have SAM Cirrus up and running by 10/1/2018 with a business go live of targetef for after 1/1/2019.

 

The SAM Cirrus team is requesting the ability to stand up PCP search functionality into the SAM Cirrus tool by exploring & integrating current UHC provider search capabilities (could be through Rally or through ID API’s, etc).

 

The SAM Cirrus team requires engagement to build out the pre-sale PCP search strategy and define the approach from a UHC Digital perspective…there are a number of potential member enrollment interaction opportunities as well.

  • Guest
  • Aug 9 2017
Priority Important
Estimated Cost ($ Dollars)
Business Problem

need to enable pre-sales PCP search in SAM v2/Cirrus

Business Value

allow brokers/employers to review PCP availability & select PCPs as part of enrollment

Business Risk

negative broker experience in reviewing and selecting PCPs

Date Required By 2018-10-01
Who would be willing to pay for it? Polaris program
Regulatory No
Regulatory Date
Client Commitment Comments
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  • Admin
    Jonathan Rangoonwala commented
    August 9, 2017 21:48

    Assigned to E&I Segment Strategy for Craig Hankins and Chris Liesmaki to vet out

  • Admin
    Craig Hankins commented
    August 14, 2017 16:46

    Questions for the submitting team (also sent via email):

    1. Is the intent to have SAM present provider search and have SAM capture the selected physician as the enrolling subscriber and/or dependent’s PCP? Or is the scope only to present providers with another method being used to capture the selected physician as the enrollee’s PCP?
    2. Have you reviewed the guest search? What of guest search works? What doesn’t? What are the gaps if SAM were to present it?
    3. What products and/or plans must this solution support?
  • Guest commented
    August 16, 2017 13:55

    Hi Craig – My responses are in bold as follows:

     

    1. Is the intent to have SAM present provider search and have SAM capture the selected physician as the enrolling subscriber and/or dependent’s PCP? Or is the scope only to present providers with another method being used to capture the selected physician as the enrollee’s PCP? My understanding is that we are not looking to move away from UHC’s existing PCP selection process; our focus remains entirely on enabling PCP search functionality. Our goal is to present information on PCP availability in available networks that are tied to plan selection options. Understanding if the PCP is in a network will assist the broker or group in plan selection. Members would need to follow the standard path for actually selecting the provider as a PCP outside of SAM.
    2. Have you reviewed the guest search? What of guest search works? What doesn’t? What are the gaps if SAM were to present it?         I am not familiar with guest search. Can you provide additional detail?
    3. What products and/or plans must this solution support? At this point, SAM v2 (SAM Cirrus) will be applicable only to Oxford small business products and/or plan offerings. Oxford is sold to CT, NY and NJ small groups, but membership could be located throughout the United States (example: CA satellite location for a NY group). At a future date, SAM will be expanded to cover additional product offerings outside the Oxford LOB, or small group business.
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