Home // Enhancement Request (DDMI/ROS) Enhancement Request (DDMI/ROS) Enhancement Request (ROS/DDMI) Requestor Name(Required) First Last Email of Requester(Required) Email Address/s of individuals to send copy of this request additional emailif needed additional emailif needed Date Submitted(Required) MM slash DD slash YYYY Request Title(Required)Brief Summary of RequestNeed by Timing(Required) MM slash DD slash YYYY Untitled Nice to have date Must have by date Priority Priority Critical – Severe impact to Customers, Financial Impact to the orgnization, regulatory request, critical function/process issue High – Moderate poduction issue with manual work being created, implementation of new products/services expansion of existing products and services, customer facing impact, etc. Medium – Complaints received, minimal production issue with work around, minor automation improvement, etc. Low – Production issue with little to no impact, nice to have Purpose(Required) Process Improvement Sales Opportunity Customer Experience Compliance Rating Update Adjudication Update Other Please indicate if this Process Improvement results in any of the following:(Required) Automate a Manual Process Reduce Process Steps Eliminate an Issue/Error that Occurs Other Frequency of occurrence(Required) Daily Weekly Monthy Quarterly Yearly Volume- how often does this occur?(Required) 0-10 10-50 50-100 100-500 500+ In what year will the related sales become a part of the sales goal?(Required)What is the anticipated annual sales associated with this request?(Required) $0 $1 – $50,000 $50,001 – $100,00 $100,001 – $500,000 $500,001+ What type of customer is impacted?(Required)Select one or more options Member Employer Broker Provider Other Who?Volume- how many customers does this impact(Required) 0-10 10-50 50-100 100-500 500+ Describe benefit/ROI (Return on Investment) of this enhancementDescribe sales opportunity/potential salesDescribe the Impact to CustomersProvide brief description of compliance needProvide brief description of purpose of enhancementSystem(Required)Select one ROS (EIS) Systems/Portals DDMI/Roosevelt RenConnect Broker Portal – AVIZVA Change Required in ROS system Yes No Unsure ProductsSelect one or more from list Dental Vision Other Select AllProductsSelect one or more Dental Vision STD LTD PFL Life Accident STAT EAP Other Select AllPlease indicate if any changes will be required in the ROS system.(Required)Select one or more Yes No Unsure Select AllPlease indicate if any changes will be required in the Avizva Broker PortalSelect one or more Yes No Unsure Select AllPlease indicate if any changes will be required in the ROS system.(Required)Select one or more Yes No Unsure Select AllPlease indicate if any changes will be required in the Avizva Broker PortalSelect one or more Yes No Unsure Select AllImpacted DepartmentsSelect one or more from dropdown list Billing/Commissions Life and Disability Claims Dental Claims Customer Service Integrations Legal/Compliance Sales Underwriting Sales Support Rating Document Generation Portal Reporting Policy Other Select AllOperational Area(Required)Select one from list FinanceIndividual PlansClaimsCustomer ServiceITLegal/ComplianceSalesOtherDescribe the proposed request(Required)Describe high level context of the idea being proposed. Describe the business need and opportunity(Required)Explain why this request is being submitted. (1) What will be delivered (in scope)? (2) What will it contribute to? (3) Any key exclusions (out of scope)?Describe the anticipated outcomes or deliverables from this initiative(Required)Provide the reasons to do the project – Describe Business Benefits /ValueDescribe the consequences of not proceeding with this request(Required)Very briefly describe what will happen or not happen if the initiative is not completedRequirement Details(Required)Provide any additional requirement details for this request. Use Case Examples(Required)When applicable, provide Use Case/s for this requestDependenciesMention any dependencies with 3rd party systems in case the new feature / enhancement is dependent on them. (Example ROS systems, etc.) Does a Work around Exist(Required)Select one from list Yes No Describe how this enhancement will improve the customer experience, address customer concerns, and/or create retention of customersWork Around CommentsProvide brief description of work around, time and effort, etc. This description may help support prioritization.StakeholdersTo determine potential impacts to overall system/processes (up and down stream) what Stakeholders (SME) should be included in a requirements meeting?Please attach any supporting documentsMax. file size: 50 MB. Δ
