Schedule Q RFI Report Template.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
HMO Services for MPSERS
Solicitation number
RFP 171 230000003226 2
Issued by
Michigan

About this file

This is a Schedule Q RFI Report Template associated with RFP No. 230000003226, designed to track and manage Request for Information (RFI) responses related to what appears to be a benefits or health insurance claims processing application. The template provides a standardized format for documenting applicant information and RFI status tracking across multiple submission cycles. The document includes data fields for applicant identification, demographic information (including name, gender, date of birth, Social Security number, and contact details), and application processing metrics. The RFI report tracks application receipt dates, election status, RFI denial dates, and application status outcomes including incomplete, in process, final denied, and rejected classifications.

The template serves as an administrative tool for managing the RFI process workflow and documenting reasons for application failures or RFI denials. It captures both initial application status information and subsequent RFI status determinations, enabling tracking of applicant communications and processing outcomes. The structured format allows for systematic review of applications that require additional information or documentation before final determination. No specific pricing terms, set-asides, incumbent information, funding sources, or contract award details are evident in this administrative tracking template.

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Text version

RFI Complete

Schedule Q RFI Report Template
RFP No. 230000003226

MBI LastName FirstName Claims_SubscriberID AppReceiveDate ElectionStatus AppFailedReason RFIComments

Incomplete In Process

Schedule Q RFI Report Template
RFP No. 230000003226

Firstname MName LastName MBI Gender DOB SSN HomePhone Address1 Address2 Address3 City State County Zip AppStatus AppStatusFailedReason AppReceivedDate RFIDenialDate

Incomplete Final Denied

Schedule Q RFI Report Template
RFP No. 230000003226

Firstname MName LastName MBI Gender DOB SSN HomePhone Address1 Address2 Address3 City State County Zip AppStatus AppStatusFailedReason AppReceivedDate RFIDenialDate

Rejected

Schedule Q RFI Report Template
RFP No. 230000003226

Firstname MName LastName MBI Gender DOB SSN HomePhone Address1 Address2 Address3 City State County Zip AppStatus AppStatusFailedReason AppReceivedDate RFIDenialDate

File details come from the government source that posted it. Updated .