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| 1 | BTSSS RTC Export_2016-11-23.zip | BTSSS RTC Export_2016-11-23.csv | Wed Nov 23 18:45:40 2016 UTC |
| 2 | BTSSS RTC Export_2016-11-23.zip | BTSSS RTC Export_2016-11-23.csv | Fri Dec 16 18:18:27 2016 UTC |
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| 1 | id,Name,Pr imary Text ,Link From ,Implement ed By,Vali dated By,A rtifact Ty pe | |
| 2 | 837652,EPI C01_BN1,Th e Benefici ary Travel Self-Serv ice System (BTSSS) w ill adhere to the En terprise-L evel requi rements wi thin the R equirement s Manageme nt Reposit ory (RMR) and as spe cifically addressed in Appendi x D of the BRD.,,"41 9747: Crea te securit y plan | |
| 3 | 419764: Wo rk with IA M with eno ugh lead t ime | |
| 4 | 419770: Ad here to th e Enterpri se -Level requiremen ts",,Busin ess Epic | |
| 5 | 837653,EPI C02_BN18.1 9.19.20,"T he BTSSS w ill be acc essible vi a interfac es with My HealtheVet and eBene fits, as w ell as des ktop stand ard Web Br owsers, Mo bile Devic es, and VP S Kiosks." ,837652: E PIC01_BN1, "421877: E nsure acce ssibility via MyHeat heVet web site. | |
| 6 | 421884: En sure acces sibility v ia eBenefi ts site | |
| 7 | 421886: En sure acces sibility v ia MyHealt heVet mobi le devices | |
| 8 | 421887: En sure acces sibility v ia eBenefi ts mobile devices | |
| 9 | 422307: En sure acces sibility v ia MyHealt heVet usin g Kiosk de vices",,Bu siness Epi c | |
| 10 | 837654,OWN R18.02,The Beneficia ry Travel Self-Servi ce solutio n will be available via the My HealtheVet site.,837 653: EPIC0 2_BN18.19. 19.20,,,Bu siness Use r Story | |
| 11 | 837655,OWN R18.03,The Beneficia ry Travel Self-Servi ce solutio n will be available via the eB enefits si te.,837653 : EPIC02_B N18.19.19. 20,,,Busin ess User S tory | |
| 12 | 837656,OWN R19.02,The Beneficia ry Travel Self-Servi ce solutio n will be available via the My HealtheVet site.,837 653: EPIC0 2_BN18.19. 19.20,,,Bu siness Use r Story | |
| 13 | 837657,OWN R19.03,The Beneficia ry Travel Self-Servi ce solutio n will be available via the eB enefits si te.,837653 : EPIC02_B N18.19.19. 20,,,Busin ess User S tory | |
| 14 | 837658,OWN R20.02,The Beneficia ry Travel Self-Servi ce solutio n will be available via the My HealtheVet site.,837 653: EPIC0 2_BN18.19. 19.20,,,Bu siness Use r Story | |
| 15 | 837659,EPI C03 (BN n/ a),"The BT SSS is goi ng to be a ccessed by external actors (Be neficiary Care Recip ient, Care giver), as well as i nternal ac tors (VA T ravel Cler k). For ex ternal acc ess from t he MyHealt heVet and the eBenef its portal s, the BTS SS will pr ovide secu re access and authen tication t o allow th e Veteran and Caregi vers to ac cess the s ystem.",," <strike>41 9020: As t he Product Owner, I want the B TSSS to di splay a we lcome scre en to unau thenticate d users wh o access t he BTSSS d irectly th at will di rect them to the lin ks to MyHe altheVet a nd eBenefi ts portals , so that the users know that they need to log on to the sys tem from e ither  ; MyHealth eVet or eB enefits si tes.</stri ke> | |
| 16 | 419774: Re cord infor mation to the MVI | |
| 17 | 419776: BT S3 interac ts with ES R | |
| 18 | 419780: BT S3 interac ts with MV I | |
| 19 | 419784: On ly accessi ble from M yHelatheVe t and eBen efits who are PII-au thorized | |
| 20 | 419786: Un authentica ted users see welcom e screen", ,Business Epic | |
| 21 | 837660,EPI C05 (BN2/3 ),The BTSS S will nee d to provi de Veteran and Non-V eteran Ben eficiary T ravel Clai mants the ability to apply for a Benefic iary Trave l Claimant Profile., 837659: EP IC03 (BN n /a),"41996 6: Track p rofile cre ation and modificati on | |
| 22 | 419969: Ve rify profi le informa tion with source of records sy stems | |
| 23 | 419971: Cl aimant abl e to edit profile | |
| 24 | 419973: Ab ility to p rint profi le applica tion | |
| 25 | 419975: BT SSS valida tes editab le fields | |
| 26 | 419984: Ab ility to r emove Vete rans from Caregivers profile | |
| 27 | 420000: Ab ility to a ssociate V eterans wi th Caregiv ers profil es | |
| 28 | 420002: Se lect Cash payment op tion | |
| 29 | 421889: BT SSS uses E FT account informati on | |
| 30 | 421916: Cl aimant abi lity to re view syste m-of-recor d informat ion | |
| 31 | 421920: Re quire list ed key inf ormation f or creatio n of trave l profile | |
| 32 | 421926: BT S3 retriev es and app lies the D eductible exemption- related in come infor mation | |
| 33 | 421929: BT SSS captur e, retain, and apply Travel Se rvice Conn ected perc entages an d travel c onstraints | |
| 34 | 421942: BT SSS captur e, retain, and apply Deductibl e Waiver | |
| 35 | 421971: BT SSS captur e, retain, and apply Eligibili ty Code | |
| 36 | 422275: Re quire BT P rofile | |
| 37 | 422291: Re quire BT p rofile bef ore claim acceptance | |
| 38 | 422295: Co nfirm comm unication method | |
| 39 | 422298: Al low claima nt to spec ify method of notifi cation reg arding com munication of status and payme nt changes (email, U S Mail, SM S) | |
| 40 | 422299: En force acce ptance of T's and C' s as preco ndition to applicati on submiss ion | |
| 41 | 422309: Cr eate BTSSS Claimant Profile ba sed on dat a imported from sour ce system of records upon acce ptance of T's and C' s",,Busine ss Epic | |
| 42 | 837661,OWN R2.02,"The BTSS will require a profile f or Benefic iary Trave l to be es tablished prior to b eing able to accept a claim fo r the firs t time. | |
| 43 | ||
| 44 | ||
| 45 | ||
| 46 | Note: A Be neficiary Travel pro file is re quired for Veteran a nd Non-Vet eran Benef iciary Tra vel Claima nts.",8376 60: EPIC05 (BN2/3),, ,Business User Story | |
| 47 | 837662,OWN R2.01,"The Beneficia ry Travel Self-Servi ce solutio n will req uire the B eneficiary Travel Cl aimant to submit an applicatio n to creat e a Benefi ciary Trav el profile . The Ben eficiary T ravel appl ication wi ll include the follo wing key i nformation : | |
| 48 | ||
| 49 | ||
| 50 | ||
| 51 | The follow ing inform ation will be provid ed by the Enrollment System as Read-Only attribute s to the B eneficiary Travel Cl aimant to review and validate: | |
| 52 | ||
| 53 | - Name | |
| 54 | ||
| 55 | - Prim ary Addres s | |
| 56 | ||
| 57 | - Temp orary Addr ess (if ac tive) | |
| 58 | ||
| 59 | - Tele phone | |
| 60 | ||
| 61 | - Emai l address" ,837660: E PIC05 (BN2 /3),,,Busi ness User Story | |
| 62 | 837663,OWN R2.04,"The Beneficia ry Travel Self-Servi ce solutio n will all ow the Ben eficiary T ravel Clai mant to sp ecify whic h mode of notificati on will be used to c ommunicate status an d payment changes. These mode s are as f ollows: | |
| 63 | ||
| 64 | - US Mail (Hardcopy) [As avail able in En rollment S ystem] | |
| 65 | ||
| 66 | - Email [A s availabl e in Enrol lment Syst em] | |
| 67 | ||
| 68 | - Mobile S MS [As ava ilable in the Enroll ment Syste m]",837660 : EPIC05 ( BN2/3),,,B usiness Us er Story | |
| 69 | 837664,OWN R2.06,"The Beneficia ry Travel Self-Servi ce solutio n will nee d to provi de the Ben eficiary T ravel Clai mant the " "Terms and Condition s"" and th e ability to accept these cond itions as a precondi tion to al lowing the applicati on to be s ubmitted. | |
| 70 | ||
| 71 | ||
| 72 | ||
| 73 | Note: The acknowledg ement of t he terms w ill be con sidered an ""electro nic signat ure"".",83 7660: EPIC 05 (BN2/3) ,,,Busines s User Sto ry | |
| 74 | 837665,OWN R3.01/3.02 /3.03,"The Beneficia ry Travel Self-Servi ce solutio n will set up a Bene ficiary Tr avel Claim ant profil e containi ng the per sonal info rmation pu lled from the source systems o f records. | |
| 75 | ||
| 76 | The follow ing inform ation will be genera ted by the Beneficia ry Travel Self-Servi ce solutio n using pr econfigure d constrai nt rules a nd paramet ers: trave l constrai nts on num ber of tri ps, cost/t rip, or a combinatio n of these to manage costs; | |
| 77 | ||
| 78 | ||
| 79 | ||
| 80 | The Benefi ciary Trav el Self-Se rvice solu tion will contain th e Benefici ary Claima nt profile ; | |
| 81 | ||
| 82 | ||
| 83 | ||
| 84 | The Benefi ciary Trav el Self-Se rvice solu tion will interface with Veter ans Health Informati on Systems and Techn ology Arch itecture ( VistA) and Enrollmen t System t o create t he Benefic iary Trave l Claimant profile." ,837660: E PIC05 (BN2 /3),,,Busi ness User Story | |
| 85 | 837666,EPI C06 (BN6), The BTSSS will need to provide Travel Cl erk the ab ility to a ssist a Cl aimant in editing Be neficiary Travel pro file and/o r resolve any issue encountere d during t he profile creation. ,837652: E PIC01_BN1, "420004: A llow Trave l Clerks t o delete C laimants p rofile | |
| 86 | 420225: Tr avel Clerk can repri nt Denial of Benefit s and Appe llate Righ ts | |
| 87 | 420231: Tr avel Clerk can manua lly send n otificatio n letter | |
| 88 | 420233: Tr avel Clerk s can use notificati on templat es | |
| 89 | 420244: Se ts the exp iration da te for man ually ente red income informati on | |
| 90 | 422421: Al lows Trave l Clerks t o edit Cla imants Pro file | |
| 91 | 422429: Al low Travel Clerk to enter and edit comme nts | |
| 92 | 422437: Al low Travel Clerk to search cla imant's pr ofile",,Bu siness Epi c | |
| 93 | 837667,OWN R6.04,The BTSS will allow a Tr avel Clerk to view a nd modify Beneficiar y Travel C laimant's profile.,8 37666: EPI C06 (BN6), ,,Business User Stor y | |
| 94 | 837668,EPI C07 (BN7), The BTSSS will deter mine the e ligibility of the Be neficiary Travel Cla imant usin g prescrib ed regulat ions and g uidelines. ,837652: E PIC01_BN1, "420007: D isplay ins tructions for deduct ible waive r | |
| 95 | 420010: Di splay Clai mant's sta tus for de ductible w aiver | |
| 96 | 420015: Di splay the total doll ar amount deducted | |
| 97 | 420017: Di splay the number of one-way an d round-tr ips | |
| 98 | 420018: Di splay appl ication in structions for alter nate incom e | |
| 99 | 420020: BT SSS recalc ulates eli gibility w hen profil e is updat ed | |
| 100 | 420023: Cl aimant can verify ca lculation is correct | |
| 101 | 422444: De termine el igibility of claiman t based on CFR 38.70 .xx and BT Program G uidelines | |
| 102 | 422446: De termine El igibility Based On C laimant Pr ofile and SOR Inform ation",,Bu siness Use r Story | |
| 103 | 837669,OWN R7.01,The Beneficiar y Travel S elf-Servic e solution will dete rmine Clai mant's eli gibility f or reimbur sement bas ed on the rules esta blished in Code of F ederal Reg ulations ( CFR) 38.70 .XX and as expanded in the Ben eficiary T ravel prog ram guidel ines.,8376 68: EPIC07 (BN7),,,B usiness Us er Story | |
| 104 | 837670,OWN R7.02,The Beneficiar y Travel S elf-Servic e solution will dete rmine the Beneficiar y Travel C laimant s Eligibilit y using th e informat ion in the Beneficia ry Travel Claimant p rofile and the infor mation pro vided by t he system- of-record. ,837668: E PIC07 (BN7 ),,,Busine ss User St ory | |
| 105 | 837671,EPI C08 (BN n/ a),"The BT SSS shall provide th e followin g capabili ties to a Travel Cle rk to view a Claiman t s eligib ility crit eria and, in some ca ses, the T ravel Cler k shall be able to e dit the cr iteria.",8 37652: EPI C01_BN1,"4 20236: Sup er User ca n select a nd modify notificati on templat es | |
| 106 | 420264: Tr avel Clerk s can manu ally enter income in formation | |
| 107 | 420265: Di splays the date of l ast change to Benefi ciary's Ad dress | |
| 108 | 420303: Di splays Cla imants Net Income | |
| 109 | 420304: Tr avel Clerk can view deductible waiver in formation | |
| 110 | 420306: Di splays if Claimant e ligible fo r Service- Connected Conditions only | |
| 111 | 420307: Tr avel Clerk can manua lly enter a Deductib le Waiver for a Bene ficiary. | |
| 112 | 420310: In dicates if Veteran i s qualifie d for dedu ctible wai ver | |
| 113 | 420503: Tr avel Clerk can revie w total do llar amoun t deducted ",,Busines s Epic | |
| 114 | 837672,EPI C09 (BN4/5 /8),The BT SSS will p rovide the Beneficia ry Travel Claimant t he ability to reques t Benefici ary Travel reimburse ment.,8376 52: EPIC01 _BN1,"4205 68: Travel Clerk can review to tal number of one-wa y and roun d-trip | |
| 115 | 420576: No tify claim ant if mil eage is be ing calcul ated to cl oser facil ity | |
| 116 | 420580: Li nk for cla ims that h ave not be en adjudic ated | |
| 117 | 420581: Di splay upco ming appoi ntments da ta outside VA system | |
| 118 | 420582: Di splay comp leted appo intments d ata outsid e VA syste m | |
| 119 | 420583: Cl aimant can submit cl aim throug h mobile d evice | |
| 120 | 420585: Cl aimant can view comm ents on cl aim applic ation | |
| 121 | 420588: Ab ility to p rint exist ing claim | |
| 122 | 420589: Cl aimant can see list of all cla im applica tions | |
| 123 | 420590: En able Claim ant to edi t previous ly saved c alim | |
| 124 | 420591: Ab ility to s ubmit mile age only c laim | |
| 125 | 420592: Pr ovides two claim opt ions | |
| 126 | 420594: Di splay clai ming funct ionality f or each ap pointment | |
| 127 | 420603: Di splay Clai mant's app ointment l ist | |
| 128 | 420619: Di splays upc oming appo intments d ata within VA system | |
| 129 | 420649: BT SSS provid es informa tion on re imbursemen t process | |
| 130 | 420668: Di splays rec ently comp leted appo intments w ithin VA s ystem | |
| 131 | 422311: Ab ility to s ubmit a cl aim using a choice o f interfac es | |
| 132 | 422315: BT SSS uses p rofile and ESR to pr ocess reim bursement | |
| 133 | 422317: Cl aimant can choose Pe rmanent or Temporary addresses | |
| 134 | 422318: Ca regiver/At tendant ca n submit a claim | |
| 135 | 422319: Re quires cla im to be t ied to Vet eran's med ical appoi ntment | |
| 136 | 422325: Ab ility to s ubmit clai ms that ha s occurred in the pa st | |
| 137 | 422334: In forms the Claimant t o review t heir profi le | |
| 138 | 422340: Cl aimant rev iews and a grees to T 's and C's | |
| 139 | 422342: En sure the s ame claim can not be submitted twice | |
| 140 | 422344: Pr ovides inf ormation o n how to a ppeal a de nied claim | |
| 141 | 422351: In forms clai mant on cl aim status | |
| 142 | 422352: Ab ility to c reate and submit cla im expense report | |
| 143 | 422367: En ables clai mant to pr ovide rece ipts for e xpense rep ort | |
| 144 | 422369: En able claim ant to sub mit requir ed receipt s | |
| 145 | 422380: En ables Clai mant to sa ve claim f or future updates an d submissi on | |
| 146 | 422432: En able Trave l Clerk to review su bmitted cl aim and ex pense repo rt | |
| 147 | 422448: De termine cl aimant tri p eligibil ity using prescribed regulatio ns and gui delines | |
| 148 | 422451: De termine cl aimant tri p eligibil ity using profile an d the info rmation pr ovided by the system -of-record ",,Busines s Epic | |
| 149 | 837673,OWN R4.01,"The Beneficia ry Travel Claimant w ill have t he ability to submit a claim v ia the fol lowing: | |
| 150 | ||
| 151 | - Standard Web Brows er | |
| 152 | ||
| 153 | - Mobile D evice | |
| 154 | ||
| 155 | - Kiosk",8 37672: EPI C09 (BN4/5 /8),,,Busi ness User Story | |
| 156 | 837674,OWN R4.02,The Beneficiar y Travel S elf-Servic e solution will util ize the Be neficiary Travel Cla imant s pr ofile alon g with inf ormation f ound in th e Enrollme nt System to process the reimb ursement r equest.,83 7672: EPIC 09 (BN4/5/ 8),,,Busin ess User S tory | |
| 157 | 837675,OWN R4.03,"The Beneficia ry Travel Self-Servi ce solutio n will pro vide the B eneficiary Travel Cl aimant the opportuni ty to sele ct either the ""Perm anent"" or ""Tempora ry"" addre ss as stor ed in thei r profile and the co mpleted ap pointment associated with this claim. | |
| 158 | ||
| 159 | ||
| 160 | ||
| 161 | Note: The Beneficiar y Travel C laimant is not requi red to ent er the add ress or ap pointment informatio n as that informatio n is alrea dy availab le in the Enrollment System an d VistA. What they will need to do is c onfirm whi ch address and compl eted appoi ntment is part of th is claim." ,837672: E PIC09 (BN4 /5/8),,,Bu siness Use r Story | |
| 162 | 837676,OWN R4.05,"The Beneficia ry Travel Self-Servi ce solutio n will req uire Non-V eteran (e. g., Attend ant) claim s, to subm it informa tion that identifies the Veter an for who m they are providing the servi ce.",83767 2: EPIC09 (BN4/5/8), ,,Business User Stor y | |
| 163 | 837677,OWN R4.07,The Beneficiar y Travel S elf-Servic e solution will proc ess only t hose claim s associat ed with a completed appointmen t. This wi ll require the Benef iciary Tra vel Self-S ervice sol ution to i nterface w ith VistA and Enroll ment Syste m to acqui re appoint ment and s cheduling informatio n.,837672: EPIC09 (B N4/5/8),,, Business U ser Story | |
| 164 | 837678,OWN R4.08,The Beneficiar y Travel S elf-Servic e solution will allo w for the submission of claims for past and future appointme nts.,83767 2: EPIC09 (BN4/5/8), ,,Business User Stor y | |
| 165 | 837679,OWN R4.09,"The Beneficia ry Travel Self-Servi ce solutio n will inf orm the Be neficiary Travel Cla imant to r eview thei r Benefici ary Travel Claimant profile wi th a Trave l Clerk in those cas es where t hey have e xceeded th e travel c onstraints as captur ed in thei r profile. In addit ion, the B eneficiary Travel Se lf-Service solution will need to place t he Benefic iary Trave ler Claima nt's profi le ""On Ho ld"" for f urther rei mbursement s.",837672 : EPIC09 ( BN4/5/8),, ,Business User Story | |
| 166 | 837680,OWN R4.12,"The Beneficia ry Travel Self-Servi ce solutio n will nee d to provi de the Ben eficiary T ravel Clai mant the " "Terms and Condition s"" and th e ability to accept these cond itions as a precondi tion to al lowing the claim to be submitt ed. | |
| 167 | ||
| 168 | ||
| 169 | ||
| 170 | Note: The acknowledg ement of t he terms w ill be con sidered an ""electro nic signat ure"".",83 7672: EPIC 09 (BN4/5/ 8),,,Busin ess User S tory | |
| 171 | 837681,OWN R4.13,The Beneficiar y Travel S elf-Servic e solution will need to ensure that the same claim cannot be submitted via the B eneficiary Travel Se lf-Service solution and the ex isting Ben eficiary T ravel syst em. Only one system should pr ocess the particular claim. T his may re quire that a claim c an be iden tified as unique acr oss both p latforms t o prevent multiple p ayments fo r the same claim or that all M ileage Cla ims be per formed via the Benef iciary Tra vel Self-S ervice sol ution (eve n those pe rformed by the Trave l Clerk). ,837672: EPIC09 (BN 4/5/8),,,B usiness Us er Story | |
| 172 | 837682,OWN R4.14,The Beneficiar y Travel S elf-Servic e solution will prov ide the Be neficiary Travel Cla imant with appeal in formation (see: Prov ide Appeal Process) for those instances that an ap plication for Benefi ciary Trav el reimbur sement is rejected., 837672: EP IC09 (BN4/ 5/8),,,Bus iness User Story | |
| 173 | 837683,OWN R4.15,The Beneficiar y Travel S elf-Servic e solution will prov ide the Be neficiary Travel Cla imant with notificat ions on th e status a nd disposi tion of th eir claim. (See Aut omated Wor kflow Mana gement),83 7672: EPIC 09 (BN4/5/ 8),,,Busin ess User S tory | |
| 174 | 837684,OWN R5.01,"The Beneficia ry Travel Self-Servi ce solutio n will pro vide the B eneficiary Travel Cl aimant the ability t o create a n ""expens e report." " | |
| 175 | ||
| 176 | Note: An " "expense r eport"" in this cont ext would contain al l of the i temized ex pense entr ies to be submitted as part of the claim . The ""e xpense rep ort"" woul d be accom panied by scanned im ages of th e receipts and suppo rting docu mentation. ",837672: EPIC09 (BN 4/5/8),,,B usiness Us er Story | |
| 177 | 837685,OWN R5.02,"The Beneficia ry Travel Claimant w ill supply the follo wing key i nformation in the "" Expense Re port"": | |
| 178 | ||
| 179 | - Name and Address I nformation for the B eneficiary Travel Cl aimant | |
| 180 | ||
| 181 | - Benefici ary Travel profile t hat will b e used for this proc ess | |
| 182 | ||
| 183 | - Travel I nformation (e.g., Da te of Trav el, Reason ) | |
| 184 | ||
| 185 | - Appointm ent Inform ation (e.g ., Date of Appointme nt, Type o f Treatmen t/Care) | |
| 186 | ||
| 187 | - Expense informatio n (e.g., T ype of Exp ense, Amou nt)",83767 2: EPIC09 (BN4/5/8), ,,Business User Stor y | |
| 188 | 837686,OWN R5.03,"The Beneficia ry Travel Self-Servi ce solutio n will pro vide the B eneficiary Travel Cl aimant the ability t o upload s canned ima ges of rec eipts and supporting documenta tion. | |
| 189 | ||
| 190 | ||
| 191 | ||
| 192 | Note: Scan ned images of receip ts will be required for only t hose charg es requiri ng support ing docume ntation (e .g., toll charges, a ir travel) . ",83767 2: EPIC09 (BN4/5/8), ,,Business User Stor y | |
| 193 | 837687,OWN R5.04,"The Beneficia ry Travel Self-Servi ce solutio n will all ow the Ben eficiary T ravel Clai mant to su bmit both expenses r equiring a receipt ( e.g., air travel) an d expenses that do n ot require a receipt (e.g., Mi leage) wit hin the sa me ""expen se report" ". | |
| 194 | ||
| 195 | Note: This allows th e Benefici ary Travel Claimant to submit all expens es under o ne ""expen se report" " rather t han requir ing them t o move bet ween the s treamlined Mileage E xpense con text and t he Expense Report co ntext.",83 7672: EPIC 09 (BN4/5/ 8),,,Busin ess User S tory | |
| 196 | 837688,OWN R5.05,"The Beneficia ry Travel Self-Servi ce solutio n will req uire the B eneficiary Travel cl aimant to accept the ""terms a nd conditi ons"" prio r to submi tting the ""expense report""." ,837672: E PIC09 (BN4 /5/8),,,Bu siness Use r Story | |
| 197 | 837689,OWN R5.06,"The Beneficia ry Travel Self-Servi ce solutio n will pro vide a mec hanism for the Trave l Clerk to review su bmitted cl aims for a pproval or denial. | |
| 198 | ||
| 199 | ||
| 200 | ||
| 201 | Note: The Travel Cle rk will ne ed to revi ew the sca nned image s and ensu re the inf ormation i s correct and is eli gible for payment. " ,837672: E PIC09 (BN4 /5/8),,,Bu siness Use r Story | |
| 202 | 837690,OWN R5.07,"The Beneficia ry Travel Self-Servi ce solutio n will all ow the Ben eficiary T ravel Clai mant to sa ve their " "expense r eport"" fo r future u pdate and submission .",837672: EPIC09 (B N4/5/8),,, Business U ser Story | |
| 203 | 837691,OWN R8.01,The Beneficiar y Travel S elf-Servic e solution will dete rmine trip 's eligibi lity for r eimburseme nt based o n the rule s establis hed in CFR 38.70.XX and as exp anded in t he Benefic iary Trave l program guidelines ,837672: E PIC09 (BN4 /5/8),,,Bu siness Use r Story | |
| 204 | 837692,OWN R8.02,The Beneficiar y Travel S elf-Servic e solution will dete rmine the Beneficiar y Travel T rip s Elig ibility us ing the in formation in the Ben eficiary T ravel Clai mant profi le and the informati on provide d by the s ystem-of-r ecord.,837 672: EPIC0 9 (BN4/5/8 ),,,Busine ss User St ory | |
| 205 | 837693,EPI C10 (BN6), "BTSSS sha ll provide Travel Cl erk the ca pability f or claim a pplication as a Clai mant proxy . In addi tion to ac ting as pr oxy, The B TSSS will also provi de the cap ability fo r the Trav el Claiman t to manua lly proces s a claim. ",837652: EPIC01_BN1 ,"420662: Enable Tra vel Clerk to accept challenged location | |
| 206 | 420664: BT S3 send no tification of warnin gs | |
| 207 | 420665: En ables Trav el Clerk t o append i nternal co mments | |
| 208 | 420666: Di splay cont ext-sensit ive help | |
| 209 | 422385: Pr ovide reas on for cla im to be p rocessed m anually | |
| 210 | 422386: Pr ovide visu al cues fo r claims a pproaching or exceed ing the de adline | |
| 211 | 422389: Ab ility to s ort list o f claim ap plications that need manual pr ocessing | |
| 212 | 422393: Pr ovide Trav el Clerk l ist of cla im applica tion that need manua l processi ng | |
| 213 | 422397: Se nds Travel Clerk cla ims with e xpense rep orts | |
| 214 | 422399: Tr avel Clerk can appro ve or deny submitted claims | |
| 215 | 422403: En ables Trav el Clerk t o send a m essage to claimant | |
| 216 | 422405: Tr avel Clerk can appen d external comments to claim | |
| 217 | 422406: Tr avel Clerk can chang e the stat us of a cl aim | |
| 218 | 422409: Tr avel Clerk can submi t a claim | |
| 219 | 422411: Tr avel Clerk can searc h and edit claim | |
| 220 | 422416: Tr avel Clerk can view attached d ocuments | |
| 221 | 422440: Tr acks all c hanges to a claim | |
| 222 | 422442: En sure manua l processi ng functio ns can onl y be perfo rmed by au thorized u sers",,Bus iness Epic | |
| 223 | 837694,OWN R6.01,"The Beneficia ry Travel Self-Servi ce will fo rward clai ms with "" expense re ports"" to the Trave l Clerk fo r review a nd approva l.",837693 : EPIC10 ( BN6),,,Bus iness User Story | |
| 224 | 837695,OWN R6.03,The Beneficiar y Travel S elf-Servic e solution will allo w a Travel Clerk to view and m odify Bene ficiary Tr avel Claim ant's clai m for reim bursement. ,837693: E PIC10 (BN6 ),,,Busine ss User St ory | |
| 225 | 837696,OWN R6.05,The Beneficiar y Travel S elf-Servic e solution will need to track all change s performe d by the T ravel Cler k.,837693: EPIC10 (B N6),,,Busi ness User Story | |
| 226 | 837697,OWN R6.06,The Beneficiar y Travel S elf-Servic e solution will need to ensure that manu al process ing functi ons can be performed only by p rescribed users auth orized to perform th ose tasks. ,837693: E PIC10 (BN6 ),,,Busine ss User St ory | |
| 227 | 837698,EPI C11 (BN17) ,The BTSSS will need to includ e Business Rules man agement fe atures. Business R ules manag ement feat ures are a critical component to ensure that the s olutions a llows for flexible c hanges to rules and guidelines .,837652: EPIC01_BN1 ,"420669: Supports q ueuing of processing in the ev ent of any downtime | |
| 228 | 420675: Su pports the VA workfl ow for rul es customi zation wit hin BTS3 | |
| 229 | 420678: Co nfigure nu merical va lues used in the bus iness rule s | |
| 230 | 421846: Ap ply travel criteria to determi ne claiman t's type, trip eligi bility, an d profile constraint s | |
| 231 | 421848: Li mit Busine ss Rules E ngine crea te and mod ify action s authoriz ed users | |
| 232 | 421854: Ca pability t o create a nd modify directive, policy, a nd regulat ory rules" ,,Business Epic | |
| 233 | 837699,OWN R17.01,"Th e Benefici ary Travel Self-Serv ice soluti on will ne ed to supp ort the ab ility to c onfigure a nd modify business r ules utili zed as par t of: | |
| 234 | ||
| 235 | - Workflo w (e.g., t he values/ rules that are used to determi ne what/wh en notific ations are triggered in the wo rkflow) | |
| 236 | ||
| 237 | - Claiman t Eligibil ity Determ ination (e .g., the r ules/value s that are used to d etermine w hether a C laimant s military a nd health informatio n qualifie s them for Beneficia ry Travel) | |
| 238 | ||
| 239 | - Trip El igibility Determinat ion (e.g., the rules /values th at are use d to deter mine wheth er the pur pose of th e Trip qua lifies for Beneficia ry Travel) | |
| 240 | ||
| 241 | - Payment Adjustmen t Determin ation (e.g ., the rul es/values that are u sed to det ermine whe ther a Pay ment Adjus tment shou ld be appl ied and fo r how much ) | |
| 242 | ||
| 243 | - Payment Calculati on (e.g., the rules/ values tha t are used to determ ine the pa yment calc ulation) | |
| 244 | ||
| 245 | - Profile Constrain ts (e.g., the rules/ values tha t are used to determ ine if a p rofile con straint ha s been vio lated)",83 7698: EPIC 11 (BN17), ,,Business User Stor y | |
| 246 | 837700,EPI C12 (BN16) ,"The BTSS S will nee d to inclu de Automat ed Workflo w features (e.g. sta tus tracki ng, notifi cations). Automate d Workflow features are a crit ical compo nent to en sure that claimant's eligibili ty and rei mbursement claims ar e processe d within t he specifi ed objecti ves.",8376 52: EPIC01 _BN1,"4206 80: Allows authorize d VA staff to perfor m modifica tions | |
| 247 | 420684: Al lows for a uthorized modificati ons to BTS SS workflo w | |
| 248 | 421823: Pr ovide auto mated work flow | |
| 249 | 421830: Su pports the ability t o set up n otificatio ns to clai mant | |
| 250 | 421840: Su pports the ability t o track an d report t he status of claims" ,,Business Epic | |
| 251 | 837701,OWN R16.01/16. 02,"The Be neficiary Travel Sel f-Service solution w ill need t o support the abilit y to manag e the proc ess of app lying for Beneficiar y Travel. | |
| 252 | ||
| 253 | ||
| 254 | ||
| 255 | The Benefi ciary Trav el Self-Se rvice solu tion will need to su pport the ability to manage th e process of submitt ing a clai m for Bene ficiary Tr avel reimb ursement", 837700: EP IC12 (BN16 ),,,Busine ss User St ory | |
| 256 | 837702,OWN R16.03,"Th e Benefici ary Travel Self-Serv ice soluti on will ne ed to supp ort the ab ility to s et up noti fications to Benefic iary Trave l claimant s at vario us stages of the pro cess using their pre ferred con tact metho d (e.g., e mail, US M ail, SMS M essage).", 837700: EP IC12 (BN16 ),,,Busine ss User St ory | |
| 257 | 837703,OWN R16.04,The Beneficia ry Travel Self-Servi ce solutio n will nee d to suppo rt the abi lity to tr ack and re port the s tatus of B eneficiary Travel ap plications and payme nt claims throughout their lif ecycle in the proces s.,837700: EPIC12 (B N16),,,Bus iness User Story | |
| 258 | 837704,EPI C13 (BN9), The BTSSS will calcu late the p ayment for the Benef iciary Tra vel Claima nt using p rescribed regulation s and guid elines.,83 7652: EPIC 01_BN1,"42 0689: Able to input geocodes | |
| 259 | 422453: De termine cl aimant pay ment using prescribe d regulati ons and gu idelines | |
| 260 | 422455: De termine pa yment base d on type of claiman t, reason for trip, orign/dest ination, a nd trip mo de | |
| 261 | 422458: Ad justs for deductible s | |
| 262 | 422459: Ve rify physi cal addres s | |
| 263 | 422463: Au tomaticall y processe s claims u sing neare st facilit y",,Busine ss Epic | |
| 264 | 837705,OWN R9.01,The Beneficiar y Travel S elf-Servic e solution will dete rmine paym ent amount based on the rules establishe d in CFR 3 8.70.XX an d as expan ded in the Beneficia ry Travel program gu idelines,8 37704: EPI C13 (BN9), ,,Business User Stor y | |
| 265 | 837706,OWN R9.02,The Beneficiar y Travel S elf-Servic e solution will util ize a veri fiable phy sical addr ess to ens ure accura cy based o n United S tates Post al Service (USPS) st andards. N o PO Box A ddresses w ill be all owed.,8377 04: EPIC13 (BN9),,,B usiness Us er Story | |
| 266 | 837707,OWN R9.05,"The Beneficia ry Travel Self-Servi ce solutio n will det ermine pay ment based on the ty pe of Clai mant, Reas on for Tri p, and Ori gin/Destin ation. Als o, the Ben eficiary T ravel Self -Service s olution wi ll adjust for deduct ibles (see Apply Pay ment Adjus tments).", 837704: EP IC13 (BN9) ,,,Busines s User Sto ry | |
| 267 | 837708,OWN R9.06,The Beneficiar y Travel S elf-Servic e solution will adju st for ded uctibles ( see Apply Payment Ad justments) .,837704: EPIC13 (BN 9),,,Busin ess User S tory | |
| 268 | 837709,OWN R9.07,"The Beneficia ry Travel Self-Servi ce solutio n will pro cess claim s where th e nearest facility p rovides th e treatmen t/care ref erred to i n the comp leted appo intment. | |
| 269 | ||
| 270 | ||
| 271 | ||
| 272 | Note: The implicatio n is that in order t o perform the automa ted proces sing for c laims the Beneficiar y Travel S elf-Servic e solution will need to be con figured an d provided all infor mation req uired to e nsure that the facil ity visite d is the n earest fac ility for the partic ular treat ment and/o r care. A claim tha t cannot b e automati cally proc essed will be proces sed manual ly by the Travel Cle rk.",83770 4: EPIC13 (BN9),,,Bu siness Use r Story | |
| 273 | 837710,EPI C14 (BN10) ,The BTSSS will appl y any requ ired adjus tments to the paymen t for the Beneficiar y Travel C laimant us ing prescr ibed regul ations and guideline s.,837652: EPIC01_BN 1,"420695: Travel Cl erk can ma ke manual payment ad justments | |
| 274 | 420718: De termine cl aimant pay ment using the infor mation in claimant p rofile | |
| 275 | 420722: Ab ility to u pdate trea tment care and servi ces in BTS SS | |
| 276 | 420724: Ma intains re cord treat ment and c are servic es provide d by VA me dical faci lities | |
| 277 | 420726: Ab ility to u pdate VA m edical fac ility loca tions | |
| 278 | 420730: VA medical f acility lo cations av ailable in BTSSS | |
| 279 | 421671: De termine Be neficiary Travel Pay ment Adjus tments usi ng prescri bed regula tions and guidelines | |
| 280 | 421681: De termine Pa yment Adju stments us ing the in formation in the Cla imant prof ile and th e informat ion from t he source systems of records", ,Business Epic | |
| 281 | 837711,OWN R10.01,The Beneficia ry Travel Self-Servi ce solutio n will det ermine pay ment adjus tments bas ed on the rules esta blished in CFR 38.70 .XX and as expanded in the Ben eficiary T ravel prog ram guidel ines.,8377 10: EPIC14 (BN10),,, Business U ser Story | |
| 282 | 837712,OWN R10.02,"Th e Benefici ary Travel Self-Serv ice soluti on will in teract wit h VA syste ms-of-reco rd (e.g., VistA and Enrollment System) t o access i nformation utilized in determi ning trave l adjustme nts.",8377 10: EPIC14 (BN10),,, Business U ser Story | |
| 283 | 837713,EPI C15 (BN11/ 12),The BT SSS will e nsure that a payment is genera ted only w hen paymen t criteria is met an d will for ward the r equest for payment t o the corr ect party (e.g. Fisc al Departm ent).,,"42 0765: Rela y status m essages fr om FMS to BTSSS | |
| 284 | 421688: Ge nerates re quest for payment wh en criteri a is met | |
| 285 | 421695: Pr ovides pay ment summa ry | |
| 286 | 421696: Ho lds paymen t until ap pointment has been c ompleted | |
| 287 | 421700: En ables clai mant to tr ack claims throughou t process | |
| 288 | 421703: Pa yments per formed by Direct Dep osit EFT", ,Business User Story | |
| 289 | 837714,OWN R11.01,The Beneficia ry Travel Self-Servi ce solutio n will nee d to be ab le to gene rate a req uest to th e Fiscal D epartment to initiat e the paym ent proces s.,837713: EPIC15 (B N11/12),,, Business U ser Story | |
| 290 | 837715,OWN R11.02,"Th e Benefici ary Travel Self-Serv ice soluti on will al low the pr ocessing o f Benefici ary Travel claim pri or to the Veteran's appointmen t checkout (i.e., "" Completed Encounter" "), but wi ll not dis burse fund s until th e appointm ent has be en complet ed.",83771 3: EPIC15 (BN11/12), ,,Business User Stor y | |
| 291 | 837716,OWN R11.03,The Beneficia ry Travel Self-Servi ce solutio n will nee d to provi de the Ben eficiary T ravel Clai mant a sum mary of th e payment informatio n as part of their a cknowledge ment.,8377 13: EPIC15 (BN11/12) ,,,Busines s User Sto ry | |
| 292 | 837717,OWN R11.04,The Beneficia ry Travel Self-Servi ce solutio n will nee d to have the abilit y to track all claim s througho ut the ent ire proces s. The so lution wil l need to have compl ete tracea bility fro m payment to deposit .,837713: EPIC15 (BN 11/12),,,B usiness Us er Story | |
| 293 | 837718,OWN R12.01/12. 02,"The Be neficiary Travel Sel f-Service solution w ill requir e the paym ents by th e Fiscal D epartment to be perf ormed as D irect Depo sit EFT; | |
| 294 | ||
| 295 | ||
| 296 | ||
| 297 | The Benefi ciary Trav el Self-Se rvice solu tion will provide th e Fiscal D epartment with the B eneficiary Travel Cl aimants Di rect Depos it EFT inf ormation a s captured in the Be neficiary Travel Cla imant's pr ofile.",83 7713: EPIC 15 (BN11/1 2),,,Busin ess User S tory | |
| 298 | 837719,EPI C16 (BN14) ,The BTSSS will need to provid e the Bene ficiary Tr avel Claim ant the ab ility to p lan for fu ture trips .,,"420788 : Ability to submit the claim for pre-ex pensing | |
| 299 | 421728: Pr ovides a T rip Estima tor | |
| 300 | 421732: Tr ip Estimat or display s the reas on my plan ned trip i s not elig ible for r eimburseme nt | |
| 301 | 421734: Ab ility to s elect addr ess of ori gin and ap pointment informatio n for Trip Estimator ",,Busines s Epic | |
| 302 | 837720,OWN R14.02,The Beneficia ry Travel Self-Servi ce solutio n will pro vide the B eneficiary Travel Cl aimant the ability t o determin e the cost and eligi bility of Beneficiar y Travel r eimburseme nt for fut ure appoin tments.,83 7719: EPIC 16 (BN14), ,,Business User Stor y | |
| 303 | 837721,OWN R14.03,"Th e Benefici ary Travel Claimant would sele ct a futur e appointm ent, indic ate the ad dress of o rigin, and receive i mmediate f eedback fr om the Ben eficiary T ravel Self -Service s ystem as t o whether their appo intment is eligible for Benefi ciary Trav el reimbur sement and , if so, f or how muc h, and if not eligib le, the re ason. Thi s capabili ty will be particula rly useful to incent the Benef iciary Tra vel Claima nt to trav el to the nearest f acility f or the par ticular tr eatment/ca re. ",837 719: EPIC1 6 (BN14),, ,Business User Story | |
| 304 | 837722,EPI C17 (BN13) ,The BTSSS will prov ide the Be neficiary Travel Cla imant with the appro priate app eals proce ss dependi ng on the issue enco untered an d as presc ribed by r egulations and guide lines.,,"4 21010: Sto res appeal procedure s for each reason of rejection | |
| 305 | 421704: Pr ovides cla imant feed back when the claim is rejecte d | |
| 306 | 421709: Pr ovides Cla imant with an appeal s process when rejec ted based on Person Eligibilit y | |
| 307 | 421720: Pr ovide Clai mant with a link to instructio ns to an a ppeals pro cess | |
| 308 | 421723: Pr ovides Cla imant with an appeal s process when rejec ted based on exceedi ng Travel Constraint s",,Busine ss Epic | |
| 309 | 837723,OWN R13.01,"Th e Benefici ary Travel Self-Serv ice soluti on will ne ed to prov ide the Be neficiary Travel Cla imant feed back when the claim is rejecte d. This w ould requi re informi ng the Ben eficiary T ravel Clai mant of av ailable ap peals proc ess and in structions . | |
| 310 | ||
| 311 | ||
| 312 | ||
| 313 | Note: This will invo lve direct and immed iate feedb ack by Ben eficiary T ravel Self -Service. However, this may a lso requir e the Bene ficiary Tr avel Self- Service so lution to trigger co rresponden ce, etc. w ith the ap propriate appeals fo rms, proce ss, and in structions . In addi tion, the Beneficiar y Travel C laimant ca n meet wit h the Trav el Clerk t o review t he results and provi de additio nal suppor t.",837722 : EPIC17 ( BN13),,,Bu siness Use r Story | |
| 314 | 837724,OWN R13.02,"Th e Benefici ary Travel Self-Serv ice soluti on will pr ovide the Beneficiar y Travel C laimant wi th an appe als proces s when rej ected base d on Perso n Eligibil ity. | |
| 315 | ||
| 316 | Note: Dete rmine if t he Person is eligibl e based on the Claim ant Type, Medical In formation, and Incom e Informat ion.",8377 22: EPIC17 (BN13),,, Business U ser Story | |
| 317 | 837725,OWN R13.03,"Th e Benefici ary Travel Self-Serv ice soluti on will pr ovide the Beneficiar y Travel C laimant wi th an appe als proces s when rej ected base d on Trip Eligibilit y. | |
| 318 | ||
| 319 | ||
| 320 | ||
| 321 | Note: Det ermine the trip elig ibility ba sed on the type of t rip and ty pe of clai mant. Also , determin e round-tr ip or one- way reimbu rsement.", 837722: EP IC17 (BN13 ),,,Busine ss User St ory | |
| 322 | 837726,OWN R13.04,"Th e Benefici ary Travel Self-Serv ice soluti on will pr ovide the Beneficiar y Travel C laimant wi th an appe als proces s when rej ected base d on excee ding trave l constrai nts establ ished in t heir profi le. | |
| 323 | ||
| 324 | ||
| 325 | ||
| 326 | Note: Tra vel constr aints as s et up by t he Benefic iary Trave l Self-Ser vice solut ion when e stablishin g the Bene ficiary Tr avel Claim ant's prof ile.",8377 22: EPIC17 (BN13),,, Business U ser Story | |
| 327 | 837727,EPI C18 (BN15) ,Business Intelligen ce and Rep orting aff ects the a bility to implement and manage all of th e capabili ties. Bus iness Inte lligence a nd Reporti ng tools a re require d as a cri tical comp onent to e nsure that the syste m meets ef ficiency a nd costs r equirement s.,,"42101 4: Generat es the Fac ility Vouc her Report when sele ct the tim eframe and facility | |
| 328 | 421017: Ru ns the Fac ility Vouc her Report for a spe cified dat e range an d a select ed facilit y | |
| 329 | 421018: Ge nerates th e Most Eco nomical Re port when select the timeframe and range of Vetera ns' Last N ames | |
| 330 | 421025: Ru ns the Mos t Economic al Report for a spec ified time frame, and range of Veterans' Last Names | |
| 331 | 421050: Ge nerates th e FULL ver sion of th e Clerk Re port | |
| 332 | 421057: Ge nerates th e TOTAL ve rsion of t he Clerk R eport | |
| 333 | 421062: Ge nerates th e Audit Re port when select the timeframe and range of Vetera ns' Last N ames | |
| 334 | 421066: Ru ns the Cle rk Report for a spec ified time frame | |
| 335 | 421152: Ab le to run the Audit Report | |
| 336 | 421153: Ge nerates th e TOTAL ve rsion of t he Summary Report | |
| 337 | 421156: Ab le to run the Summar y Report f or a speci fied timef rame | |
| 338 | 421158: Ab le to cust omize an e xisting re port in th e BTSSS | |
| 339 | 421162: Ab le to buil d a new re port in th e BTSSS | |
| 340 | 421168: Ex ports resu lts from a ny authori zed report to Portab le Documen t Format ( PDF) | |
| 341 | 421218: Ex ports resu lts from a ny authori zed report to Micros oft Excel | |
| 342 | 421240: Pr ints any a uthorized report to a facility printer | |
| 343 | 421244: Sc hedules an y report t o run at a specified time and deliver th e results | |
| 344 | 421249: Ru ns any aut horized re port manua lly on dem and | |
| 345 | 421813: Ge nerates th e FULL ver sion of th e Summary Report",,B usiness Ep ic | |
| 346 | 837728,OWN R15.01/15. 02/15.04," The Benefi ciary Trav el Self-Se rvice solu tion will provide Bu siness Int elligence and Report ing to ena ble VTP to perform a udits to i dentify an d address Beneficiar y Travel p rogram abu se; | |
| 347 | ||
| 348 | The Benefi ciary Trav el Self-Se rvice solu tion will provide Bu siness Int elligence and Report ing to ena ble VTP to determine if the Be neficiary Travel Sel f-Service solution i s meeting goals and objectives ; | |
| 349 | ||
| 350 | The Benefi ciary Trav el Self-Se rvice solu tion will need to in tegrate wi th the VTP Corporate Data Ware house to c ontribute to additio nal VTP an alysis (e. g., behavi oral patte rns, etc.) ",837727: EPIC18 (BN 15),,,Busi ness User Story | |
| 351 | 837729,OWN R15.03,"Th e Benefici ary Travel Self-Serv ice soluti on will ne ed to prov ide report s at multi ple levels . This in cludes rep orting at multiple l evels such as Nation al, Vetera ns Integra ted Servic e Network (VISN), an d Facility levels.", 837727: EP IC18 (BN15 ),,,Busine ss User St ory | |
| 352 | ,,,,,, | |
| 353 | METADATA,, ,,,, | |
| 354 | Exported A rtifact ID s=837652|8 37653|8376 54|837655| 837656|837 657|837658 |837659|83 7660|83766 1|837662|8 37663|8376 64|837665| 837666|837 667|837668 |837669|83 7670|83767 1|837672|8 37673|8376 74|837675| 837676|837 677|837678 |837679|83 7680|83768 1|837682|8 37683|8376 84|837685| 837686|837 687|837688 |837689|83 7690|83769 1|837692|8 37693|8376 94|837695| 837696|837 697|837698 |837699|83 7700|83770 1|837702|8 37703|8377 04|837705| 837706|837 707|837708 |837709|83 7710|83771 1|837712|8 37713|8377 14|837715| 837716|837 717|837718 |837719|83 7720|83772 1|837722|8 37723|8377 24|837725| 837726|837 727|837728 |837729,,, ,,, | |
| 355 | Export Pro ject Area= https:// DNS . DNS / DNS /process/p roject-are as/_MW9e0T 1MEeao1MwK qhPaTQ,,,, ,, | |
| 356 | Export Con figuration =https:// DNS . DNS / DNS /_NH1iID1M Eeao1MwKqh PaTQ,,,,,, |
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