DECISION DESK TEMPLATE |
|
AGENT |
Agent’s Name |
JOB NUMBER |
Service Job Number |
CONTRACT |
What type of contract (HMS, P3, etc.) |
CONTRACT NUMBER & START DATE |
Contract Number and the Effective Date |
STATE |
What state is customer in |
CA/IA/SAMS |
Is customer in CA/IA, or is this a Sam's Club HVAC |
PART(S) FAILED |
What part/parts have failed |
REASON FOR FAILURE |
Why did the part/parts fail |
SUPPORTING EVIDENCE |
What is the supporting evidence for the denial |
AGENT COMMENTS |
Any comments from the agent |
CONTRACT CITATION |
Where is denial located in contract and what is verbiage |
ADDITIONAL NOTES |
Any additional notes |
FULL/PARTIAL |
Is this a full or partial denial |