📋 Templates

Fillable forms and downloadable templates for Unity Care Solutions operations

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Finance & Accounts Payable
Payment Request Form
Finance

Request vendor payment. Includes GL coding, invoice details, and approver sign-off chain. Required for all non-payroll disbursements.

→ SOP-010: Vendor Invoice Control  ·  SOP-025: Invoice Approval Chain

⬇ Download XLSX
New Vendor Add / Change Request
Vendor

Add a new vendor to Acumatica or update an existing vendor record. Requires W-9, TIN, contact info, and Director approval before payment can be processed.

→ SOP-010: Vendor Invoice Control

⬇ Download XLSX
Contract Approval Form
Compliance

Route a vendor contract for legal and leadership approval before signing. Captures contract summary, cost, term, BAA requirement, and authorization chain.

→ SOP-009: Vendor Contracting  ·  SOP-034: Approval Authority Matrix

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Operations
Employer Onboarding Checklist
Ops

Step-by-step checklist from LOI through legal docs, vendor setup, eligibility load, and go-live confirmation for each new employer group joining the trust.

→ SOP-009: Employer Onboarding  ·  SOP-011: Eligibility & Enrollment

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Dispute & Recoupment Log
Ops

Track claim disputes, recoupment requests, and resolution status. Required for SOP-004 compliance. Log each dispute with claimant, date, amount, and outcome.

→ SOP-004: Dispute & Recoupment

Meeting Agenda & Action Items
Ops

Standardized agenda format for vendor calls, ops meetings, and working sessions. Includes attendees, agenda items, decisions made, and assigned action items with due dates.

→ General Operations

Compliance & Risk
Gradient AI Pre-Screen Request
Compliance

Standardizes what gets submitted to Gradient AI for clinical risk screening. Captures group name, census details, and submission checklist. Note: BAA must be executed before any PHI is submitted.

→ SOP-030: Gradient AI Risk Screening

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BAA Tracking Log
Compliance

Track Business Associate Agreement status for all vendors that handle PHI. Captures vendor name, execution date, expiration, and renewal trigger. Required for HIPAA compliance.

→ SOP-033: BAA Registry & Breach Response

Sales
Prospect Intake Form
Sales

Capture employer group details at first contact — headcount, current carrier, renewal date, states, broker relationship. Feeds into Gradient AI pre-screen and rate development.

→ SOP-014: Prospect Intake & Quoting

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