Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 14, 2014

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: Are issuers permitted to submit all claims for January through December 15th, or do issuers have the option of submitting January, February, and March data monthly?

Answer: Issuers have the option to submit all claims in one (1) file, or to separate the claims across multiple files. There is not a restriction on the number of files an issuer may submit, nor is there a restriction on the frequency with which data may be submitted. The Centers for Medicare & Medicaid Services (CMS) has set up data reporting milestones for 2015. According to the schedule, issuers must submit to production 90% of the enrollment records and 25% of the pharmacy and medical records for the first and second quarters of 2015 by November 16, 2015. For additional information, please see the Reinsurance and Risk Adjustment Data Reporting Milestones for the 2015 Benefit Year document, located in the REGTAP Library at www.regtap.info.

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