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

Issue Date: November 18, 2014

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

Question: When the EDGE server returns an EDGE Server File Accept-Reject Report (ESFAR) with an 'I' processing status for informational message, will the EDGE Server File Accept-Reject Report (ESFAR) include the error elements explaining what the warning is?

Answer: Yes. The informational status code "I" will include a detailed description of the reason for the code. If there is a discrepancy in the Paid Amount for what was reported at the issuer level versus what the sum is throughout the entire file, then the issuer will get the 'I' informing the issuer that to the file will continue processing, but the issuer reported dollar amount at the header does not add up to the sum of the plan or claim level reported paid amounts.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.