Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Policy
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Why do issuers have to submit such detailed information in the Enrollment Period Activity Indicator (EPAI)?
Answer: The Risk Adjustment program requires specific enrollment details in order to calculate payment transfers and risk scores, specifically identifying billable members and their member months that will need to be associated with a subscriber's policy for certain transfer parameter calculations. Issuers will retain the details on their External Data Gathering Environment (EDGE) servers while the Centers for Medicare & Medicaid Services (CMS) will receive summary information based on the software that will be run to the servers for risk adjustment. For additional information, please refer to the EDGE Server Business Rules, Section 5.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 25, 2014
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