Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Data Submission - Other
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: How will the Risk Adjustment (RA) program manage orphaned claims?
Answer: The External Data Gathering Environment (EDGE) server will accept all orphaned claims, but the RA program will not utilize any orphaned claim data for RA calculations. In order for RA to calculate individual risk scores, claims must be matched to an active enrollee. For more information on EDGE server file processing rules, please refer to the EDGE Server Business Rules located in the REGTAP Library.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 14, 2015
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