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Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ

Guidance for FAQ regarding Edge Server Operations and Policy

Final

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

Issue Date: May 28, 2015

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

Question: What is an insurance company attesting to when completing and signing the EDGE Data Attestation sent on May 22, 2015?

Answer: The insurance company's Chief Executive Officer (CEO) or another individual who is authorized to legally and financially bind the organization must attest that to the best of their information, knowledge, and belief, subject to any discrepancy reports identified in the attestation that the organization has filed, the final dedicated distributed data environment report reflects the enrollment, claims and encounter data submitted to the EDGE server through the May 15, 2015 grace period for the 2014 Benefit Year and this data is accurate and consistent with the organization's own internal claims and enrollment data. This attestation is for all Health Insurance Oversight System (HIOS) Issuer IDs listed in the attestation letter.

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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.