Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Data Submission - Enrollment File
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: How will CMS determine that a member is enrolled in a plan on the individual or SHOP market versus some other non-exchange (marketplace) health plan?
Answer: The plan ID identifies the plan in which an individual is enrolled. The last two positions of that identifier will indicate whether the plan is offered on or off the Exchange (marketplace). In either case, the plan must be registered in HIOS and have a HIOS-assigned ID.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 15, 2013
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