Enrollment Data Validation Services


The RPC has been tasked to perform documentation reviews on enrollment-related transactions submitted directly to CMS by MA, MAPD and PDP sponsoring organizations. This shall include but not be limited to Disenrollment (51), Enrollment (61), Residence Address Change (TC 76), Cancellation of Enrollment (TC 80), and Cancellation of Disenrollment (TC 81) transactions submitted to MARx by either the batch process or the User Interface (UI). As part of this review process the RPC shall, at least monthly, request supporting documentation for the transactions selected within the monthly EDV sample set. The monthly sample review will be for the previous month’s activity in MARx reported on each organization’s TRR.

The following schedule was created to assist organizations in their expectancy of receiving EDV sample files via the eRPT system. The schedule indicates when the EDV Review Packages with the sample spreadsheets are to be posted to the eRPT system, as well as the date the response documents are due to the RPC. As noted at the bottom of the schedule, the dates are tentative and subject to change.

EDVCycle
eRPT Post Date Response Due Date
April 2015 5/11/2015 5/ 20/ 2015
May2015 6/10/2015 6/19/2015
June 2015 7/ 9/ 2015 7/ 20/ 2015
July 2015 8/11/2015 8/20/2015
August 2015 9/10/2015 9/18/ 2015
September 2015 10/8/2015 10/19/2015
October 2015 11/10/2015 11/19/ 2015
November 2015 12/9/2015 12/18/2015
December 2015 1/11/2016 1/20/ 2016
January 2016 2/9/2016 2/18/2016
February 2016 3/ 8/ 2016 3/17/ 2016
March 2016 4/7/2016 4/18/2016
April 2016 S/10/2016 S/19/ 2016
May2016 6/8/2016 6/17/2016
June 2016 7/11/2016 7/ 20/ 2016
July 2016 8/9/2016 8/18/2016
August 2016 9/ 8/ 2016 9/19/ 2016
September 2016 10/10/2016 10/19/2016
October 2016 11/8/ 2016 11/17/ 2016
November 2016 12/8/2016 12/19/2016
December 2016 1/9/ 2017 1/18/ 2017
January 2017 2/8/2017 2/17/2017
February 2017 3/ 8/ 2017 3/17/ 2017
March 2017 4/10/2017 4/19/2017
April 2017 S/ 9/ 2017 S/18/ 2017
May2017 6/8/2017 6/19/2017
June 2017 7/10/2017 7/19/ 2017
July 2017 8/8/2017 8/17/2017
August 2017 9/11/2017 9/ 20/ 2017
September 2017 10/10/2017 10/19/2017
October 2017 11/8/ 2017 11/17/ 2017
November 2017 12/11/2017 12/20/2017
December 2017 1/9/ 2018 1/18/ 2018
January 2018 2/9/2018 2/20/2018
February 2018 3/ 9/ 2018 3/ 20/ 2018
March 2018 4/9/2018 4/18/2018
April 2018 S/ 8/ 2018 S/17/ 2018
May2018 6/11/2018 6/20/2018
June 2018 7/10/2018 7/19/ 2018

 

*NOTE: This schedule is tentative and subject to change at any time.
However, plans should expect to receive the EDV files through the eRPT
approximately between the 7th and 10th business day of each month.

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