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), Cancellation of Disenrollment (TC 81), and MMP Beneficiary Elected Enrollment Cancellation (TC 82) 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.

eRPT Post Date Response Due Date
April 2023 5/9/2023 5/18/2023
May 2023 6/9/2023 6/20/2023
June 2023 7/12/2023 7/21/2023
July 2023 8/9/2023 8/18/2023
August 2023 9/12/2023 9/21/2023
September 2023 10/10/2023 10/20/2023
October 2023 11/9/2023 11/21/2023
November 2023 12/11/2023 12/20/2023
December 2023 1/10/2024 1/22/2024
January 2024 2/9/2024/ 2/21/2024
February 2024 3/11/2024 3/20/2024
March 2024 4/9/2024 4/18/2024
April 2024 5/9/2024 5/20/2024
*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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