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.

EDVCycle
eRPT Post Date Response Due Date
September 2022 10/12/2022 10/21/2022
October 2022 11/9/2022 11/21/2022
November 2022 12/9/2022 12/20/2022
December 2022 1/11/2023 1/23/2023
January 2023 2/9/2023 2/21/2023
Feburary 2023 3/9/2023 3/20/2023
March 2023 4/11/2023 4/20/2023
April 2023 5/9/2023 5/18/2023
May 2023 6/9/2023 6/20/2023
June 2023 7/12/2023 7/21/2023

 

*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.

Audit & Attestation

High quality auditing and accounting services for federal, state and local government, not-for-profit as well as private industry.

Consulting

Expert advice, guidance, planning, reporting, analytical capabilities and tools.

Medicare/Medicaid Services

Extensive Medicare experience backed by a portfolio of accounting and consulting services provided to CMS and their contractors.