ENROLLMENT DATA VALIDATION (EDV) REVIEW PROCESS STANDARD OPERATING PROCEDURE (SOP)
The EDV SOP provides guidance to all applicable organizations on how to provide supporting documentation for the transactions selected for the EDV Review Process. Organizations must comply with CMS Guidelines and Regulations, which include Chapter 2, 7, 17d, 19 and the Prescription Drug Plan (PDP Guidence. However, organizations must also follow the RPC’s EDV SOP when submitting documentation in response to an EDV Review Request. For your convenience all applicable instructions associated with this process are provided in the Enrollment Data Validation SOP and Toolkit sections and should be used as a step-by-step guide when preparing and submitting supporting documentation. Simply click on the link below to download the SOP.
EDV Review Process SOP