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CMS Reinsurance Payments Presentation, November 13, 2014 (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
Nov. 13, 2014 41 presentation slides. "This training will provide an overview of the individual enrollee-level reinsurance calculations that will occur on the EDGE server. This is the first step in the reinsurance payment calculation process. Future trainings will cover additional steps in the payment process: Reinsurance estimate reports; Payment process and timeline; Walkthrough of examples of claim and enrollee selection rules; [and] Discrepancy and appeal reporting." MORE >> |
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