Coverage Type. The coverage type codes used on the non-MSP file will be consistent with those used on the MSP file, but not all MSP file coverage types will be relevant. CMS needs supplemental drug coverage on the non-MSP file. If the partner is describing a network (EDI) pharmacy benefit, the coverage type will be U, W, X, or Y. If the partner is describing a non-network pharmacy benefit the coverage type will be V, Z, 4, 5, or 6. Insurer Name- This is the name of the private insurer providing prescription drug coverage. CMS asks for this to facilitate proper billing at point of sale. Special Note about the “ID” Disposition Code ‘N’ – Non-Reporting Query Record and Response
Appears in 4 contracts
Sources: Voluntary Data Sharing Agreement, Voluntary Data Sharing Agreement, Voluntary Data Sharing Agreement
Coverage Type. The coverage type codes used on the non-MSP file will be consistent with those used on the MSP file, but not all MSP file coverage types will be relevant. CMS needs supplemental drug coverage on the non-MSP file. If the partner is describing a network (EDI) pharmacy benefit, the coverage type will be U, W, X, or Y. If the partner is describing a non-network pharmacy benefit the coverage type will be V, Z, 4, 5, or 6. Insurer Name- This is the name of the private insurer providing prescription drug coverage. CMS asks for this to facilitate proper billing at point of sale. Special Note about the “ID” Disposition Code ‘N’ – Non-Reporting Query Record and ResponseCode
Appears in 3 contracts
Sources: Voluntary Data Sharing Agreement, Voluntary Data Sharing Agreement, Voluntary Data Sharing Agreement