Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: For the data element, "Total Number of Exchange Subscriber IDs in this Plan: Enter the total count of unique Exchange subscriber IDs in this plan variation for the benefit year," should issuers include subscribers who did not have any claims or claims with Cost-sharing Reductions (CSR)?

Answer: For this data element, issuers should only include Subscriber IDs for which the issuer is also submitting data. Likewise, if an issuer aggregates two (2) subscriber IDs into one (1) policy report, the issuer should report only one (1) Subscriber ID. The count of Subscriber IDs should equal the number of reports filed in the policy (03) level report.

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