CSR Reconciliation (CSR) FAQ
Guidance for FAQ regarding Cost Sharing Reduction (CSR) Reconciliation and Data Submission
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 23, 2016
Program Area: CSR Reconciliation (CSR)
Question: Can CMS provide examples of the enrollment validation edits that will be performed upon receipt of CSR data file by CMS? Would it be possible for CMS to share the specific details regarding enrollment validation edits that will be performed on file receipt so it might be incorporated as part of pre-submission testing?
Answer: The CSR Reconciliation Inbound Specification document that is published on the CCIIO website includes a detailed description of the validations that apply to each data element. CMS also expects to perform an outlier analysis on data submissions to identify anomalies. We expect to provide more details on the data validation process in a future FAQ.
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