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

Issue Date: May 18, 2016

Program Area: Vendor Management, Payments, and Collections (VMPC)

Question: How do Issuers distinguish between Enrollment and Payment dispute response files?

Answer: Enrollment disputes send out confirmation receipts via email but do not send a response file. Enrollment provides Disposition results via the Semi-monthly report while Payment Disputes return a response file within 1-2 business days via Enterprise File Transfer EFT using the ERRP function code.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.