![]() This means that Medigap plans, Part D plans, employer supplemental plans, self-insured plans, the Department of Defense, title XIX state Medicaid agencies, and others rely on a national repository of information with unique identifiers to receive Medicare paid claims data for the purpose of calculating their secondary payment. The COBA program established a national standard contract between the BCRC and other health insurance organizations for transmitting enrollee eligibility data and Medicare paid claims data. Employers with VDSAs can use the VDSA to submit their retiree prescription drug coverage population which supports the CMS mission of a single point of contact for entities coordinating with Medicare. Please click the Voluntary Data Sharing Agreements link for additional information.ĬOB Agreement (COBA) Program - CMS consolidates the Medicare paid claim crossover process through the COBA program. The VDSA data exchange process has been revised to include Part D information, enabling VDSA partners to submit records with prescription drug coverage be it primary or secondary to Part D. ![]() Where discrepancies occur in the VDSAs, employers can provide enrollment/disenrollment documentation. ![]() These agreements allow employers and CMS to send and receive group health plan enrollment information electronically. Voluntary Data Sharing Agreements (VDSAs) - CMS has entered into VDSAs with numerous large employers. Some of the methods used to obtain COB information are listed below: Please click the Coordinating Prescription Drug Benefits link for additional information.ĬOB relies on many databases maintained by multiple stakeholders including federal and state programs, plans that offer health insurance and/or prescription coverage, pharmacy networks, and a variety of assistance programs available for special situations or conditions. The COB process provides the True Out of Pocket (TrOOP) Facilitation Contractor and Part D Plans with the secondary, non-Medicare prescription drug coverage that it must have to facilitate payer determinations and the accurate calculation of the TrOOP expenses of beneficiaries and allowing employers to easily participate in the Retire Drug Subsidy (RDS) program.
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