What are CMS frequency requirements for submitting data?


CMS requires sponsors to submit original PDEs within 30 days following Date Claim Received or Date of Service, whichever is greater. CMS also has required timeframes for resolving rejected PDEs and submitting adjusted and deleted PDEs. Sponsors should review the October 6, 2011 Health Plan Management System (HPMS) memorandum on timely submission of PDE data.

Last Updated: 04/16/2014