GHP Training Material https://www.cms.gov/rss/30636 Tue, 25 Feb 2025 22:15:08 -0500 Centers for Medicare and Medicaid ServicesCOB Hierarchy RulesTue, 05 Nov 2019 03:50:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cob-hierarchy-ruleshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cob-hierarchy-rulesdescription: This course provides background information as to why the COB Hierarchy Rules were implemented, clarifies what is meant by 'flip-flopping of fields on an MSP occurrence' and explains how the COB Hierarchy rules work.

id: 19

ofm_type: pdf

title: COB Hierarchy Rules

]]>Small Employer ExceptionTue, 05 Nov 2019 02:44:46 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/small-employer-exceptionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/small-employer-exceptiondescription: This course explains how some employers may qualify for an exception from the MSP working aged rules and the insurer's role in those situations. Topics in this course include an overview of the Small Employer Exception (SEE), Multi-Employer GHP, the written request for a SEE, SEE application guidelines, reporting a SEE, and possible response file outcomes.

id: 33

ofm_type: pdf

title: Small Employer Exception

]]>Processing MSP Response FilesTue, 05 Nov 2019 02:44:45 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/processing-msp-response-fileshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/processing-msp-response-filesdescription: The MSP Response File is the data set transmitted from the BCRC to the RRE after the information supplied in the RRE's MSP Input File has been processed. This course reviews the MSP Response File including format and content. It explores disposition and error code processing, Part D Eligibility and Enrollment Data as well as file level and threshold errors.

id: 16

ofm_type: pdf

title: Processing MSP Response Files

]]>Quarterly Update MSP Input File SubmissionsTue, 05 Nov 2019 02:44:45 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/quarterly-update-msp-input-file-submissionshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/quarterly-update-msp-input-file-submissionsdescription: After your initial MSP Input File submission, you must send an update MSP Input File each subsequent quarter. This module explains the quarterly update file requirements. It describes the add, delete, and update transactions and provides examples. Additionally, this course reviews the creation of the MSP Occurrence and explains how to report coverage Termination Dates, how to correct MSP Occurrence key information, how to change fields used to determine MSP and what to do when you don't have changes to report.

id: 14

ofm_type: pdf

title: Quarterly Update MSP Input File Submissions

]]>GHP Process OverviewTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-process-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-process-overviewdescription: The topics in this course include: purpose of the GHP Reporting Process, details of the Data Exchange between the Responsible Reporting Entity (RRE) and the Benefits Coordination & Recovery Center (BCRC), including reporting options, file submissions, data flow, Data Use Agreement and the Coordination of Benefits Secure Web Site (COBSW). The course also includes options for customer service and reporting assistance.

id: 03

ofm_type: pdf

title: GHP Process Overview

]]>COBSW-Step 1 - New RegistrationTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-step-1-new-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-step-1-new-registrationdescription: Registration must be completed on the Section 111 COBSW. This course reviews how to register on the Section 111 COBSW.

id: 07

ofm_type: pdf

title: COBSW-Step 1 - New Registration

]]>Modifying Section 111 RegistrationTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/modifying-section-111-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/modifying-section-111-registrationdescription: This course provides information regarding the steps RREs must take if changes occur in reporting status after their initial Section 111 registration is completed. Possible changes include: abandoned RRE IDs, ceasing use of an RRE ID, transition of reporting, changing reporting agents, and changing RRE information.

id: 09

ofm_type: pdf

title: Modifying Section 111 Registration

]]>Update Non-MSP Input File SubmissionTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/update-non-msp-input-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/update-non-msp-input-file-submissiondescription: This learning module provides information on the reporting requirements for update Non-MSP Input Files. Add, Update, and Delete transactions are defined and examples of when to submit each are provided.

id: 24

ofm_type: pdf

title: Update Non-MSP Input File Submission

]]>COBSW Monitor Test File ProcessingTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-monitor-test-file-processinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-monitor-test-file-processingdescription: This course reviews the testing process, reporting Agent testing, threshold and severe file submission errors, and how to view test file results on the Section 111 COBSW.

id: 41

ofm_type: pdf

title: COBSW Monitor Test File Processing

]]>COBSW View Account Activity HistoryTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-view-account-activity-historyhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-view-account-activity-historydescription: To assist with account management, RREs can review the activity performed for an RRE ID account on the Account Activity page. This course shows how to navigate to, and review the content of, the Account Activity page.

id: 42

ofm_type: pdf

title: COBSW View Account Activity History

]]>File Transmission MethodsTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/file-transmission-methodshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/file-transmission-methodsdescription: For Section 111 reporting, RREs will exchange data electronically. This course reviews the methods of data transmission that may be used. Each of the three methods (i.e. Connect: Direct, SFTP, HTTPS), the instructions for registering for an SFTP or HTTPS CMS mailbox and other important information are discussed.

id: 28

ofm_type: pdf

title: File Transmission Methods

]]>COBSW Account Designee RegistrationTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-account-designee-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-account-designee-registrationdescription: This course reviews the Account Designee user role and registration process. It also reviews login ID and password guidelines.

id: 37

ofm_type: pdf

title: COBSW Account Designee Registration

]]>COBSW Monitor File ProcessingTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-monitor-file-processinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-monitor-file-processingdescription: To assist with account management and data file processing, RREs have the ability to monitor file processing and history. This course reviews the file processing pages that RREs will use while monitoring production file processing.

id: 39

ofm_type: pdf

title: COBSW Monitor File Processing

]]>Querying for Medicare Entitlement InformationTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/querying-for-medicare-entitlement-informationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/querying-for-medicare-entitlement-informationdescription: This course details the processes that RREs may use to obtain the Medicare status of covered individuals: Query File transmission and/or the Beneficiary Lookup action on the Section 111 COBSW.

id: 29

ofm_type: pdf

title: Querying for Medicare Entitlement Information

]]>Non-MSP Input File Requirements OverviewTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/non-msp-input-file-requirements-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/non-msp-input-file-requirements-overviewdescription: The Non-MSP Input File is the data set transmitted from an RRE to the BCRC that is used to report information regarding the drug insurance coverage information of Inactive Covered Individuals. This course provides an introduction to Non-MSP Input File requirements including: the Non-MSP File exchange process, the definition of Inactive Covered Individuals, basic data elements, uses of the exchange, action types for different types of records and file format. It also reviews how your reported prescription drug coverage is determined to be supplemental to Medicare Part D and the e-mail notifications you receive during file processing.

id: 22

ofm_type: pdf

title: Non-MSP Input File Requirements Overview

]]>SP99 and SP32 ErrorsTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/sp99-and-sp32-errorshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/sp99-and-sp32-errorsdescription: This CBT was created to assist RREs with the errors most commonly returned on response files: SP99 and SP32. This CBT will assist the RRE in understanding why these errors occur, what to do when these errors are received, and steps to take to prevent these errors in the future.

id: 18

ofm_type: pdf

title: SP99 and SP32 Errors

]]>TestingTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/testinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/testingdescription: Testing will ensure that the RRE has developed an adequate system internally to capture and report data to the BCRC as well as process the corresponding response files. This course will discuss testing preparation, an overview of the testing process, the Section 111 COBSW and general testing requirements.

id: 27

ofm_type: pdf

title: Testing

]]>Unsolicited MSP Response File ProcessingTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/unsolicited-msp-response-file-processinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/unsolicited-msp-response-file-processingdescription: This course explains the Interested Party table, reviews the Unsolicited MSP Response File format and contents, provides insight on how to use the Unsolicited MSP Response File and explains when and how it will be transmitted.

id: 21

ofm_type: pdf

title: Unsolicited MSP Response File Processing

]]>Health Reimbursement Arrangement (HRA)Tue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/health-reimbursement-arrangement-hrahttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/health-reimbursement-arrangement-hradescription: This module describes what an HRA is versus a Flexible Spending Account (FSA) or Health Savings Account (HSA), and HRA reporting requirements and examples, including timeframes, new enrollees, Termination Dates, annual benefit values, and Coverage Type.

id: 34

ofm_type: pdf

title: Health Reimbursement Arrangement (HRA)

]]>COBSW Uploading/Downloading Input Files Via HTTPSTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-uploading-downloading-input-files-via-httpshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-uploading-downloading-input-files-via-httpsdescription: This course reviews file upload guidelines, how to upload input files, threshold and severe file submission errors, and how to download response files.

id: 40

ofm_type: pdf

title: COBSW Uploading/Downloading Input Files Via HTTPS

]]>Initial Non-MSP Input File SubmissionTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/initial-non-msp-input-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/initial-non-msp-input-file-submissiondescription: This course provides information on what must be reported on the initial Non-MSP Input File. It describes the record submittal process and explains the file submission timeframes.

id: 23

ofm_type: pdf

title: Initial Non-MSP Input File Submission

]]>MSP Employer Size Guidelines for GHP Arrangements - Part ITue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-employer-size-guidelines-for-ghp-arrangements-part-ihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-employer-size-guidelines-for-ghp-arrangements-part-idescription: This course provides information on how employer size relates to the MSP requirements for Working Aged, Disability, and ESRD and provides examples on how to correctly determine employer size.

id: 31

ofm_type: pdf

title: MSP Employer Size Guidelines for GHP Arrangements - Part I

]]>COBSW Account Designee MaintenanceTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-account-designee-maintenancehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-account-designee-maintenancedescription: To assist with RRE account management and data file processing, the Account Manager may designate one or more Account Designees to an RRE. This course covers how to add/delete an Account Designee, edit Account Designee information, and regenerate an Account Designee e-mail invitation.

id: 36

ofm_type: pdf

title: COBSW Account Designee Maintenance

]]>COBSW Update RRE ProfileTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-update-rre-profilehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-update-rre-profiledescription: This course reviews the importance of RRE ID Profile Information and how to view/update this information. It also describes the contents of the RRE Information Summary page.

id: 38

ofm_type: pdf

title: COBSW Update RRE Profile

]]>RDS File SubmissionTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/rds-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/rds-file-submissiondescription: This course is designed for RREs that plan to submit retiree files to the Part D Retiree Drug Subsidy (RDS) Center on behalf of a plan sponsor (usually an employer) through the Section 111 reporting process. The course provides guidance on the RDS Retiree File submission.

id: 26

ofm_type: pdf

title: RDS File Submission

]]>TIN Reference Response FileTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/tin-reference-response-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/tin-reference-response-filedescription: This learning module explains the TIN Reference Response File and TIN Validation.

id: 17

ofm_type: pdf

title: TIN Reference Response File

]]>COBSW-Step 2 - Account SetupTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-step-2-account-setuphttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-step-2-account-setupdescription: Account setup must be completed on the Section 111 COBSW. This course reviews how to set up an account on the Section 111 COBSW.

id: 08

ofm_type: pdf

title: COBSW-Step 2 - Account Setup

]]>GHP Section 111 RegistrationTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-section-111-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-section-111-registrationdescription: RREs will register on the Section 111 COBSW. This course reviews the registration requirements, purpose and timeframes. It details the five steps of registration and account setup. This course should be reviewed prior to COBSW- Step 1-New Registration and COBSW-Step 2-Account Setup.

id: 06

ofm_type: pdf

title: GHP Section 111 Registration

]]>COBSW Basic FunctionsTue, 05 Nov 2019 01:39:05 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-basic-functionshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/cobsw-basic-functionsdescription: This course provides an overview of the Section 111 COBSW Login/Logout procedures and reviews some of the basic functions available to RREs from the home page of the Section 111 COBSW.

id: 35

ofm_type: pdf

title: COBSW Basic Functions

]]>General Reporting RequirementsTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/general-reporting-requirementshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/general-reporting-requirementsdescription: This course describes the Section 111 terms and standards. The topics in this course include: defining RREs, use of agents, what to report on the MSP Input and Non-MSP Input Files, file formats, record types, and data formatting standards.

id: 05

ofm_type: pdf

title: General Reporting Requirements

]]>MSP Input File Requirements OverviewTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-input-file-requirements-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-input-file-requirements-overviewdescription: To comply with the Section 111 requirements, all GHP RREs must submit the MSP Input File. This learning module provides an introduction to MSP Input File requirements including data elements, format, MSP Occurrences and file process notifications.

id: 10

ofm_type: pdf

title: MSP Input File Requirements Overview

]]>MSP Input File Reporting MethodsTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-input-file-reporting-methodshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-input-file-reporting-methodsdescription: This course reviews what must be reported on the MSP Input File, including the two reporting options and reporting exclusions. It reviews the definition of an Active Covered Individual including current employment status and employer size. It gives examples of Active Covered Individuals and reviews the data flow when using the Active Covered Individual option. This course also describes the Finder File Method, its data flow, and the query submission process. The course concludes with a discussion of the quarterly update MSP Input File.

id: 12

ofm_type: pdf

title: MSP Input File Reporting Methods

]]>GHP CurriculumTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-curriculumhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-curriculumdescription: A printable listing of the courses and their descriptions for the GHP CBT Curriculum.

id: 01

ofm_type: pdf

title: GHP Curriculum

]]>Beneficiary LookupTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/beneficiary-lookuphttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/beneficiary-lookupdescription: This module explains the Beneficiary Lookup action and who can use it. It reviews the query request limit associated with the Beneficiary Lookup action. It shows how to use the Beneficiary Lookup action and explains the matching criteria and response results.

id: 30

ofm_type: pdf

title: Beneficiary Lookup

]]>MSP Employer Size Guidelines for GHP Arrangements - Part IITue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-employer-size-guidelines-for-ghp-arrangements-part-iihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/msp-employer-size-guidelines-for-ghp-arrangements-part-iidescription: This course reviews the RRE's responsibilities for calculating and submitting updates to employer size and identifies the valid values for the Employer Size field. The CBT concludes with examples of how to report employer size changes.

id: 32

ofm_type: pdf

title: MSP Employer Size Guidelines for GHP Arrangements - Part II

]]>Acronym ListTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/acronym-listhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/acronym-listdescription: A list of acronyms pertaining to MMSEA Section 111 and their descriptions.

id: 02

ofm_type: pdf

title: Acronym List

]]>Initial MSP Input File SubmissionTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/initial-msp-input-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/initial-msp-input-file-submissiondescription: To begin reporting for Section 111, you must create and send an initial MSP Input File. This module provides information on what must be reported on the initial MSP Input File. It describes the record submittal process and explains the file submission timeframes.

id: 13

ofm_type: pdf

title: Initial MSP Input File Submission

]]>Unsolicited MSP Response File BenefitsTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/unsolicited-msp-response-file-benefitshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/unsolicited-msp-response-file-benefitsdescription: This course provides background information on the Unsolicited MSP Response File process, explains the benefits of participation, and clarifies the process for enrollment.

id: 20

ofm_type: pdf

title: Unsolicited MSP Response File Benefits

]]>GHP Process Reporting OptionsTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-process-reporting-optionshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/ghp-process-reporting-optionsdescription: This course explains the two data reporting options available to comply with Section 111: Basic and Expanded. The Basic Reporting Option reflects the minimum requirements the RREs must adhere to in order to comply with Section 111. The Expanded Reporting Option includes the minimum requirements for Section 111 plus the exchange of prescription drug coverage information. This course includes file types and descriptions for each option.

id: 04

ofm_type: pdf

title: GHP Process Reporting Options

]]>Processing Non-MSP Response FilesTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/processing-non-msp-response-fileshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/processing-non-msp-response-filesdescription: The Non-MSP Response File is the data set transmitted from the BCRC to the RRE after the information supplied in the Non-MSP Input File has been processed. The topics in this course include: Non-MSP Response File, Part D Eligibility and Enrollment Data, Processing D Response Records, Processing N Response Records, Non-MSP Input File Level and Threshold Errors, and End Stage Renal Disease (ESRD).

id: 25

ofm_type: pdf

title: Processing Non-MSP Response Files

]]>Quarterly Update File EventsTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/quarterly-update-file-eventshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/quarterly-update-file-eventsdescription: This learning module corresponds with the Quarterly Update Event Table in the User Guide. It provides additional examples illustrating how to submit records on a quarterly MSP Input File.

id: 15

ofm_type: pdf

title: Quarterly Update File Events

]]>TIN Reference FileTue, 05 Nov 2019 01:39:04 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/tin-reference-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-group-health-plans/ghp-training-material/ghp-training-material-items/tin-reference-filedescription: This learning module explains the Tax Identification Number (TIN) Reference File, how to format Employer TIN records, how to format Insurer/Third Party Administrator (TPA) TIN records, and TIN Validation.

id: 11

ofm_type: pdf

title: TIN Reference File

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