Enrollment Data Validation Services


The RPC has been tasked to perform documentation reviews on enrollment-related transactions submitted directly to CMS by MA, MAPD and PDP sponsoring organizations. This shall include but not be limited to Disenrollment (51), Enrollment (61), Residence Address Change (TC 76), Cancellation of Enrollment (TC 80), Cancellation of Disenrollment (TC 81), and MMP Beneficiary Elected Enrollment Cancellation (TC 82) transactions submitted to MARx by either the batch process or the User Interface (UI). As part of this review process the RPC shall, at least monthly, request supporting documentation for the transactions selected within the monthly EDV sample set. The monthly sample review will be for the previous month’s activity in MARx reported on each organization’s TRR.

The following schedule was created to assist organizations in their expectancy of receiving EDV sample files via the eRPT system. The schedule indicates when the EDV Review Packages with the sample spreadsheets are to be posted to the eRPT system, as well as the date the response documents are due to the RPC. As noted at the bottom of the schedule, the dates are tentative and subject to change.

EDVCycle
eRPT Post Date Response Due Date
March 2025 4/9/2025 4/18/2025
April 2025 5/9/2025 5/20/2025
May 2025 6/10/2025 6/20/2025
June 2025 7/10/2025 7/21/2025
July 2025 8/11/2025 8/20/2025
August 2025 9/10/2025 9/19/2025
September 2025 10/9/2025 10/21/2025
October 2025 11/12/2025 11/21/2025
November 2025 12/9/2025 12/18/2025
December 2025 1/12/2026 1/22/2026
January 2026 2/10/2026 2/20/2026
Feburary 2026 3/10/2026 3/19/2026
March 2026 4/9/2026 4/20/2026
April 2026 5/11/2026 5/20/2026
May 2026 6/9/2026 6/18/2026
June 2026 7/10/2026 7/21/2026
July 2026 8/11/2026 8/20/2026
August 2026 9/10/2026 9/21/2026
September 2026 10/9/2026 10/21/2026
October 2026 11/10/2026 11/20/2026
November 2026 12/9/2026 12/18/2026
December 2026 1/12/2027 1/21/2027
*NOTE: This schedule is tentative and subject to change at any time.
However, plans should expect to receive the EDV files through the eRPT
approximately between the 7th and 10th business day of each month.

Audit & Attestation

High quality auditing and accounting services for federal, state and local government, not-for-profit as well as private industry.

Consulting

Expert advice, guidance, planning, reporting, analytical capabilities and tools.

Medicare/Medicaid Services

Extensive Medicare experience backed by a portfolio of accounting and consulting services provided to CMS and their contractors.