October 6,2011 ERRP Update

06 October 2011 / ERRP / 0 Comment

Recently the Department of Health and Human Services (HHS) announced changes to the ERRP reimbursement request process that will improve and streamline the process of submitting claims data. This announcement which came on September 12, 2011, implements a new, fully-automated review system. This new system will provide Plan Sponsors with more detailed and specific feedback about their Claim List submissions. Plan Sponsors will receive claim line level feedback on Claim Lists in the form of a Claim List Response File. Reason codes for errors found in the Claim List will be contained in Claim List Response File rather than be sent to plan sponsors via Email. It is important for Plan Sponsors to understand that they will be unable to proceed through the reimbursement process, and obtain payment approval, if there is even one claim line error in the Claim List Response File.

It is also important to note that on the ERRP.gov website, there have been many updates in recent months to the “Common Questions” and “Reference Materials” tabs providing clarifications on a variety of technical issues. News posted on September 23, 2011, HHS announced new “How Do I” training videos addressing common reimbursement issues that are frequently being encountered by Plan Sponsors.

Lastly, Plan Sponsors should remember that the deadline to submit error-free Claim Lists in support of reimbursements received for 2010, based on a summary of aggregated claims, has been extended from December 31, 2011 to March 30, 2012.