Checklist of RDS services we provide

RDS Application & Implementation Services
Identify & Collect Benefit Option Information
 X
Coordinate benefit option information w/Actuaries
 X
Become Vendor & Cost Reporter/Payment Request Designee on RDS application
 X
Establish procedures w/client to maintain/update “Retiree Lists”
 X
Review and upload “Retiree List” to RDS for approval
 X
Complete all retiree data transfers to carriers, if applicable
 X
Complete all parts of RDS Application
 X
Troubleshoot application errors
 X
Complete payment setup requirement
 X
Ongoing RDS Services
Review & respond to CMS response/notification files
 X
Submit response/notification files to carriers as needed
 X
Complete first 11 Steps of Annual Reconciliation for CMS
 X
Ensure Authorized Rep Electronically Signs Step 12 of Reconciliation
 X
Deliver “RDS Work Paper CD” upon completion of Reconciliation
 X
Oversee any CMS audit
 X
Maintain secure records for 6 years as required by CMS
 X
Identify “Creditable Coverage” requirements and develop letter(s)
 X
Design communication campaigns for retiree group
 X
Calculate annual subsidy amount for each Medicare eligible retiree
 X
Monitor RDS & CMS announcements for program changes
 X
RDS Data Management Services
Coordinate directly with all carriers to obtain Interim RDS Cost Reports
 X
Review Cost Reports, correct inaccuracies if needed
 X
Submit Cost Reports to RDS
 X
Troubleshoot cost reporting submission problems
 X
Complete submission of Payment Requests
 X
Maintain “drug” claim database
 X
Track RDS thresholds and limit reductions
 X
Perform “data scrub” in compliance with CMS formulary
 X
Develop Cost Reports in compliance with CMS standards
 X
Modify “drug” claim database for mid-year plan changes
 X
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