United States Health Information Knowledgebase

 

Data Elements Related to Retiree Drug Subsidy

Name: Retiree Drug Subsidy
Definition: Assists in the automation of summarized drug cost and related data transfer from one processor/pharmacy benefit manager to another processor/pharmacy benefit manager. It allows for the continuation of CMS Retiree Drug Subsidy (RDS) cost data reporting by the receiving entity for a given application ID plan year.
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sort Name
sort Definition
Application IDApplication ID assigned by CMS to the Plan Sponsor applying for the Retiree Drug Subsidy.
Contact Person First NameFirst Name of contact person.
Contact Person Last NameLast name of contact person.
Creation DateDate the file was created.
Creation TimeTime the file was created.
Date Of BirthDate of birth of patient.
First NameFirst name.
Gross Retiree CostTotal of all Gross Retiree Costs for the retiree that is valid for Subsidy Billing.
Last NameLast name.
Limit ReductionTotal limit reduction applicable to the retiree's Gross Retiree Cost.
Middle InitialIndividual middle initial.
Qualified Covered Retiree HICNHIC # for each covered individual whom the RDS Plan Sponsor is seeking the subsidy.
Qualified Covered Retiree SSNSocial Security Number for each covered individual whom the RDS Plan Sponsor is seeking the subsidy.
Record TypeType of record being submitted.
Sender IDAn identification number assigned to the sender of the data by the processor/receiver of the data.
Sending Entity IdentifierParty creating the data enclosed or the entity for whom the data is being enclosed.
Telephone NumberTelephone number.
Telephone Number ExtensionExtension of the telephone number.
Threshold ReductionTotal threshold reduction applicable to the retiree's Gross Retiree Cost.
Total Record CountTotal number of records being submitted, including header and trailer.
Unique Benefit Option IdentifierRetiree Drug Subsidy Plan Sponsor-assigned ID to identify a specific benefit design.
Version/Release NumberCode uniquely identifying the transmission syntax and corresponding Data Dictionary.
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