Frequently Asked Questions (FAQ)

The Frequently Asked Questions (FAQ) lists questions and corresponding answers collected from TPA Operation calls.

These FAQs provide a quick reference for the most asked questions regarding the CGDP Portal and the information provided on the TPAdministrator.com website.

Frequently Asked Questions (FAQ) Articles

Can a batch input file cover multiple payment periods?Will the Due Dates change based upon the time it takes an ACH transaction to clear?Will there be charges to CGDP program participants for this process?What is the timeframe for a PDE to be submitted and reported on an invoice?Is there a list of the manufacturer dispute error codes listed on the TPA website?I submitted a dispute file and some line items rejected. Do I need to re-submit the entire file or only the line item that rejected?When does this new Direct Payment Process begin?How do I sign up for email notifications (Sponsor or Drug Manufacturer)?I am new to the CGDP, is there a training document that will help me to better understand the program?I still have outstanding adjustments for upheld Disputes which have not been paid by Sponsors. How should this be handled?How will Negative amounts be handled with this new process?Where can I find guidance on the calculations that determine the invoice amounts?How do I reset my CGDP mailbox password (Sponsor or Drug Manufacturer)?How will I provide supporting documentation with the new Dispute Management functionality?I am the authorized user but unable to log into the system. What should I do?Can we use Wire Transfer accounts?What software is being used to initiate and manage the payment process?Can a batch input file cover multiple contracts / Pnumbers?What is the Sponsors role when a dispute has been upheld?How is the Dispute process affected by this change?Why have my disputed items never been upheld? I am aware of the Appeals process but I would like to discuss this issue with someone.Will the new Dispute Management functionality assist me in selecting which line items to Dispute?Will we need to add all payees’ accounts to our debit block filter, or just one specific account?As a Drug Manufacturer, how do I change the point of contact for the Manufacturer Portal?How do I submit Payment Confirmations after the Q1 2015 invoices are released?How do I go about sending a 1099 tax form?Will I be able to find payment information for quarters prior to Q1 2015 on the new CGDP Portal?Does the new Dispute Management functionality allow more than one Reason Code per line?Will my bank statement show one combined amount for all payments made / received or separate entries?As a Drug Manufacturer, if my dispute was upheld when can I expect to see an adjustment?Will more than one person be able to fill the Administration and Payment Initiation roles?As a Sponsor, what should I do if our company makes an acquisition, splits, goes out of business, or adds/removes contracts?I received several payments from different Drug Manufacturers but I am unable to match the money with the invoice amount, what do I do?Will the Benefit Year Closeout invoices always involve payments from Sponsors to Manufacturers?What information is available for invoice, payments & receipts data that I can use to integrate with my ERP system?How will you handle payments due to companies who are no longer in business?As a Part D sponsor, I received a payment for this quarter but it does not belong to us. How can I refund the money back to the issuing manufacturer?How will the 1099 submission process change for my company with the new Direct Payment Process?Where will I find the reports?How will we know when payments are still outstanding?I completed an EFT form only a few months ago – why do I need to complete a new one?As a Drug Manufacturer, what should I do if our company makes an acquisition, splits, goes out of business, or adds/removes labeler codes?How are PDEs reported on the invoice?Can negative amounts be deferred?How long can an amount be deferred?Which mailboxes and portals will be phased out?Can I specify to defer line items in a batch input file?What is required to set up my access to the new CGDP Portal and how do I access it?How will DPP support payers' need to have payments initiated by an authorized person that may not be the TPA's primary point of contact?How many line items are displayed on each page for the various payment related screens?With the introduction of the new Dispute Management functionality, will Manufacturers be required to use the new Dispute Builder to create and submit Disputes?As a Sponsor, how do I change the Point of Contact for the CGDP mailbox?My invoice contains an amount which is below my bank's ACH minimum transaction limit. What should I do?How will older, outstanding payments owed to Manufacturers be resolved?I am the authorized user but will be unavailable during a time when invoices will need to be paid. How will the payments be made for my company?How is the bank account EFT information verified?How does one access the new CGDP Portal?Where will the EFT Files be located?Will the TPA automatically withdraw funds to cover all of the amounts due on my invoice?Can you give me an overview of what the Coverage Gap Discount Program about?Is there a possibility that an amount in excess of the amount owed could be debited from my account or could be debited more than once for the same invoice line item?What happens if an initiated payment fails the ACH fund transfer process?Will the new Dispute Management functionality check submissions when the D14 Reason Code is used?What bank information will be used for receiving payments?How can users be sure that this payment process is secure, preserves transactional integrity, and minimizes risk to stakeholders?What is the purpose of the Batch Payment feature?How Can I Update My Contact Information In HPMS?Do we still have to fill out multiple forms for each contract?I was designated as the authorized signer on the Payee or Payer form but am unable to complete the signing process. How do I designate the appropriate person to complete the authorized signature?What bank account information will be used to make payment for the CGDP?How do I update the banking information for my contract?If an entity is represented by a Third Party and will use their bank account information, who should fill out the Payee and Payer modification forms?Since TPA Operations will be directly debiting my bank account, will I need to set up the TPA as a new vendor in my accounts payable system?Who should I contact if I have any questions concerning Payee or Payer forms?Can I use a bank account for sending payments which is different from the account receiving payments?How are invoice payments made in the Coverage Gap Discount Program?

Last Updated: 06/26/2019