Coverage Gap Discount Program (CGDP) Dispute Upload Feature Update
The Coverage Gap Discount Program (CGDP) Manufacturer Portal has implemented a security update for the Dispute Upload feature.
Beginning with the Q2 2024 reporting period and going forward through the end of Q3 2024 dispute submission period, manufacturers wishing to manually submit a dispute file will be required to perform new steps to complete the submission process.
Manufacturers can continue to create manual dispute files via their current internal processes or are able to use the Dispute Builder functionality to create and submit disputes for the Q2 2024 and Q3 2024 dispute submission periods.
To use the Dispute Builder feature in the CGDP Manufacturer Portal, reference the “CGDP Manufacturer Portal Disputes Users Guide” located at TPA - CGDP Manufacturer Portal Disputes Users Guides (tpadministrator.com) beginning on page 24 for instructions on the Dispute Builder feature and beginning on page 34 for instructions on the Dispute Submission page.
For those manufacturers that prefer to continue submitting manual dispute files, the CGDP Manufacturer Portal will no longer allow upload of external files to the system.
To assist those manufacturers with loading and submitting their manual dispute files, the following steps are required.
- After creation of your manual dispute file, verify that the size of the file is no larger than 50MB, as this is the largest file size TPA Operations can accept.
- If the file is larger than 50MB, create multiple files that will be acceptable under the 50MB limit and label them with the order that they should be reconstituted for systems load.
- Example: File 1 of 3, File 2 of 3, etc.
- If the file is larger than 50MB, create multiple files that will be acceptable under the 50MB limit and label them with the order that they should be reconstituted for systems load.
- Send an alert email to the email address of tpaoperations@tpadministrator.com notifying TPA Operations that your company will be sending manual dispute files for upload to the system.
- Please provide the P Number and the number of emails that will be forthcoming to the tpaoperations@tpadministrator.com email account.
- Send the manual dispute files, with file order labeling included in the subject line, via email to tpaoperations@tpadministrator.com.
The Q2 2024 Dispute Submission deadline is Thursday, October 31, 2024.
If you have any questions, please contact the TPA by phone at 1-877-534-2772, option 1 or by email at tpaoperations@tpadministrator.com.