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    TPA Operations will be closed Friday, July 3rd in observance of the Independence Holiday. We will resume our regular business hours on Monday, July 6th.

    1. Topics
    2. CGDP Reconciliation
    CGDP Reconciliation
    • CGDP Reconciliation
    • CGDP Reconciliation Report Layouts
    • Coverage Gap Discount Reconciliation Reports - Payment Reconciliation System (PRS)
    • PRS Formnew

    CGDP Reconciliation


    The CGDP Reconciliation is a set of management reports from the Payment Reconciliation System (PRS). The Centers for Medicare & Medicaid Services (CMS) completes the calculations for the Part D Coverage Gap Discount (CGD) Reconciliation, which are performed in accordance with § 1860D-14A of the Social Security Act and associated regulations and guidance. The PRS reports specify the inputs and results of a specific payment reconciliation.

    These reports contain sensitive financial information and provide data on Part D CGDP payment adjustments to remit and recover these calculated CGD reconciliation amounts by CMS for Part D Plan Sponsors.

    To request access to the Coverage Gap Discount Reconciliation Reports - Payment Reconciliation System (PRS) select and complete the PRS Form.

    To access CGDP Reconciliation reports, select the Coverage Gap Discount Reconciliation Reports - Payment Reconciliation System (PRS) link.



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    CGDP Reconciliation Articles

    CGDP Reconcilation Results Report Layout [Effective October 21, 2021]CGDP Reconciliation Input Report Layout [Effective October 21, 2021]

    Last Updated: 06/17/2019

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    Call: 1-877-534-2772, Option 1

    Fax: 1-803-763-2010

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