How to Use the Master Review Tool

The Centers for Medicare & Medicaid Services (CMS) provides issuers and states a number of review tools to check plans for errors within the QHP Application that would result in corrections following submission. The Master Review Tool aggregates data from the Plans & Benefits, Service Area, Essential Community Provider/Network Adequacy, and Prescription Drug Templates, and serves as a data input file to some of the other stand-alone review tools. This video discusses the purpose of the tool, provides an overview of the tool’s layout, and walks viewers through running the tool using test data from the QHP Application templates. To learn more about the QHP certification process, visit www.qhpcertification.cms.gov.

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Author: admin