Abstract: The system includes a variety of aspects which allow users to efficiently receive reimbursement for claims. Claims accepted by CMS result in reimbursement for claimants. Claims rejected by CMS represent lost revenue for claimants. In order to maximize accepted claims and minimize rejected claims, the system provides for the generation of more accurate PDE files for submission and for the accumulation and formatting of information received from CMS to facilitate correction of PDE errors. These aspects work in tandem to minimize lost revenue for the claimant. Further, aspects described herein help minimize PDE error rates. Such minimization of errors can affect the reputation, business model, credibility, and competitive posture of Part D plan sponsors. Accordingly, minimization of PDE error rates is important to the overall design, function, and profitability of any Medicare Part D plan sponsor.

Abstract: The system includes a variety of aspects which allow the user to efficiently receive reimbursement for claims. Claims which are accepted by CMS result in reimbursement for the claimant. Claims which are rejected by CMS represent lost revenue for claimant. In order to maximize the number of accepted claims and minimize the number of rejected claims, the system provides at least two aspects. The front-end aspect is the generation of more accurate PDE files for submission. The back-end aspect is the accumulation and formatting of information received from CMS to facilitate the correction of PDE errors. Both of these aspects work in tandem to minimize the lost revenue of the claimant. Further, the aspects described herein help minimize PDE error rates. Such minimization of errors can affect the reputation, business model, credibility, and competitive posture of Part D plan sponsors.