PDE DATA SUBMISSION TIMELINE NEW CONTRACT EFFECTIVE JANUARY 1, 2015* CY

PDE DATA SUBMISSION TIMELINE
NEW CONTRACT EFFECTIVE JANUARY 1, 2015*
CY
Data Submission Type
2015
EDI Agreement and Submitter
Application Deadline
Certification Complete**
2015
First Production File Due***
2015
Submission Timeline
October 31, 2014
January 31, 2015
March 31, 2015
Comply with routine production timeline thereafter
Ongoing Monthly Submissions
April 1, 2015 – June 29, 2016
2015
Production Submissions



2015
2015
Final PDE Submission Deadline
Direct & Indirect Remuneration
(DIR) Submission Deadline
Originals within 30 days following Date of Service of
Date Claim Received, whichever is greater.
Adjustments and deletions resubmitted within 90
days following date of discovery.
Rejected records resubmitted within 90 days
following receipt of rejected status from CMS.
June 29, 2016 (11:59 p.m. Eastern Time)
June 30, 2016 (11:59 p.m. Pacific Time)
* Note: The dates provided in this table are tentative and subject to change. Any changes to the dates will be announced through Health Plan
Management System (HPMS) guidance.
** Only new contracts submitting directly or new third party submitters submitting in CY2015 must complete the testing and certification
process.
***Applies to new contracts effective at the beginning of the benefit year.
November 2014