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Federal
Fraud Waste and Abuse Annual Report
Office of Personnel Management —
The FWA report includes specific data requirements such as reporting the number of fraud and abuse cases, amount of losses, recoveries, and savings and types of... -
Federal
Medicare Part A and B Claims Data
Office of Personnel Management —
Quarterly record of Medicare Part A and Part B claims -
Federal
USPS Mainframe
Office of Personnel Management —
File sent by USPS to OPM Mainframe for actuarial purposes -
Federal
BP/Rate Submission Tool (RST)
Office of Personnel Management —
Health Insurance data about claims and usage to help determine what rates should be in the future -
Federal
Medicare Part D Formulary Tables
Office of Personnel Management —
Quarterly update of Medicare Part C formulary system -
Federal
Fraud Report
Office of Personnel Management —
Contractor fraud Foundational strategy, on-going anti-fraud efforts, cases investigated and cases sent to OIG. -
Federal
Monthly Activity Report
Office of Personnel Management —
Report with the current state of contractor operations for FLTCIP such as enrollments, claims activity, and number of benefit eligibile enrollees. -
Federal
Cashflow Report
Office of Personnel Management —
Inputs to and outlays from the claims reimbursement account, with projected days on hand of cash available to pay claims (weekly, and daily during the peak period of... -
Federal
Benefits Plus
Office of Personnel Management —
General plan information, rates, enrollment data, quality data, contact information -
Federal
Federal Data Inquiry System (FDIS)
Office of Personnel Management —
Health Insurance data including Headcount and enrollment information. -
Federal
Rx Cost and Utilization
Office of Personnel Management —
Aggregate pharmacy cost and utilization by NDC, distribution channel, age bands etc. -
Federal
Forfeiture Report
Office of Personnel Management —
Current unspent funds in participants’ accounts, by account type and by agency -
Federal
Medicare Enrollment
Office of Personnel Management —
Quarterly record of Medicare enrollment changes from CMS -
Federal
Rx Rebates
Office of Personnel Management —
Aggregate pharmacy rebates by NDC and distribution channel -
Federal
Billing Collections Status Report
Office of Personnel Management —
Status of participating agency payment of administrative fees and Identification of participating agencies that are delinquent on their invoice fees.