In preparation for the Phase I distribution of the negative amount invoices in October, the TPA has distributed a test invoice to both Manufacturer and Sponsor mailboxes. This is being done to allow both parties an opportunity to review the format and create any company specific processes as deemed necessary.
Please note that this is a test invoice and does not contain any actual amounts owed. The file name will contain the word “TEST” and the invoice line items will refer to either P9999 or H9999 for the respective Sponsor or Manufacturer instance of the invoice. No action is required for the CGDP program at this time.
Please review the CMS memo for complete details of the plan for resolving Coverage Gap Discount Negative Invoice Amounts.
Select Invoice Reconciliation Information
Select Manufacturer Negative Balance Report HPMS Memo
Select Invoice Reconciliation Information
Select Negative Invoice Test File Layout for Manufacturers
Or
Select Negative Invoice Test File Layout for Sponsors
If you have any questions or concerns, please contact TPA Support Center either by Email at
tpaoperations@tpadministrator.com, or by telephone at 1-877-534-2772, Option 1.