Crosswalk (revised)

Crosswalk for Changes to Collection of Prescription Drug Event Data From Contracted Part D providers for Payment (CMS-10174, OCN 0938-0982)

Section # on Type of Change Rational for Change
Current CMS-10174
(Background/Prescription

Drug Event (PDE))

I Prescription Drug Event A total of 3 elements To reconcile payments effectively and

(PDE) / PDE Record Fields were added and 2 elements for better program oversight

were changed

More specifically,

Field #4 was changed from Health Insurance Claim Number to Medicare beneficiary identifier

Field # 51 was changed from Gap Discount Override Code to OAP Indicator

Field # 55 was added

Field # 56 was added

Field # 57 was added

All these elements are changed/added for the purpose of better reconciling payments effectively and providing better program oversight.