When you partner with CF-Health you benefit by receiving:

• Pre-approved Enrollment Processing
• Retroactive Enrollment Update Processing
• Standard Cost-Sharing Processing
• Basic and Enhanced Coverage Benefit Processing
• Network Administration
• Pharmacy & Therapeutic (P&T) Committee Consulting
• Part-D Formulary Maintenance
• Prior Authorization review
• Troop Tracking
• Reporting & Reconciling Prescription Drug Events (PDE)
• Manual Member Reimbursement Processing
• Approved Medication Therapy Management Program (MTMP)
• Service Billing Support for Medication Therapy Management Programs
• Part D Beneficiary Programs Explanation of Benefits
• Potential Generic Savings Claim Response Messaging
• Part D Claims Extract & CMC Required Reporting
• Pharmacy Audits
• Rebate Management and Reporting
• CMS Technical and Business Call Attendance
• CF-Health’s  Member Services Call Centre
• Quarterly and Biannual Report

CF-Health will provide submission-ready files such as enrollment-disenrollment, PDE submission, reconciliation, etc, to clients in the CMS-approved format to be submitted to CMS – or any subcontractor engaged for that purpose. All such files would be provided in an electronic form that may be transmitted as directed by CMS.

The specialized staff at CF-Health is committed to meeting all the CMS deadlines and requirements. The Medicare Part D department verifies with CMS that all information is current and up-to-date with CMS reporting requirements and guidelines.