At the request of industry, CMS has authorized Relay Health to implement an enhancement to the Medicare Part D E1 Transaction to facilitate Best Available Evidence when there is a discrepancy in the information received from the beneficiary and/or Part D plan. On May 23, 2013, Relay Health will begin returning additional information on the E1 Transaction by including the LIS/LICS level, (low income subsidy co-pay category), LIS/LICS effective and termination dates (if applicable), and the Medicare Plan Type, when a beneficiary match is successful.
Additional technical information can be found in the attached memo (Medicare Part D E1 Enhancement Communication 201302.pdf). Please validate that your pharmacy system can support the return of this information. If you have any questions concerning this communication, please send all inquiries to TBTSupport@relayhealth.com.
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