UniVerify
Request a demo
← Glossary · Program areas

Payment Coverage Determinations and Redeterminations universe (PYMT_D)

CDAG Universe Table 3: Part D payment coverage determinations and payment redeterminations decided in the review period. Dates only, no times.

Table 3 lists payment coverage determinations and redeterminations approved, denied, re-opened approved, re-opened denied, auto-forwarded to the IRE or dismissed. Column L records whether the request was a payment coverage determination or a payment redetermination. The table has date fields only and excludes withdrawn requests.

Source: CDAG protocol, Universe Table 3: Payment Coverage Determinations and Redeterminations (PYMT_D) Record Layout, pp. 32-38.