“InTech manages and retains the RDS response file identifying eligible and rejected retiree information. The retirees that are “rejected” are reported back to the plan sponsor for correction. After the plan sponsor corrects the noted error, it sends the information back to InTech for resubmission to CMS/RDS for eligibility confirmation. The process is continuous until all plan sponsor retirees are eligible per Program requirements.”
—InTech RFP Response
“Our proprietary software uses multiple data sources to generate a unique member identifier, augmenting data uploads and identifying additional Medicare eligible members.”
—Cornerstone Municipal/RDS Services Marketing
What We Do
When PDA says we offer the most comprehensive and exhaustive RDS administration in the market place, it means we handle every aspect of the RDS program on our customer’s behalf allowable under program regulations. Correcting membership rejections can be one of the most frustrating and time consuming aspects of the RDS program for any HR department, which is why PDA would never expect a customer to correct them on their own. Even if a customer’s eligibility was done perfectly prior to the reopening, the entire membership must be resubmitted and re-approved during the reopening process, meaning all the work must be completed again before additional subsidy dollars are collected.
Responding to concerns over identity theft, the marketplace has moved to unique member identifiers. However, the RDS program requires member SSNs to function and doesn’t offer a bridge between those Unique IDs. That is why PDA focused on developing a unique alias based system to crosswalk between SSNs for the RDS program and IDs for the plan sponsor systems. When PDA reopened five RDS applications completed by RDS Services, it was discovered that their “proprietary system” had included more than 500 members who were ineligible for subsidy while failing to identify and include more than 3,500 eligible members, costing the customer hundreds of thousands of subsidy dollars.