NGHP Training Material https://www.cms.gov/rss/30646 Mon, 20 Apr 2026 05:56:45 -0400 Centers for Medicare and Medicaid ServicesOngoing Responsibility for Medicals (ORM)Tue, 05 Nov 2019 03:50:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/ongoing-responsibility-for-medicals-ormhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/ongoing-responsibility-for-medicals-ormdescription: This learning module begins by defining the term 'ongoing' and providing information on some of the fields used in reporting ORM: ORM Indicator, ORM Termination Date and ICD-9 diagnosis codes. It also clarifies what is meant by assumption of ORM and discusses the reporting requirements for claims where ORM has been assumed.

id: 23

ofm_type: pdf

title: Ongoing Responsibility for Medicals (ORM)

]]>Frequently Asked Questions - Account SetupTue, 05 Nov 2019 02:44:49 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/frequently-asked-questions---account-setuphttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/frequently-asked-questions---account-setupdescription: This course addresses questions relating to the account setup process, Section 111 COBSW user roles, data transmission methods, Section 111 COBSW login and password, and account setup troubleshooting.

id: 12

ofm_type: pdf

title: Frequently Asked Questions - Account Setup

]]>Quarterly Claim Input File SubmissionTue, 05 Nov 2019 02:44:47 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/quarterly-claim-input-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/quarterly-claim-input-file-submissiondescription: This module explains what is to be reported on the quarterly Claim Input File. It describes the add, delete, and update transactions and when you would use each, and explains what to do when you don't have any Claim Detail Records or changes to report.

id: 26

ofm_type: pdf

title: Quarterly Claim Input File Submission

]]>Frequently Asked Questions - New RegistrationTue, 05 Nov 2019 02:44:47 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/frequently-asked-questions---new-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/frequently-asked-questions---new-registrationdescription: This course addresses questions relating to the registration process, RRE IDs, Tax Identification Numbers (TINs), Authorized Representatives, subsidiaries, new registration troubleshooting, and registration documentation.

id: 10

ofm_type: pdf

title: Frequently Asked Questions - New Registration

]]>Claim Input File Reporting Do's and Don'tsTue, 05 Nov 2019 02:44:46 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-reporting-do%2527s-and-don%2527tshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-reporting-do%2527s-and-don%2527tsdescription: This module provides some helpful reminders for RREs to consider when submitting Claim Input Files or providing claim information via Direct Data Entry (DDE). It reviews when delete transactions should be used. It also provides reminders on the following topics: RRE addresses, ICD-9 Diagnosis Codes, Reporting ORM, Identifying an Injured Party, Disposition Code 51, Injured Party Gender, Policy Number, Plan Insurance Type, and Self Insured Type.

id: 28

ofm_type: pdf

title: Claim Input File Reporting Do's and Don'ts

]]>Responsible Reporting EntityTue, 05 Nov 2019 02:44:46 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/responsible-reporting-entityhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/responsible-reporting-entitydescription: This course provides information regarding who/what entity is an MMSEA Section 111 Responsible Reporting Entity (RRE) for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers' Compensation. It reviews the rules that exist for the registration of an entity within a corporate structure and provides examples to help illustrate these rules. This course also clarifies who the RRE is in various situations.

id: 05

ofm_type: pdf

title: Responsible Reporting Entity

]]>DDE Best PracticesTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-best-practiceshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-best-practicesdescription: This module shares best practices to be used by DDE submitters so that they are successful in submitting Section 111 claim reports.

id: 44

ofm_type: pdf

title: DDE Best Practices

]]>SFTP File Transmission for Section 111Tue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/sftp-file-transmission-for-section-111https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/sftp-file-transmission-for-section-111description: This course provides a high-level overview of the Section 111 COBSW. It reviews the procedures for transmitting files using Secure File Transfer Protocol (SFTP) for Section 111. The course concludes with a discussion of how to use the Section 111 COBSW to monitor file processing results.

id: 36

ofm_type: pdf

title: SFTP File Transmission for Section 111

]]>Connect:Direct File Transmission for Section 111Tue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/connectdirect-file-transmission-for-section-111https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/connectdirect-file-transmission-for-section-111description: This course provides an overview on Connect:Direct. It reviews the information required during account setup, provides an overview on the profile report, explains the naming convention used on Connect:Direct input files and explains file processing results on the Section 111 COBSW.

id: 37

ofm_type: pdf

title: Connect:Direct File Transmission for Section 111

]]>Testing ProcessTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/testing-processhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/testing-processdescription: This course discusses testing preparation, an overview of the testing process, general testing requirements, and the Section 111 COBSW.

id: 31

ofm_type: pdf

title: Testing Process

]]>DDE Resume, Update & Delete Claim ReportsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-resume-update-and-delete-claim-reportshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-resume-update-and-delete-claim-reportsdescription: This module begins with an overview of the Claim Listing page. It explains when and how to resume the DDE claim submission process and clarifies when and how to submit updates and deletes to DDE claim reports.

id: 43

ofm_type: pdf

title: DDE Resume, Update & Delete Claim Reports

]]>COBSW Monitor Test File ProcessingTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-monitor-test-file-processinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-monitor-test-file-processingdescription: This course reviews the testing process, reporting Agent testing, threshold and severe file submission errors, and how to view test file results on the Section 111 COBSW.

id: 51

ofm_type: pdf

title: COBSW Monitor Test File Processing

]]>Section 111 Registration Part ITue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/section-111-registration-part-ihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/section-111-registration-part-idescription: RREs will register on the Section 111 COBSW. The Section 111 Registration Part I course details the first two steps of registration and account setup.

id: 07

ofm_type: pdf

title: Section 111 Registration Part I

]]>COBSW Account Designee MaintenanceTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-account-designee-maintenancehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-account-designee-maintenancedescription: To assist with RRE account management and data file processing, the Account Manager may designate one or more Account Designees to an RRE. This course covers how to add/delete an Account Designee, edit Account Designee information, and regenerate an Account Designee e-mail invitation.

id: 46

ofm_type: pdf

title: COBSW Account Designee Maintenance

]]>Mandatory Reporting ThresholdsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/mandatory-reporting-thresholdshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/mandatory-reporting-thresholdsdescription: This learning module explains the reporting threshold requirements which have been established for Section 111 reporting. It reviews the requirements for reporting No-Fault Insurance Ongoing Responsibility for Medicals (ORM) and Total Payment Obligation to Claimant (TPOC) Amounts. It also reviews the requirements for reporting ORM and TPOC Amounts for liability and worker's compensation. It ends with threshold reporting examples for liability TPOC Amounts and workers' compensation ORM.

id: 22

ofm_type: pdf

title: Mandatory Reporting Thresholds

]]>Query FileTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/query-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/query-filedescription: The Query File course reviews the Section 111 reporting requirements and the purpose of the Query File. It includes an overview of the Query Input File and provides the Section 111 data flow when the Query File is used. It also includes the following topics: Query Input File (submission, contents and processing), Query Response File (contents and processing), Query File transmission, translator software, and Query File testing.

id: 33

ofm_type: pdf

title: Query File

]]>Beneficiary LookupTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/beneficiary-lookuphttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/beneficiary-lookupdescription: This module explains the Beneficiary Lookup action and who can use it. It reviews the query request limit associated with the Beneficiary Lookup action. It shows how to use the Beneficiary Lookup action and explains the matching criteria and response results.

id: 34

ofm_type: pdf

title: Beneficiary Lookup

]]>COBSW View/Update RRE Profile InformationTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-view-update-rre-profile-informationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-view-update-rre-profile-informationdescription: This course reviews the importance of RRE profile information and how to view/update this information. It also describes the contents of the RRE Information Summary page.

id: 48

ofm_type: pdf

title: COBSW View/Update RRE Profile Information

]]>Data Transmission Method SelectionTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/data-transmission-method-selectionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/data-transmission-method-selectiondescription: This course provides a high-level overview of the data transmission methods available for Section 111 and items to consider when making your selection. It reviews the profile report and explains how to change your data transmission method after registration.

id: 35

ofm_type: pdf

title: Data Transmission Method Selection

]]>COBSW Basic FunctionsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-basic-functionshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-basic-functionsdescription: This course provides an overview of the Section 111 COBSW Login/Logout procedures and reviews some of the basic functions available to RREs from the home page of the Section 111 COBSW.

id: 45

ofm_type: pdf

title: COBSW Basic Functions

]]>COBSW Monitor File ProcessingTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-monitor-file-processinghttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-monitor-file-processingdescription: To assist with account management and data file processing, RREs have the ability to monitor file processing and history. This course reviews the file processing pages that RREs will use while monitoring production file processing.

id: 49

ofm_type: pdf

title: COBSW Monitor File Processing

]]>COBSW Uploading/Downloading Files via HTTPSTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-uploading-downloading-files-via-httpshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-uploading-downloading-files-via-httpsdescription: The Uploading/Downloading Files via HTTPS course reviews file upload guidelines, how to upload input files, threshold and severe file submission errors, and how to download response files.

id: 50

ofm_type: pdf

title: COBSW Uploading/Downloading Files via HTTPS

]]>Acronym ListTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/acronym-listhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/acronym-listdescription: A list of acronyms pertaining to MMSEA Section 111 and their descriptions.

id: 02

ofm_type: pdf

title: Acronym List

]]>File Format StandardsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/file-format-standardshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/file-format-standardsdescription: The topics in this course include: file format; header, detail and trailer records; and data formatting standards.

id: 14

ofm_type: pdf

title: File Format Standards

]]>DDE Using the Section 111 COBSWTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-using-the-section-111-cobswhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-using-the-section-111-cobswdescription: This module provides an overview on NGHP DDE, explains the reporting requirements and reviews how an NGHP RRE can get started with this reporting method.

id: 39

ofm_type: pdf

title: DDE Using the Section 111 COBSW

]]>DDE Screens OverviewTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-screens-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-screens-overviewdescription: This module provides an overview on how to login to the Section 111 COBSW, clarifies what affects the Transactions Remaining Count, and provides an overview on the screens used to enter a DDE claim report. The second part of this course focuses on the DDE Claim Listing screen. It explains the fields displayed and the actions that can be performed from this screen.

id: 41

ofm_type: pdf

title: DDE Screens Overview

]]>Claim Input File EventsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-eventshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-eventsdescription: This module provides a high-level overview on what is to be reported on the Claim Input File and gives examples of how to submit Claim Input File Detail Records for various situations.

id: 27

ofm_type: pdf

title: Claim Input File Events

]]>TIN Reference Response FileTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/tin-reference-response-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/tin-reference-response-filedescription: This learning module explains the TIN Reference Response File; TIN Validation; processing of the Claim Input File once the TIN Reference Response File has been created; and, transmission of the TIN Reference Response File.

id: 21

ofm_type: pdf

title: TIN Reference Response File

]]>Claim Input File Data ElementsTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-data-elementshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-data-elementsdescription: This module explains the Claim Input File data format. It describes the header, detail, auxiliary and trailer records, and provides an overview on editing that will be performed on the submitted data.

id: 16

ofm_type: pdf

title: Claim Input File Data Elements

]]>DDE Adding a Claim ReportTue, 05 Nov 2019 01:39:09 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-adding-a-claim-reporthttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/dde-adding-a-claim-reportdescription: This module explains how to enter a DDE New Claim report by completing information on the New Claim screens: Injured Party Information, Injury Information, ORM and TPOC Information, Insurance Information, Representative Information, and Claimant and Claimant Representative Information.

id: 42

ofm_type: pdf

title: DDE Adding a Claim Report

]]>COBSW - Step 2 - Account SetupTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw---step-2---account-setuphttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw---step-2---account-setupdescription: Account setup must be completed on the Section 111 COBSW. This course reviews how to set up an account on the Section 111 COBSW.

id: 11

ofm_type: pdf

title: COBSW - Step 2 - Account Setup

]]>TIN Reference FileTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/tin-reference-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/tin-reference-filedescription: This learning module explains the TIN Reference File contents and submission. It explains the use of the Office Code/Site ID field and provides examples of when this field might be used. It also reviews TIN Reference File errors; editing; basic validation; and, address validation.

id: 20

ofm_type: pdf

title: TIN Reference File

]]>NGHP CurriculumTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-curriculumhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-curriculumdescription: A printable listing of the courses and their descriptions for the NGHP CBT Curriculum.

id: 01

ofm_type: pdf

title: NGHP Curriculum

]]>Total Payment Obligation to Claimant (TPOC)Tue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/total-payment-obligation-to-claimant-tpochttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/total-payment-obligation-to-claimant-tpocdescription: This CBT explains the term TPOC, provides clarification on each TPOC field (TPOC Date, TPOC Amount and Funding Delayed Beyond TPOC Start Date), describes how to submit a TPOC, and clarifies how to correct or remove an erroneous TPOC.

id: 24

ofm_type: pdf

title: Total Payment Obligation to Claimant (TPOC)

]]>HTTPS Using Section 111 COBSWTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/https-using-section-111-cobswhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/https-using-section-111-cobswdescription: This course provides a high-level overview on transmitting files via Hypertext Transfer Protocol over Secure Socket Layer (HTTPS) using the Section 111 COBSW. This file transmission method is recommended for those RREs that will not be sending big files on a regular basis, and are willing to have someone login to the Section 111 COBSW to upload/download files and monitor the progress during the file transmission. The course concludes with a discussion of monitoring file processing results on the Section 111 COBSW.

id: 38

ofm_type: pdf

title: HTTPS Using Section 111 COBSW

]]>Switching to or from DDETue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/switching-to-or-from-ddehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/switching-to-or-from-ddedescription: This course explains the process an NGHP RRE must follow when switching to DDE from a file submission method, explains how an NGHP RRE can switch to a file submission method from DDE, and includes general information regarding these methods.

id: 40

ofm_type: pdf

title: Switching to or from DDE

]]>COBSW View Account Activity HistoryTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-view-account-activity-historyhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-view-account-activity-historydescription: To assist with account management, RREs can review the activity performed for an RRE ID account on the Account Activity page. This course shows how to navigate to, and review the content of, the Account Activity page.

id: 52

ofm_type: pdf

title: COBSW View Account Activity History

]]>Section 111 Registration Part IITue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/section-111-registration-part-iihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/section-111-registration-part-iidescription: The Section 111 Registration Part II course details the final 3 steps of registration and account setup.

id: 08

ofm_type: pdf

title: Section 111 Registration Part II

]]>ICD Requirements FAQTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-requirements-faqhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-requirements-faqdescription: This module addresses Frequently Asked Questions (FAQs) regarding ICD Diagnosis Code reporting for Section 111.

id: 19

ofm_type: pdf

title: ICD Requirements FAQ

]]>NGHP Curriculum OverviewTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-curriculum-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-curriculum-overviewdescription: The Centers for Medicare & Medicaid Services (CMS) have provided a curriculum of CBT courses to supplement the NGHP User Guide. This course reviews the NGHP CBTs that are available.

id: 03

ofm_type: pdf

title: NGHP Curriculum Overview

]]>Lessons Learned and Best Practices for Section 111Tue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/lessons-learned-and-best-practices-for-section-111https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/lessons-learned-and-best-practices-for-section-111description: This course shares lessons learned from NGHP reporting to date. It reviews the following information to help improve the results of your testing: communicating with your Electronic Data Interchange Representative; Severe Errors caused by invalid record lengths, File Record Counts, and File Submission Dates; as well as other common mistakes related to SFTP Mailboxes, TINs and Office Code/Site IDs, and ICD Diagnosis Codes. Information is also provided on how to obtain beneficiary test data.

id: 32

ofm_type: pdf

title: Lessons Learned and Best Practices for Section 111

]]>COBSW Account Designee RegistrationTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-account-designee-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw-account-designee-registrationdescription: This course reviews the Account Designee user role and registration process. It also reviews login ID and password guidelines.

id: 47

ofm_type: pdf

title: COBSW Account Designee Registration

]]>COBSW - Step 1 - New RegistrationTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw---step-1---new-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/cobsw---step-1---new-registrationdescription: Registration must be completed on the Section 111 COBSW. This course reviews how to register on the Section 111 COBSW.

id: 09

ofm_type: pdf

title: COBSW - Step 1 - New Registration

]]>Initial Claim Input File SubmissionTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/initial-claim-input-file-submissionhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/initial-claim-input-file-submissiondescription: This module discusses the reporting requirements for the Initial Claim Input File, including retroactive reporting requirements. It reviews the file submission timeframes and provides Claim Input File submittal examples.

id: 25

ofm_type: pdf

title: Initial Claim Input File Submission

]]>NGHP Mandatory Insurer Reporting OverviewTue, 05 Nov 2019 01:39:08 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-mandatory-insurer-reporting-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/nghp-mandatory-insurer-reporting-overviewdescription: This learning module reviews information that is included in the Quick Reference Guide For NGHP Insurers (The What, Why and How of MMSEA Section 111 Reporting).

id: 04

ofm_type: pdf

title: NGHP Mandatory Insurer Reporting Overview

]]>Modifying Your Section 111 RegistrationTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/modifying-your-section-111-registrationhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/modifying-your-section-111-registrationdescription: This course provides information regarding the steps RREs must take if changes occur after their initial Section 111 registration is completed, including: abandoning RRE IDs, ceasing use of an RRE ID, transitioning of reporting, changing reporting agents, and changing RRE information.

id: 13

ofm_type: pdf

title: Modifying Your Section 111 Registration

]]>Claim Response FileTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-response-filehttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-response-filedescription: This course explains Claim Response File, Disposition Codes, Error Codes, File Level and Threshold Errors, and Compliance Flags.

id: 30

ofm_type: pdf

title: Claim Response File

]]>Reportable ClaimsTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/reportable-claimshttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/reportable-claimsdescription: This learning module reviews the Section 111 claim reporting requirements. It explains when claims are reportable and provides information regarding circumstances that are not reportable under Section 111.

id: 29

ofm_type: pdf

title: Reportable Claims

]]>ICD Diagnosis Code Requirements Part ITue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-diagnosis-code-requirements-part-ihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-diagnosis-code-requirements-part-idescription: This module explains the importance of ICD diagnosis codes for Section 111 reporting, describes what these codes are used for, clarifies the ICD diagnosis code reporting and explains how to derive an ICD diagnosis code. ICD Diagnosis Code Requirements Part II explains the transition from ICD-9-CM to ICD-10-CM and explains where a RRE can obtain valid ICD diagnosis codes.

id: 17

ofm_type: pdf

title: ICD Diagnosis Code Requirements Part I

]]>Process OverviewTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/process-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/process-overviewdescription: The topics in this course include: purpose of the data exchange, data exchange details, file types, the Section 111 COB Secure Web site (COBSW), and the Data Use Agreement. This course also reviews options for customer service and reporting assistance.

id: 06

ofm_type: pdf

title: Process Overview

]]>ICD Diagnosis Code Requirements Part IITue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-diagnosis-code-requirements-part-iihttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/icd-diagnosis-code-requirements-part-iidescription: This module explains the transition from ICD-9-CM to ICD-10-CM and explains where a RRE can obtain valid ICD diagnosis codes.

id: 18

ofm_type: pdf

title: ICD Diagnosis Code Requirements Part II

]]>Claim Input File OverviewTue, 05 Nov 2019 01:39:07 -0500https://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-overviewhttps://www.cms.gov//medicare/coordination-of-benefits-and-recovery/mandatory-insurer-reporting-for-non-group-health-plans/nghp-training-material/ghp-training-material-items/claim-input-file-overviewdescription: This learning module provides an introduction to the Claim Input File, including an overview on reporting requirements, submission timeframes and claim responses.

id: 15

ofm_type: pdf

title: Claim Input File Overview

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