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ODAG and CDAG AGM report set

Updated on April 23, 2021

In the 8.7 release, we added reports which substantially support the user’s compliance with CMS universe reporting requirements and regulatory standards, and to enhance the overall customer experience.

Pega Foundation for Healthcare

The following are the two sets of AGM reports which are added:

  • Part C Organization Determinations, Appeals, and Grievances (ODAG) Program Area AUDIT PROCESS AND DATA REQUEST
  • Part D Coverage Determinations, Appeals and Grievances (CDAG) Program Area AUDIT PROCESS AND DATA REQUEST

We have provided the out-of-the box reports that include CMS-required data fields, formats and values, and the capability to directly upload that data in Excel format into CMS environments with these reports.

The new universe reports are added under two new categories: CDAG reports and ODAG reports.

There are 13 reports for each category as mentioned below.

ODAG reportsCDAG reports
ODAG_EREC_GOVCDAG_SRD_GOV
ODAG_SREC_GOVCDAG_SIAM_GOV
ODAG_SOD_GOVCDAG_SGD_GOV
ODAG_PREC_GOVCDAG_SCD_GOV
ODAG_IREEFF_GOVCDAG_SCDER_GOV
ODAG_IRECLAIMSEFF_GOVCDAG_ERD_GOV
ODAG_GRV_S_GOVCDAG_EIAM_GOV
ODAG_GRV_E_GOVCDAG_EGD_GOV
ODAG_EOD_GOVCDAG_ECD_GOV
ODAG_DMR_GOVCDAG_ECDER_GOV
ODAG_DIS_GOVCDAG_DMRRE_GOV
ODAG_CLAIMS_GOVCDAG_DMRRD_GOV
ODAG_ALJMACEFF_GOVCDAG_DMRCD_GOV

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