Crosswalk document

CMS-10526 Crosswalk for 30-day public comment (01 12 2016)

Deleted from the CSR Recon Template Issuer Summary Report
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File ID
Production or Test indicator
SPOE ID
Total benefit year CSR policies
Total actual CSR amount submitted in 2014 Medical Loss Ratio reporting
Source of CSR amount used in 2014 Medical Loss Ratio reporting (certified estimate or 2014 advance
payment amount)

Reason: not needed

Added to the CSR Recon Template Issuer Summary Report
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Acquisition Y/N
Acquiring Issuer
Acquisition Effective Date
Merger Y/N
Merger party
Merger Effective date
Technical POC first/last name email, organization, phone
Business POC first/last name, email, organization, phone.
Record code for plan and policy levels
Total benefit year CSR variant plans under this QHP ID

Reason:
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Issuers are required to file separate reports if they acquire or merge with another issuer using a different
reconciliation methodology.
POC information and record codes are tech specs to allow file transfer
QHPs under this ID allows CMS to map total number of QHPs to total number of submitted reports for
each issuer

Added to the CSR Recon Template Policy Level Report
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QHP Plan ID

Reason: Commenters asked for same; it is already collected at the plan level and this addition allows mapping

Moved (from issuer to plan level report on the CSR Recon Template):
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Total Number of Exchange Subscribers in this plan

Reason: Allows CMS to compare subscribers in a plan to policies reconciled