Datasets

• Carrier Connect

  This is a joint project between the Healthcare and Insurance (HI) Division and the OCIO, which will include integrated modules for all components of the Federal Employee Health...

• Weekly Stats

  Includes Claim numbers by type of account and by processing type (paperless, manual, auto-adjudication). Number of phone calls by reason for calling, average wait time, overall...

• USPS PSRA

  File sent by USPS to OPM ROVR vis sFTP for Postal Service Reform Act (PSRA)

• USPS Mainframe

  File sent by USPS to OPM Mainframe for actuarial purposes

• Summary Employee Reports - FEGLI

  Summary participant data

• Summary Employee Reports - CSRS/FERS

  Summary participant data

• Rx Rebates

  Aggregate pharmacy rebates by NDC and distribution channel

• Rx Cost and Utilization

  Aggregate pharmacy cost and utilization by NDC, distribution channel, age bands etc.

• Quarterly Executive Summary Report

  Overall status update on the soundness of FSAFEDS program and current initiatives

• Quality Report

  Status of initiatives to improve Contractor processes and participant experiences

• Performance Standards/QASP

  Quality performance level reports on the contractor's performance monthly and quarterly.

• Paperless Reimbursement Chart

  Status of paperless reimbursement implementation among health, dental, and vision carriers

• Monthly Enrollment Files (MENR)

  Monthly enrollment snapshot from carriers

• Monthly Activity Report

  Report with the current state of contractor operations for FLTCIP such as enrollments, claims activity, and number of benefit eligibile enrollees.

• Medicare Part C and D Plan Directory and Service Areas

  Monthly update of Medicare Part C and D Plan descriptions, contact information, and service areas

• Medicare Part A and B Claims Data

  Quarterly record of Medicare Part A and Part B claims

• Medicare Enrollment

  Quarterly record of Medicare enrollment changes from CMS

• Marketing Update

  Status of marketing initiatives

• Issues Log

  Participant complaints likely to escalate

• Incident Tracking Report

  Status updates on previously reported incidents