As Plan Sponsors, who contract with the Centers for Medicare and Medicaid Services (CMS) to participate in the Retiree Drug Subsidy (RDS) program, you face multiple challenges in plan administration. These range from benefit plan attestation, eligibility maintenance, Rx vendor management, and oversight for final cost reporting to CMS.

Let Caribou help reduce the stress and take the guesswork out of final reconciliation to make your RDS program a success. Caribou's expert Medicare Part D Pharmacy Claims Audit services will help guide you to fulfilling all the oversight requirements outlined by CMS/RDS for submission of final reconciliation. Caribou's process also packages a complete electronic archive of supporting evidence for retention if the plan is ever audited by CMS.

Caribou's robust RDS audit system (CRDx) reviews 100% of costs reported to validate final submissions. Paid claims experience is tested against the CMS Retiree file and Caribou's master drug file to ensure complete accuracy in cost data. All issues noted by Caribou's expert analysts are reconciled directly with your Rx vendor to support a smooth reconciliation process free from surprises. In addition, multiple levels of oversight are available in the area of eligibility management depending on your business needs.