RxDC Reporting

Instructions | Carrier Info | Vendor Options

The deadline to report 2025 RxDC data to CMS is June 1, 2026.

Carriers, third-party administrators (“TPAs”), pharmacy benefit managers (“PBMs”) and other vendors who assist plans with RxDC reporting usually send out survey and information requests for data from plan sponsors. Responses to these data requests are due well in advance of the June 1 deadline (a date in March or April is common).

In some cases, usually certain self-funded plans with carve-out benefits, the employer will need to submit some of the files to CMS to complete reporting.

View additional RxDC reporting instructions →

Carrier Info

Some plans work with multiple carriers. Because of that, provider offices may not always recognize the plan name right away.

To help things go smoothly:

  • Ask your provider to verify eligibility before your visit.

  • Give the office the carrier name listed on your ID card, not just the plan administrator.

  • Keep your digital ID card handy in case details are needed.

Taking these quick steps helps avoid claim delays or billing errors later.

Third-Party Vendor Support

Missed your carrier’s data collection deadline?
Your group may still be able to complete RxDC reporting directly or through a third-party vendor before the June 1 deadline. Below you’ll find vendors that may be able to assist, along with contact details and helpful links.

Iron Health

To Activate:

Care Guides (General Questions & Life Events)

📧 MemberServices@DetegoHealth.com

📞 (866) 815-6001

🕗 Monday–Friday, 7:00 AM–5:00 PM CST

Help with: General plan questions, Adding or terminating employees, and Qualifying life events (marriage, divorce, birth, adoptions, loss of coverage)


Claims, Precertification, & Case Mangement


How Providers Verify Eligibility:

For Iron Health member eligibility, providers should use the Detego eligibility lookup:

  1. Visit DetegoHealth.com

  2. Click Provider

  3. Select Eligibility

  4. Search using the member information listed on the ID card

Telemedicine

📞 (855) 226-6567

🕗 Available 24/7/365


Prescription Support - ScriptAide

📧 info@ScriptAide.com

📞 (866) 837-1515

🕗 Monday–Friday, 8:00 AM–5:00 PM CST

LifeX

To Activate:

  1. Visit employeewellnesshub.app

  2. Select Activate Your Account

  3. Choose Activate by Demographics

  4. Enter your information to complete setup

How Providers Verify Eligibility:

  1. Visit: https://benefithealthplan.com/providers

  2. Select Provider

  3. Click Eligibility

  4. Search using the member information listed on the ID card


For plan and portal support:

 How can we help?

NEED HELP WITH YOUR COMPANY’S HEALTH INSURANCE? FILL OUT THE FORM AND A MEMBER OF OUR TEAM WILL GLADLY ASSIST YOU.