Common Contracts

1 similar Medicare Secondary Payer contracts

EMPLOYER VOLUNTARY DATA SHARING AGREEMENT (VDSA)
Medicare Secondary Payer • July 31st, 2024

This Voluntary Data Sharing Agreement (the “Agreement”) for the exchange of health care coverage enrollment information is entered into between [insert Employer name] and related entities as identified herein, a [insert State name if appropriate] Corporation, with its principal address at [insert Employer address] (the “Employer”) and the United States Department of Health and Human Services, acting by and through the Centers for Medicare & Medicaid Services (“CMS”) (together, the “Parties”) on this day of , 20 (the “Effective Date”).

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