What information does the RAPS Return File provide?

The RAPS (Risk Adjustment Processing System) Return File provides daily records of approved claims and errors encountered in the submission process. This file is essential for health plans as it offers insights into which claims have been successfully processed and identifies any errors that require attention. This information is valuable for ensuring that the data submitted for risk adjustment accurately reflects the health status and clinical conditions of the enrolled members. By receiving this feedback on a daily basis, providers and health plans can improve the accuracy of their submissions and address any discrepancies promptly.

In contrast, other options like monthly financial summaries, errors encountered by providers without context on claim approvals, and quality scores of submitted data do not accurately capture the primary function of the RAPS Return File. The specific focus on claims and errors provides critical feedback necessary for compliance and risk adjustment outcomes, further emphasizing why daily records of approved claims and errors are the correct description of the RAPS Return File.