If a CDF is configured at both plan and payer levels, which level takes precedence?

If a CDF is configured at both plan and payer levels, which level takes precedence?

• A. payer
• B. neither
• C. random
• D. plan

Answer: (D)

When a setting exists at multiple levels, the more specific level wins. Here, a CDF configured at the plan level overrides the payer-level default, so the plan’s rule governs how the claim data is handled for members enrolled in that plan. This ensures plan-specific policies are applied even if the payer’s broader setting would suggest something different. If the plan doesn’t supply a value, the system falls back to the payer-level setting, so there’s always a defined rule in place. The other options aren’t valid because there is a clear resolution order: the plan takes precedence over the payer, not a random choice or no precedence at all.

When a setting exists at multiple levels, the more specific level wins. Here, a CDF configured at the plan level overrides the payer-level default, so the plan’s rule governs how the claim data is handled for members enrolled in that plan. This ensures plan-specific policies are applied even if the payer’s broader setting would suggest something different. If the plan doesn’t supply a value, the system falls back to the payer-level setting, so there’s always a defined rule in place. The other options aren’t valid because there is a clear resolution order: the plan takes precedence over the payer, not a random choice or no precedence at all.