Transparency in Pricing Information (CMS-10715)

OMB 0938-1372

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10715: Appendi Allowed Amount File Form and Instruction
Form CMS-10715: Appendi In-Network Rate File Form and Instruction
Form CMS-10715: Appendi Internet-based Self-Service Tool Form and Instruction
CMS-10715-Transparency in Coverage_Supporting Statement.docx Supporting Statement A
CMS-10715 - PRA Comments Responses.docx Supplementary Document
Customer Service Representatives Training
Prescription Drug File Other-Data Elements
Allowed Amount File Form and Instruction
In-Network Rate File Form and Instruction
Requests for Mailed Disclosures Instruction
Internet-based Self-Service Tool Form and Instruction