CMS-10472 - Appendix B

CMS-10472 - APPENDIX B.pdf

Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel

CMS-10472 - Appendix B

OMB: 0938-1220

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APPENDIX B
Registration Data Elements
User ID (Self assigned during the CMS Enterprise Portal registration)
First Name
Last Name
E-mail Address
Phone Number
State
Zip Code
User Type – Agent/Broker (role and NPN), Navigators (employer or
grantee organization)


File Typeapplication/pdf
AuthorHMR
File Modified2013-07-03
File Created2013-07-03

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