CMS-10433 Network ID

Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations

B4 NetworkID.xlsm

QHP Certification

OMB: 0938-1187

Document [xlsx]
Download: xlsx | pdf
Network Template v1.71


All fields with an asterisk (*) are required.


To validate the template, press Validate button or Ctrl + Shift + V. To finalize, press Finalize button or Ctrl + Shift + F.


Click Create Network IDs button (or Ctrl + Shift + N) to create network ids based on your state.


Network IDs will populate in the drop-down box in Network ID column.


Use each Network ID only once.


HIOS Issuer ID*


Issuer State*


Network Name* Network ID* Network URL* Dental Network URL



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File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
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