CMS-10433 Network ID Template

Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433)

CMS-10433 - Appendix F Network ID_508.xlsx

QHP Certification

OMB: 0938-1187

Document [xlsx]
Download: xlsx | pdf
Network ID Template
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*
Required:
Enter the Network Name
Network ID*
Required:
Select the Network ID
Network URL*
Required:
Enter the Network URL
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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