Attachment C

4 Supporting Statement Attach C 12-22-16 vj508x.docx

Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265)

Attachment C

OMB: 0938-1074

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Attachment C – GHP Data Elements



Note: The list of GHP Data Elements published with the Supporting Statement of 02/28/14 has been superseded by the information available in the Section 111 GHP User Guide. A current User Guide can be found on the Mandatory Insurer Reporting web page at https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Mandatory-Insurer-Reporting-For-Group-Health-Plans/GHP-User-Guide/GHP-User-Guide.html .

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment C – GHP Data Elements
AuthorCMS
File Modified0000-00-00
File Created2021-01-22

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