Crosswalk

Crosswalk Changes OMB 0938-1230 CMS-40B.XLSX

Application for Enrollment in Medicare - The Medical Insurance Program (CMS-40B)

Crosswalk

OMB: 0938-1230

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2013 (old version) 2017 (new version) Type of Change Reason for Change Burden Change
Page 1 - Social Security Claim Number Medicare Number Rev Terminology change for consistent terminology for the new Medicare number as part of the statutory requirement under the Medicare Access and CHIP Reauthorization Act of 2015. No
Page 2, Section 1 - Social Security Claim Number Medicare Number Rev Terminology change for consistent terminology for the new Medicare number as part of the statutory requirement under the Medicare Access and CHIP Reauthorization Act of 2015. No
Page 2, Section 2 - Beneficiary Identification Code (BIC) N/A BIC was removed. Rev Terminology change for consistent terminology for the new Medicare number as part of the statutory requirement under the Medicare Access and CHIP Reauthorization Act of 2015. No
Page 4, Section 1 - Beneficiariy Identification Code (BIC) N/A Remove BIC Rev Terminology change for consistent terminology for the new Medicare number as part of the statutory requirement under the Medicare Access and CHIP Reauthorization Act of 2015. No
Page 4, Section 1 - Social Security Claim Number Medicare Number Rev Terminology change for consistent terminology for the new Medicare number as part of the statutory requirement under the Medicare Access and CHIP Reauthorization Act of 2015. No



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