CMS-10433 Plan Benefits Template

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Overview

Plan Crosswalk
Plan and Service Area Data

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Sheet 1: Plan Crosswalk

Plan Crosswalk Template
	Issuer Information
HIOS Issuer ID*					Actions
Issuer State*				1. Import Plan and Benefits Template and Service Area Template
Market Coverage*
Dental Only Plan*				Please save your completed Plans and Benefits and Service Area Template to a folder on your harddrive.
Multi-State Plan*
HIOS Plan ID (Standard Component)	Crosswalk Level	Counties Crosswalked at Zip Level		2. Create "Crosswalk Tab"
Required	Required: Indicate whether you would like to crosswalk your Plan IDs at the plan, county or zip code level.	Required if user indicates Crosswalked at the Zip Level for one or more counties.		Create the "Crosswalk Tab" based upon your entry below.
				3. Validate Data
				Validate information entered into all tabs. Warning: Depending on data size, validation may take several minutes.
				4. Finalize Template
				Export Data to XML file.

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Sheet 2: Plan and Service Area Data

HIOS Plan ID (Standard Component)

Service Area ID

Service Area Name

State

County Name

Partial County

Service Area Zip Code(s)