Attachment C - GHP Data Elements

4 Attach C 7_27_2020 vj508.pdf

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

Attachment C - GHP Data Elements

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02/28/14 has been superseded by the information available in the Section 111 GHP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-andRecovery/Mandatory-Insurer-Reporting-For-Group-Health-Plans/GHP-UserGuide/GHP-User-Guide.html .

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File Typeapplication/pdf
File TitleAttachment C – GHP Data Elements
AuthorCMS
File Modified2020-09-03
File Created2020-09-03

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