Internal Claims and Appeals and External Review Procedures

Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers (CMS-10338)

OMB: 0938-1099

IC ID: 249636

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Internal Claims and Appeals and External Review Procedures
 
No Modified
 
Mandatory
 
45 CFR 147.146

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

5,783 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,783 0 0 0 5,783 0
Annual IC Time Burden (Hours) 3,066 0 0 0 3,066 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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