Form CMS-10691 Medicare A & B Claims Data to Part D Plan Sponsors API (

Data Request and Attestation for PDP Sponsors (CMS-10691)

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Data Request and Attestation for PDP Sponsors

OMB: 0938-1371

Document [pdf]
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Medicare A & B Claims Data to Part D Plan Sponsors API (AB2D) API
PRA Request Screenshots
HPMS Claims Data Attestation Module
Part D Plan Attestation Home Page

HPMS Attestation Process: Part D Plan Request for Part A&B Claims Data via the AB2D API
1. Part D Plan Selects Unattested Contract

2. Part D Plan Reviews and Agrees to Use of Data

3. Part D Plan Receives Validation of Successful Attestation. Contract moved to the “Attested
Contracts” tab

HPMS Process to Un-Attest: Part D Plan removes request for Part A&B Claims Data via the AB2D API
1. Part D Plan Navigates to the “Attested Contracts” tab and Selects Contract

2. Part D Plan Reviews and Agrees to their Attestation Removal

3. Part D Plan Receives Validation of Successful Attestation removal. Contract moved to the
“Unattested Contracts” tab

AB2D APl On-boarding Forms PRA Request
Form #1: ADOS Form
Purpose: Attestor (CEO, CFO, CEO) uses form to designate a primary AB2D Point of Contact (referred to
as the AB2D Data Operations Specialist or ADOS)

Form #2 – Access Form
Purpose: Primary AB2D Point of Contact (referred to as the AB2D Data Operations Specialist or ADOS)
uses form to provide CMS/AB2D with on-boarding pre-requisites prior to getting production API access.


File Typeapplication/pdf
File TitleMedicare A & B Claims Data to Part D Plan Sponsors API (AB2D) API
AuthorCMS
File Modified2022-06-27
File Created2022-06-27

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