Affordable Care Act Internal Claims and Appeals and External review Disclosures.

ICR 202301-1545-016

OMB: 1545-2182

Federal Form Document

Forms and Documents

Document Name	Status
1545-2182 SS_IFR2_2023r1 (final).docx Supporting Statement A	2023-03-24

IC Document Collections

IC ID	Document Title	Status
250359	Interim Procedures for Federal External Review and Model Notices Relating to Internal Claims and Appeals and External Review under the Patient Protection and Affordable Care Act Other-Model	Modified
193852	Group Health Plans Internal Claims and Appeals and External Review Processes	Modified