Form CMS-10495 Open Payments User Guide
Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)
Open Payments User Guide_for_Reporting_Entities - 508 Compliant cf 1-31
Applicable GPO (Data Collection and Submission)
OMB: 0938-1237
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1237 can be found here: