National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)

National Medical Support Notice - Part A

OMB: 0970-0222

IC ID: 264137

Documents and Forms

Document Name Document Type
Form Part A - Revised 2 National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents) Form
Form Part A - Revised 2 National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents) Form
Part A - Revised 2023 National Medical Support Notice Part A 2023 02 23 NMSN Part A Clean.docx Form
2023 02 23 NMSN_Part_A_Sample_Form Clean.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Main_Body_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_A_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_B_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_C_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_D_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_E_V1_6_DRAFT.docx Instruction
2023_08_23_e-NMSN_Software_Interface_Specification_Appendix_F_V1_6_DRAFT.docx Instruction