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Electronic Data Interchange (EDI) Agreement
Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340)
OMB: 0938-1152
IC ID: 225025
OMB.report
HHS/CMS
OMB 0938-1152
ICR 202403-0938-009
IC 225025
( )
Documents and Forms
Document Name
Document Type
Form CMS-10340
Electronic Data Interchange (EDI) Agreement
Form
CMS-10340 MAO Electronic Data Interchange (EDI) Agreement
EDI Agreement with OMB a08112020.pdf
Form
Information Collection (IC) Details
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