Download:
pdf |
pdfOMB Control No:
0938-1237 Expiration Date:
XX/20XX
Screen Shots Submission Flow
The screen shots below illustrate the workflow (submission + Attestation) of a user uploading a file
containing general payments records.
File Upload-General Payments
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
[Type here]
Select criteria for file upload
Successful File Upload
2
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
[Type here]
Payments passed file level validation check and ready for FINAL Submission
Final Submission Button Enabled for final Submission
3
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
[Type here]
Final Submission Confirmation
Post Final Submission Confirmation
4
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Begin Attestation
Attestation-Confirm Payments
5
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Add Assumptions Yes/No?
Add Assumptions- Yes workflow
6
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Assumptions Added
Agree To Attestation
7
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Agree to Attestation_Cont
Agree to Attestation_Cont
8
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Review and Attest
Review and Attest
9
[Type here]
OMB Control No:
0938-1237 Expiration Date:
XX/20XX
Records shown as attested
10
| File Type | application/pdf |
| File Title | CMS-10495 - Atttestation and Assumptions Screen Shots |
| File Modified | 2021-02-01 |
| File Created | 2017-02-27 |