Allowed Amount File

Transparency in Pricing Information (CMS-10715)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1429 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10715 Allowed Amount File Form and Instruction
Form CMS-10715 Allowed Amount File Form and Instruction
CMS-10715 APPENDIX 2: In-network Rate Machine-Readable File Data Elements CMS-10715-Transparency in Coverage_Appendix 2_Final .pdf Form and Instruction
CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements CMS-10715-Transparency in Coverage_Appendix 3_.pdf Form and Instruction

Information Collection (IC) Details