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pdfCMS/OSORA FOIA Beneficiary Portal
Screenshots for PRA
Submission
FOIA Beneficiary Portal – page 1
Figure 1: Welcome page with “Medicare” selected
FOIA Beneficiary Portal – page 2
Figure 2: Welcome page with “Medicaid” selected
FOIA Beneficiary Portal – page 3
Figure 3: Whose Records page with “Myself” selected
FOIA Beneficiary Portal – page 4
Figure 4: Whose Records page with “Someone Else” selected
FOIA Beneficiary Portal – page 5
Figure 5: Medicare Status page with “No” selected
FOIA Beneficiary Portal – page 6
Figure 6: Medicare Status page with "Yes" selected
FOIA Beneficiary Portal – page 7
Figure 7: Records Type page with "Medicare Advantage claims records" selected
FOIA Beneficiary Portal – page 8
Figure 8: Records Type page with "Prescription Drug claims records" selected
FOIA Beneficiary Portal – page 9
Figure 9: Records Type page with "Social Security Administration documents" selected
FOIA Beneficiary Portal – page 10
Figure 10: Records Type page with "Medicare Secondary Payer lien information" selected
FOIA Beneficiary Portal – page 11
Figure 11: Records Type page with "Other Medicare records" selected
FOIA Beneficiary Portal – page 12
Figure 12: Records type page with "Medicare beneficiary claims records" selected
FOIA Beneficiary Portal – page 13
Figure 13: Contact Info page for self
FOIA Beneficiary Portal – page 14
Figure 14: Contact Info page for request on behalf of someone else (first half)
FOIA Beneficiary Portal – page 15
Figure 15: Contact Info page for request on behalf of someone else (second half)
FOIA Beneficiary Portal – page 16
Figure 16: Record Details page for request for self
FOIA Beneficiary Portal – page 17
Figure 17: Record Details page for request on behalf of someone else
FOIA Beneficiary Portal – page 18
Figure 18: Other Details page
FOIA Beneficiary Portal – page 19
Figure 19: Review page (first half)
FOIA Beneficiary Portal – page 20
Figure 20: Review page (second half)
FOIA Beneficiary Portal – page 21
Figure 21: Request submitted page
| File Type | application/pdf |
| File Title | CMS/OSORA FOIA Beneficiary Portal |
| Author | JP Janaro |
| File Modified | 2025-11-24 |
| File Created | 2025-09-02 |