The Medicare Advantage and Prescription Drug Program: Part C Explanation of Benefits and Supporting Regulations (CMS-10453) - IRA

OMB 0938-1228

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10453 EOB Form and Instruction
CMS-10453 - Supporting Statement A.docx Supporting Statement A
Comments Received 2025 EOB PRA Package 60 day.pdf Supplementary Document
Part D Model EOB Crosswalk.pdf Supplementary Document
EOB Form and Instruction

All Historical Document Collections

202312-0938-004 Approved without change	Reinstatement with change of a previously approved collection	2023-12-21
201308-0938-013 Approved without change	New collection (Request for a new OMB Control Number)	2013-08-13