OMB control number

Transparency in Pricing Information (CMS-10715)

OMB 0938-1423 · HHS/CMS.

OMB 0938-1423

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10317 In-Network Rate File Form and Instruction
Form CMS-10715 Allowable Amount Form and Instruction
CMS-10715 - PRA Comments Responses (2).docx Supplementary Document
CMS-10715-Transparency in Coverage_Supporting Statement.docx Supporting Statement A
Requests for Mailed Disclosures
Prescription Drug File
Internet-based Self-Service Tool
In-Network Rate File Form and Instruction
Customer Service Representative Training
Allowable Amount Form and Instruction

All Historical Document Collections

202203-0938-010

2022-03-25