OMB control number
Transparency in Pricing Information (CMS-10715)
OMB 0938-1423 ยท HHS/CMS.
OMB 0938-1423
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10317 Appendix 2 - In-Network Rate Data Template | Form and Instruction |
| Form CMS-10317 In-Network Rate File | Form and Instruction |
| Form CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements | 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 |
Information collection |
| Prescription Drug File |
Information collection |
| Internet-based Self-Service Tool |
Information collection |
| In-Network Rate File |
Form and Instruction |
| In-Network Rate File |
Form and Instruction |
| Customer Service Representative Training |
Information collection |
| Allowable Amount |
Form and Instruction |
| Allowable Amount |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202203-0938-010 | New collection (Request for a new OMB Control Number) | 2022-03-25 | Approved without change |