PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HIPAA Eligibility Transaction System (HETS) Trading Partner Agreement (TPA)
Modified
500
125
0
Form
CMS-10157
Medicare HIPAA Eligibility Transaction System (HETS) to Conduct the Health Care Eligibility Benefit Inquiry and Response
Total burden requested under this ICR:
500
125
0
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