Document
CMS-10433 Network ID Template
ICR 201902-0938-012 · OMB 0938-1187 · Object 89481901.
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1187 can be found here:
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| All fields with an asterisk (*) are required. | ||
| If macros are disabled, press and hold the ALT key and press the F, then I, and then N key. After that, select the Enable All Content option by pressing enter. (note that you can also press the C key to select "Enable All Content") Instructions can be found in cells B1 through B5. | To validate the template, press Validate button or Ctrl + Shift + I. To finalize, press Finalize button or Ctrl + Shift + F. | |
| Click Create Network IDs button (or Ctrl + Shift + N) to create network ids based on your state. | ||
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Network IDs will populate in the drop-down box in Network ID column. | |
| Use each Network ID only once. | ||
| HIOS Issuer ID* | ||
| Issuer State* | ||
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| Network Name* | Network ID* | Network URL* |
| Required: Enter the Network Name |
Required: Select the Network ID |
Required: Enter the Network URL |
| File Type | application/vnd.ms-excel |
| File Title | Network Template |
| Subject | Network IDs |
| Author | CMS |
| Last Modified By | O'Brien, Tayseer |
| File Modified | 2019-01-28 |
| File Created | 2012-02-01 |