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Form CMS-10175 Electronic File Interchange Organization (Efio) Certification Statement
What Is Form CMS-10175?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on March 1, 2022 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form CMS-10175?A: Form CMS-10175 is a certification statement for Electronic File Interchange Organization (Efio).
Q: What is Electronic File Interchange Organization (Efio)?A: Electronic File Interchange Organization (Efio) is an organization that electronically transmits healthcare data.
Q: What is the purpose of the certification statement?A: The certification statement ensures that the Efio meets the necessary requirements to securely transmit healthcare data electronically.
Q: Who needs to complete the Form CMS-10175?A: Efios that wish to transmit healthcare data electronically need to complete the Form CMS-10175.
Form Details:
- Released on March 1, 2022;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-10175 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-10175 Electronic File Interchange Organization (Efio) Certification Statement
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