Revisions Crosswalk for State General Info, and Data Entry Form
Issue # |
Page # |
Changes to Form |
Reason for change |
1. |
14 |
Deleted worksheet containing disclosure |
It is now located on the State General Info tab |
2. |
15 |
Added Disclosure statement |
Didn’t want it on a separate tab |
3. |
15 |
Added Validate, Validate&Finalize, and Format & Print Preview Buttons |
Needed them to allow state data entry person to validate their document |
4. |
15 |
Separated First name and last name on form |
Thought it would be more clear to the person, plus easy to collect in database |
5. |
20 |
Added Validate, Validate&Finalize, and Format & Print Preview Buttons |
Needed them to allow state data entry person to validate their document |
6. |
20 |
Changed cell wording for Name, Phone Number, Email under heading Issuer Data Submission contact |
508 reasons |
7. |
20 |
Changed cell wording for Fee-for-service, HMO, PPO, EPO, POS, Other under No. of Products offered |
508 reasons |
| File Type | application/msword |
| Author | CMS |
| Last Modified By | CMS |
| File Modified | 2010-05-06 |
| File Created | 2010-05-06 |