$400 Premium Data submission

Complete the form below with information about your Health Plan for Calendar Year 2023.  We will use this to develop a P2 and D1 file for your organization.  No other files can be submitted through this survey.

After clicking Submit you will be contacted by our team with an invoice for $400 and any questions, we may have to complete the filing.

Once the invoice is paid and all questions are answered, we will complete the filing.

You will receive a Submission Receipt issued by CMS after your data is submitted.  Be sure to retain this Submission Receipt to prove compliance in the future.