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US · guidance

CMS Pub. 100-06, ch. 6, § 10

Monthly Intermediary and Carrier Workload Report (Form CMS-

activein force · 2026-08-25 – presentas-observed

1566 and CMS-1565) - General

(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)

A3-3892 and B3 13300

Intermediaries and carriers must prepare and submit to CMS each month the appropriate

workload report (Form CMS-1566 for intermediaries and Form CMS-1565 for carriers)

showing their workloads under the health insurance program. A separate report is

required for each office assigned a separate contractor number. A separate report is

required for each Business Segment Identifier (BSI) assigned to the contractor, even if a

separate contractor number is not assigned.

History

(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
bf258575f0fabb6a8e38ef074775c6da66da496361f8046cdc1f60fb6d93049d
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