Attachment E - Data Submission Screenshots

Figure 1. Public/Login or Registration Page – Provides submission information and a link for users to
register or log in.

Figure 2. Registration – Participants are requested to enter their contact information, identify their role, as
a sponsor, coalition or vendor. Based on this information, system administrators will approve/reject the
registration. If approved, the system automatically sends an email with the login information.

Figure 3. Home Page - Outlines each of the steps for data submission process.

Figure 4. Plan Information - Users add and edit information for each health plan.

Figure 5. Submit DUA - Users upload the Data Use Agreement (DUA in Adobe Acrobat (pdf) format to
the submission system. System administrators then review DUAs and approve/reject the submitted
document.

Figure 6. Submit Questionnaire - Users upload questionnaire documents in MS Word (doc), Adobe
Acrobat (pdf) Text (txt) or Rich Text Format (rtf) format to the submission system and identify which type
of questionnaire they are submitting. System administrators then review questionnaires and approve/reject
the submitted document.

Figure 7. Submit Data File Page – Users upload data files from their local computer. Each file
submitted requires information about how the survey was administered. Uploaded files are evaluated in
real-time to ensure they meet the basic required format. If not, users receive immediate feedback. Once a
file is accepted, the data file is loaded it to the database.

Figure 8. View Submission Status – Users can view the status of their account at any time during the
submission process for all submissions in their account.