CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

PBP 2011 Data Entry System Screens

SECTION C – OON – GENERAL – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – GENERAL – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – GENERAL – NOTES SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – INPATIENT – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – INPATIENT – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – INPATIENT – BASE 3 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – INPATIENT – BASE 4 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – SNF – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – SNF – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – GROUPS – GROUP SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – GROUPS – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – OON – GROUPS – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GENERAL – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GENERAL – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GENERAL – BASE 3 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GENERAL – NOTES SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – INPATIENT – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – INPATIENT – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – INPATIENT – BASE 3 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – INPATIENT – BASE 4 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – INPATIENT – BASE 5 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – SNF – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – SNF – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GROUPS – GROUP SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GROUPS – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – POS – GROUPS – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – GENERAL –BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – GENERAL –U.S. – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – GENERAL –U.S. – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – GENERAL –U.S. – NOTES SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – INPATIENT – U.S. – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – INPATIENT – U.S. – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – INPATIENT – U.S. – BASE 3 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – INPATIENT – U.S. – BASE 4 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – SNF – U.S. – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – SNF – U.S. – BASE 2 SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – U.S. –NUMBER OF GROUPS SCREEN

Appendix C

CY 2011 PBP PRA Package

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PBP 2011 Data Entry System Screens

SECTION C – V/T – U.S. – GROUPS – BASE 1 SCREEN

Appendix C

CY 2011 PBP PRA Package

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