CY2013 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

Appendix_C_PBP_2014 screenshots_section_a_2012_12_03

CY2013 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

OMB: 0938-0763

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PBP 2014 Data Entry System Screens

PBP File Paths Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 1 of 8

PBP 2014 Data Entry System Screens

Section A-1 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 2 of 8

PBP 2014 Data Entry System Screens

A-2 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 3 of 8

PBP 2014 Data Entry System Screens

Section A-3 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 4 of 8

PBP 2014 Data Entry System Screens

Section A-4 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 5 of 8

PBP 2014 Data Entry System Screens

Section A-5 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 6 of 8

PBP 2014 Data Entry System Screens

Section A-6 Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 7 of 8

PBP 2014 Data Entry System Screens

PBP Plan Upload Screen

Fu Associates, Ltd.

CY 2014 PBP – Section A
12/6/2012
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 8 of 8


File Typeapplication/pdf
File TitlePBP 2014 Data Entry System Screens
Authorkeirle
File Modified2012-12-06
File Created2012-12-06

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