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pdf#19a Reduced Cost Sharing for VBIDS
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 13
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 14
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Notes
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 7
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 8
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 9
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19A #2 SNF – Base 10
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#19b Additional Benefits for VBIDS
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#19b Additional Benefits for VBIDS – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
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CY 2017 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Notes
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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VBID 19B #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 7
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 8
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 9
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #2 SNF – Base 10
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 92 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 96 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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VBID 19B #7f Podiatry Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #7f Podiatry Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #7f Podiatry Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #9d Outpatient Blood Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #9d Outpatient Blood Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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VBID 19B #13a Acupuncture – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #13a Acupuncture – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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VBID 19B #13a Acupuncture – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 110 of 166
VBID 19B #13b OTC Items – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 111 of 166
VBID 19B #13b OTC Items – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 112 of 166
VBID 19B #13b OTC Items – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 113 of 166
VBID 19B #13c Meal Benefit – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 114 of 166
VBID 19B #13c Meal Benefit – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 115 of 166
VBID 19B #13c Meal Benefit – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 116 of 166
VBID 19B #13d Other 1 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 117 of 166
VBID 19B #13d Other 1 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 118 of 166
VBID 19B #13d Other 1 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 119 of 166
VBID 19B #13e Other 2 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 120 of 166
VBID 19B #13e Other 2 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 121 of 166
VBID 19B #13e Other 2 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 122 of 166
VBID 19B #13f Other 3 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 123 of 166
VBID 19B #13f Other 3 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 124 of 166
VBID 19B #13f Other 3 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 125 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 126 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 127 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 128 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 129 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 130 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 131 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 132 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 133 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 134 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 135 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 136 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 137 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 138 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 139 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 140 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 141 of 166
CY 2017 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 142 of 166
VBID 19B #16b Comprehensive – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 143 of 166
VBID 19B #16b Comprehensive – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 144 of 166
VBID 19B #16b Comprehensive – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 145 of 166
VBID 19B #16b Comprehensive – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 146 of 166
VBID 19B #16b Comprehensive – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 147 of 166
VBID 19B #16b Comprehensive – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 148 of 166
VBID 19B #17a Eye Exams – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 149 of 166
VBID 19B #17a Eye Exams – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 150 of 166
VBID 19B #17a Eye Exams – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 151 of 166
VBID 19B #17b Eyewear – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 152 of 166
VBID 19B #17b Eyewear – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 153 of 166
VBID 19B #17b Eyewear – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 154 of 166
VBID 19B #17b Eyewear – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 155 of 166
VBID 19B #17b Eyewear – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 156 of 166
VBID 19B #17b Eyewear – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 157 of 166
VBID 19B #18a Hearing Exams – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 158 of 166
VBID 19B #18a Hearing Exams – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 159 of 166
VBID 19B #18a Hearing Exams – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 160 of 166
VBID 19B #18a Hearing Exams – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 161 of 166
VBID 19B #18b Hearing Aids – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 162 of 166
VBID 19B #18b Hearing Aids – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 163 of 166
VBID 19B #18b Hearing Aids – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 164 of 166
VBID 19B #18b Hearing Aids – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 165 of 166
VBID 19B #18b Hearing Aids – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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| File Type | application/pdf |
| File Title | CY 2017 PBP Data Entry System Screens - Section B VBID |
| Author | Scott Meyer |
| File Modified | 2015-12-04 |
| File Created | 2015-12-04 |