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pdf#19 VBID/MA Uniformity Flexibility
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Package Type
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Disease States: VBID
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Disease States: UF
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 1 (Package Info)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 2 (OON/POS/Plan-level Deductible)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 3 (Reduced Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 4 (Reduced Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 5 (Reduced Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 6 (Reduced Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 7 (Reduced Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 8 (Reduced Deductible)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 9 (Reduced Deductible)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 10 (Reduced Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 11 (Reduced Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 12 (Reduced Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 13 (Reduced Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 14 (Reduced Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 15 (Reduced Specialist Coinsurance)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 16 (Reduced Specialist Deductible)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 17 (Reduced Specialist Copayment)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Base 18 (Retroactive Reimbursement)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 178
CY 2019 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBID/UF – Notes
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 30 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 31 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 32 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 33 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 34 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 35 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 36 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 37 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 38 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 39 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 40 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 41 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 42 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 43 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 44 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 45 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 46 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19A #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 47 of 178
VBID/UF 19A #2 SNF – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 48 of 178
VBID/UF 19A #2 SNF – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 49 of 178
VBID/UF 19A #2 SNF – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 50 of 178
VBID/UF 19A #2 SNF – Base 4
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 51 of 178
VBID/UF 19A #2 SNF – Base 5
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 52 of 178
VBID/UF 19A #2 SNF – Base 6
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 53 of 178
VBID/UF 19A #2 SNF – Base 7
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 54 of 178
VBID/UF 19A #2 SNF – Base 8
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 55 of 178
VBID/UF 19A #2 SNF – Base 9
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 56 of 178
VBID/UF 19A #2 SNF – Base 10
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 57 of 178
#19b Additional Benefits for VBID/UF
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 58 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Package Type
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 59 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Disease States: VBID
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 60 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Disease States: UF
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 61 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Base 1 (Package Info)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 62 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Base 2 (OON/POS/Plan-level Deductible)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 63 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Base 3 (Retroactive Reimbursement)
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 64 of 178
CY 2019 PBP Data Entry System Screens
#19b Additional Benefits for VBID/UF – Notes
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 65 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 66 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 67 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 68 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 69 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 70 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 71 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 72 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 73 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 74 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 75 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 76 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 77 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 78 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 79 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 80 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 81 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 82 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 83 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 84 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 85 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 86 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 87 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 88 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 89 of 178
VBID/UF 19B #2 SNF – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 90 of 178
VBID/UF 19B #2 SNF – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 91 of 178
VBID/UF 19B #2 SNF – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 92 of 178
VBID/UF 19B #2 SNF – Base 4
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 93 of 178
VBID/UF 19B #2 SNF – Base 5
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 94 of 178
VBID/UF 19B #2 SNF – Base 6
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 95 of 178
VBID/UF 19B #2 SNF – Base 7
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 96 of 178
VBID/UF 19B #2 SNF – Base 8
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 97 of 178
VBID/UF 19B #2 SNF – Base 9
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #2 SNF – Base 10
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 102 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 103 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #4c Worldwide Emergency/Urgent Coverage – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #4c Worldwide Emergency/Urgent Coverage – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 105 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #4c Worldwide Emergency/Urgent Coverage – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 106 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7b Chiropractic Services – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 107 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7b Chiropractic Services – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 108 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7b Chiropractic Services – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 109 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7f Podiatry Services – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 110 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7f Podiatry Services – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 111 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #7f Podiatry Services – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 112 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #9d Outpatient Blood Services – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 113 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #9d Outpatient Blood Services – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 114 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #10b Transportation Services – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 115 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #10b Transportation Services – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 116 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #10b Transportation Services – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 117 of 178
VBID/UF 19B #13a Acupuncture – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 118 of 178
VBID/UF 19B #13a Acupuncture – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 119 of 178
VBID/UF 19B #13a Acupuncture – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 120 of 178
VBID/UF 19B #13b OTC Items – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 121 of 178
VBID/UF 19B #13b OTC Items – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 122 of 178
VBID/UF 19B #13b OTC Items – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 123 of 178
VBID/UF 19B #13c Meal Benefit – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 124 of 178
VBID/UF 19B #13c Meal Benefit – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13c Meal Benefit – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 126 of 178
VBID/UF 19B #13d Other 1 – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 127 of 178
VBID/UF 19B #13d Other 1 – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13d Other 1 – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13e Other 2 – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13e Other 2 – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13e Other 2 – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13f Other 3 – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13f Other 3 – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #13f Other 3 – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 135 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14b Annual Physical Exam – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 136 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14b Annual Physical Exam – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 137 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14b Annual Physical Exam – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 138 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 139 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 142 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 143 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 144 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 7
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 145 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 8
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 146 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 9
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 147 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 10
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 148 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 11
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 149 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16a Preventive Dental – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 150 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16a Preventive Dental – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16a Preventive Dental – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 152 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16a Preventive Dental – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 153 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16a Preventive Dental – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 154 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 155 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 156 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 157 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 158 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 5
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 159 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #16b Comprehensive Dental – Base 6
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 160 of 178
VBID/UF 19B #17a Eye Exams – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 161 of 178
VBID/UF 19B #17a Eye Exams – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 162 of 178
VBID 19B #17a Eye Exams – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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VBID/UF 19B #17b Eyewear – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 164 of 178
VBID/UF 19B #17b Eyewear – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 165 of 178
VBID/UF 19B #17b Eyewear – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 166 of 178
VBID/UF 19B #17b Eyewear – Base 4
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 167 of 178
VBID/UF 19B #17b Eyewear – Base 5
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 168 of 178
VBID/UF 19B #17b Eyewear – Base 6
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 169 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #18a Hearing Exams – Base 1
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 170 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #18a Hearing Exams – Base 2
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 171 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #18a Hearing Exams – Base 3
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 172 of 178
CY 2019 PBP Data Entry System Screens
VBID/UF 19B #18a Hearing Exams – Base 4
Fu Associates, Ltd.
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 173 of 178
VBID/UF 19B #18b Hearing Aids – Base 1
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 174 of 178
VBID/UF 19B #18b Hearing Aids – Base 2
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 175 of 178
VBID/UF 19B #18b Hearing Aids – Base 3
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 176 of 178
VBID/UF 19B #18b Hearing Aids – Base 4
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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Page 177 of 178
VBID/UF 19B #18b Hearing Aids – Base 5
Fu Associates, Ltd.
CY 2019 PBP Data Entry System Screens
CY2019 PBP – Section B VBID/UF
11/21/2017
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| File Type | application/pdf |
| File Title | CY 2019 PBP Data Entry System Screens - Section B VBID/UF |
| Author | Scott Meyer |
| File Modified | 2017-11-29 |
| File Created | 2017-11-29 |