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pdfCY 2020 PBP Data Entry System Screens
VBID – General
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 26
CY 2020 PBP Data Entry System Screens
VBID – Package Setup
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 26
CY 2020 PBP Data Entry System Screens
VBID – Package Tiers – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 26
CY 2020 PBP Data Entry System Screens
VBID – Tier Coverage – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 26
CY 2020 PBP Data Entry System Screens
VBID – Tier Locations – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 26
CY 2020 PBP Data Entry System Screens
VBID – Retail Copayment – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 26
CY 2020 PBP Data Entry System Screens
VBID – Retail Coinsurance – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 26
CY 2020 PBP Data Entry System Screens
VBID – Mail Order Copayment – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 26
CY 2020 PBP Data Entry System Screens
VBID – Mail Order Coinsurance – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 26
CY 2020 PBP Data Entry System Screens
VBID – Out-of-Network and LTC Cost Sharing – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 26
CY 2020 PBP Data Entry System Screens
VBID – Daily Retail and Mail Order Copay – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 26
CY 2020 PBP Data Entry System Screens
VBID – Daily LTC Copay – Pre-ICL
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 26
CY 2020 PBP Data Entry System Screens
VBID – Package Tiers – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 26
CY 2020 PBP Data Entry System Screens
VBID – Tier Coverage – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 26
CY 2020 PBP Data Entry System Screens
VBID – Tier Locations – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 26
CY 2020 PBP Data Entry System Screens
VBID – Retail Copayment – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 26
CY 2020 PBP Data Entry System Screens
VBID – Retail Coinsurance – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 26
CY 2020 PBP Data Entry System Screens
VBID – Mail Order Copayment – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 26
CY 2020 PBP Data Entry System Screens
VBID – Mail Order Coinsurance – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 26
CY 2020 PBP Data Entry System Screens
VBID – Out-of-Network and LTC Cost Sharing – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 26
CY 2020 PBP Data Entry System Screens
VBID – Daily Retail and Mail Order Copay – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 26
CY 2020 PBP Data Entry System Screens
VBID – Daily LTC Copay – Gap
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 26
CY 2020 PBP Data Entry System Screens
VBID – Package Tiers – OOP Threshold
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 26
CY 2020 PBP Data Entry System Screens
VBID – Tier Coverage – OOP Threshold
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 26
CY 2020 PBP Data Entry System Screens
VBID – Post OOP Threshold Cost Sharing
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 26
CY 2020 PBP Data Entry System Screens
VBID – Package notes
Softrams
CY2020 PBP – Section Rx VBID
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 26
| File Type | application/pdf |
| File Title | CY 2020 PBP Data Entry System Screens |
| Author | Scott Meyer |
| File Modified | 2018-12-18 |
| File Created | 2018-12-18 |