CMS-R-262 Section A-1

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)

Appendix_C_PBP2021_Screenshots-SectionA-Upload-2019-12-09

CY2021 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)

OMB: 0938-0763

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Section A-1

Softrams

CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-2

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
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CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-3

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
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CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-4

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-5

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-6

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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Section A-7

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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PBP Plan Upload

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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PBP Landing Screen

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CY 2021 PBP Data Entry System Screens

CY2021 PBP – Section A
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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File Typeapplication/pdf
File TitleCY 2021 PBP Data Entry System Screens
AuthorSoftrams
File Modified2019-12-09
File Created2019-12-09

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