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pdfCY 2025 PBP Data Entry System Screens
VBID, MA Uniformity, SSCBI Package Selection – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 54
CY 2025 PBP Data Entry System Screens
VBID, MA Uniformity, SSCBI Package Selection – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 54
VBID Hospice – Page 1
Softrams
CY 2025 PBP Data Entry System Screens
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 54
VBID Hospice – Page 2
Softrams
CY 2025 PBP Data Entry System Screens
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 54
VBID Hospice – Page 3
Softrams
CY 2025 PBP Data Entry System Screens
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 54
VBID Hospice – Page 4
Softrams
CY 2025 PBP Data Entry System Screens
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 54
VBID Hospice – Page 5
Softrams
CY 2025 PBP Data Entry System Screens
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID/MA UF/SSBCI) – 19a
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 4
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 5
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 6
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (VBID) – Add Package – Page 7
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 4
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 5
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (MA UF) – Add Package – Page 6
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 4
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 5
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages (SSBCI) – Add Package – Page 6
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Reduced Coinsurance Screen – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Reduced Coinsurance Screen – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Reduced Copayment Screen – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 30 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Reduced Copayment Screen – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 31 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Reduced Deductible Screen
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 32 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Physician Specialist Services Screen – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Physician Specialist Services Screen – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Physician Specialist Services Screen – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 35 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Sample with Service 1b1 – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 36 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Sample with Service 1b1 – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 37 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Sample with Service 1b2 – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 38 of 54
CY 2025 PBP Data Entry System Screens
Reduction in Cost Sharing Packages – Sample with Service 1b2 – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 39 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages (VBID/MA UF/SSBCI) – 19b
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 40 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 41 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 42 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 43 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 4
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 44 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 5
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 45 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Page 6
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 46 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with VBID – Add Package – Page 7
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 47 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 1b1 – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 48 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 1b1 – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 49 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 7b1 – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 50 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 7b1 – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 51 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 10b1 – Page 1
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 52 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 10b1 – Page 2
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 53 of 54
CY 2025 PBP Data Entry System Screens
Additional Benefits Packages – Sample with Service 10b1 – Page 3
Softrams
CY2025 PBP – VBID-UF-SSBCI Packages
12/29/2023
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 54 of 54
| File Type | application/pdf |
| File Title | CY 2025 PBP Data Entry System Screens |
| Author | CMS |
| File Modified | 2023-12-22 |
| File Created | 2023-12-21 |