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pdfCY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 5
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 6
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 7
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 8
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 9
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 223
CY 2026 PBP Data Entry System Screens
1a - Inpatient Hospital-Acute - Page 10
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 223
CY 2026 PBP Data Entry System Screens
1a1 – Additional Days for Inpatient Hospital-Acute - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 223
CY 2026 PBP Data Entry System Screens
1a1 - Additional Days for Inpatient Hospital-Acute - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1a1 - Additional Days for Inpatient Hospital-Acute - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1a2 - Non-Medicare Covered Stay for Inpatient Hospital-Acute - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1a2 - Non-Medicare Covered Stay for Inpatient Hospital-Acute – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1a3 – Upgrades for Inpatient Hospital-Acute
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 5
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 6
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b - Inpatient Hospital-Psychiatric - Page 7
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b1 - Additional Days for Inpatient Hospital-Psychiatric -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b1 - Additional Days for Inpatient Hospital-Psychiatric -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b2 - Non-Medicare-Covered Stay for Inpatient Hospital Psychiatric - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
1b2 - Non-Medicare-Covered Stay for Inpatient Hospital Psychiatric - Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2 - Skilled Nursing Facility - Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2 - Skilled Nursing Facility - Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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2 - Skilled Nursing Facility - Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY 2026 PBP Data Entry System Screens
2 - Skilled Nursing Facility - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2 - Skilled Nursing Facility - Page 5
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2 - Skilled Nursing Facility - Page 6
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2-1 - Additional Days for Skilled Nursing Facility -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
2-1 - Additional Days for Skilled Nursing Facility -Page -2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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2-1 - Additional Days for Skilled Nursing Facility - Page-3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
3 - Cardiac and Pulmonary Rehabilitation Services
Softrams
CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
3-1 - Cardiac Rehabilitation Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-1 - Cardiac Rehabilitation Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-1 - Cardiac Rehabilitation Services -Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-1 - Cardiac Rehabilitation Services -Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY 2026 PBP Data Entry System Screens
3-2 - Intensive Cardiac Rehabilitation Services - Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-1 – Intensive Cardiac Rehabilitation Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-2 – Intensive Cardiac Rehabilitation Services -Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-2 – Intensive Cardiac Rehabilitation Services -Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
3-3 - Pulmonary Rehabilitation Services - Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-3 - Pulmonary Rehabilitation Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-3 - Pulmonary Rehabilitation Services -Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-3 - Pulmonary Rehabilitation Services -Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-4 - SET for PAD Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-4 - SET for PAD Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-4 - SET for PAD Services -Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-4 - SET for PAD Services -Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Screens
3-1 - Additional Cardiac Rehabilitation Services - Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-1 - Additional Cardiac Rehabilitation Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-1 - Additional Cardiac Rehabilitation Services -Page 3
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-1 - Additional Cardiac Rehabilitation Services -Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-2 - Additional Intensive Cardiac Rehabilitation Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-3 - Additional Pulmonary Rehabilitation Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-4 - Additional SET for PAD Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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3-4 Additional SET for PAD Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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3-4 Additional SET for PAD Services - Page 4
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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4a Emergency Services -Page 1
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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4a Emergency Services -Page 2
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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4b - Urgently Needed Services -Page 1
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01/08/2025
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4c - Worldwide Emergency /Urgent Coverage -Page 1
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01/08/2025
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4c - Worldwide Emergency /Urgent Coverage -Page 2
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01/08/2025
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4c1 - Worldwide Emergency Coverage
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CY2026 PBP – Benefit Service Categories 1-10
01/08/2025
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4c2 - Worldwide Urgent Coverage
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CY2026 PBP – Benefit Service Categories 1-10
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4c3 - Worldwide Emergency Transportation
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CY2026 PBP – Benefit Service Categories 1-10
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5a - Partial Hospitalization Program - Page 1
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CY2026 PBP – Benefit Service Categories 1-10
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5a - Partial Hospitalization Program - Page 2
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6 - Home Health Services - Page 1
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7a - Primary Care Physician Services -Page 1
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7b – Chiropractic Services -Page 1
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7b – Chiropractic Services – Non-Medicare
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CY2026 PBP – Benefit Service Categories 1-10
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7b2 – Other Chiropractic Care - Page 1
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| File Type | application/pdf |
| File Title | CY 2026 PBP Data Entry System Screens |
| Author | CMS |
| File Modified | 2024-12-18 |
| File Created | 2024-12-18 |