EnrollEligCOB
Class OtherPolicyInfo

This class contains additional information needed by specific payers to properly identify either the subscriber or the health plan.

Attributes
«II» Id medicaidAgencyId medicaidAgencyId

"Number assigned by processor to identify the individual Medicaid Agency or representative." - NCPDP Telecommunication (Field 116-N6, Data Dictionary 201104).

«II» Id medicaidId medicaidId

"A unique member identification number assigned by the Medicaid Agency." - NCPDP Telecommunication (Field 115-N5, Data Dictionary 201104).

«CS» Code medicaidState medicaidState

"Two character State Postal Code indicating the state where Medicaid coverage exists." - NCPDP Telecommunication (Field 360-2B, Data Dictionary 201104).

String medigapId medigapId

"Patient’s ID assigned by the Medigap Insurer." - NCPDP Telecommunication (Field 359-2A, Data Dictionary 201104).


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameOtherPolicyInfo
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::OtherPolicyInfo
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 medicaidAgencyId
Public «II» Id medicaidAgencyId

"Number assigned by processor to identify the individual Medicaid Agency or representative." - NCPDP Telecommunication (Field 116-N6, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassOtherPolicyInfo
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamemedicaidAgencyId
Name Expression
NamespaceOtherPolicyInfo
Opposite
OwnerOtherPolicyInfo
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::OtherPolicyInfo::medicaidAgencyId
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 medicaidId
Public «II» Id medicaidId

"A unique member identification number assigned by the Medicaid Agency." - NCPDP Telecommunication (Field 115-N5, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassOtherPolicyInfo
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamemedicaidId
Name Expression
NamespaceOtherPolicyInfo
Opposite
OwnerOtherPolicyInfo
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::OtherPolicyInfo::medicaidId
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 medicaidState
Public «CS» Code medicaidState

"Two character State Postal Code indicating the state where Medicaid coverage exists." - NCPDP Telecommunication (Field 360-2B, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassOtherPolicyInfo
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamemedicaidState
Name Expression
NamespaceOtherPolicyInfo
Opposite
OwnerOtherPolicyInfo
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::OtherPolicyInfo::medicaidState
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 medigapId
Public String medigapId

"Patient’s ID assigned by the Medigap Insurer." - NCPDP Telecommunication (Field 359-2A, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassOtherPolicyInfo
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamemedigapId
Name Expression
NamespaceOtherPolicyInfo
Opposite
OwnerOtherPolicyInfo
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::OtherPolicyInfo::medigapId
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic