This class represents the results of prior Billing Events, including previous payments, which are used in part to determine the liability of the Payer and of the Patient for the current Billing Event.

Attributes
BenefitStage	benefitStage	Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.
Integer	benefitStageCount	"Count of Benefit Stage Amount occurrences." - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.
BillingSequence	billingSequence	Pointer to the Billing Event(s) for which Health Plans have previously made payments for the Billable Service.
«TS» PointInTime	dateAdjudicated	"Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits." - NCPDP Telecommunication (Field 443-E8, Data Dictionary 201104).
String	internalControlId	"Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only." - NCPDP Telecommunication (Field 993-A7, Data Dictionary 201104).
«II» Id	otherPayerId	"ID assigned to the payer." - NCPDP Telecommunication (Field 340-7C, Data Dictionary 201104). Note that the NCPDP Telecommunication structure uses a separate "qualifier" field (339-6C) to identify what kind of id is being used here (i.e., who issued the id). Possible values include: National Provider Identifier (NPI); Medicare; Medicaid; Health Industry Number (HIN); Bank Information Number (BIN); National Association of Insurance Commissioners (NAIC); Medicare Carrier Number; Other. The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.
PreviousPatientResponsibility	previousPatientResponsibility	Pointer to a set of amounts previously determined by other payers to be the responsibility of the Patient.
Integer	previousPatientResponsibilityCount	"Count of Other Payer-Patient Responsibility Amount and Other Payer-Patient Responsibility Amount Qualifier occurrences." - NCPDP Telecommunication (Field 353-NR, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Patient Responsibility class instances.
PreviousPayment	previousPayment	Pointer to a set of amounts and categories of any payment(s) known by the pharmacy from other sources.
Integer	previousPaymentCount	"Count of the payer amount paid occurrences." - NCPDP Telecommunication (Field 341-HB, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Payment class instances.
PreviousRejection	previousRejection	Pointer to a set of rejections previously made by other payers.
Integer	previousRejectionCount	"Count of Other Payer Reject Code occurrences." - NCPDP Telecommunication (Field 471-5E, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Rejection class instances.

 benefitStage

Public BenefitStage benefitStage

Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.

Constraints:

Properties:

Aggregation	None
Alias
Association	coordinationOfBenefits_benefitStage
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	benefitStage
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::benefitStage
Stereotype
Template Parameter
Type	BenefitStage
Upper	*
Upper Value	(*)
Visibility	Public

 benefitStageCount

Public Integer benefitStageCount

"Count of Benefit Stage Amount occurrences." - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	benefitStageCount
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::benefitStageCount
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 billingSequence

Public BillingSequence billingSequence

Pointer to the Billing Event(s) for which Health Plans have previously made payments for the Billable Service.

Constraints:

Properties:

Aggregation	None
Alias
Association	coordinationOfBenefits_billingSequence
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	billingSequence
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::billingSequence
Stereotype
Template Parameter
Type	BillingSequence
Upper	*
Upper Value	(*)
Visibility	Public

 dateAdjudicated

Public «TS» PointInTime dateAdjudicated

"Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits." - NCPDP Telecommunication (Field 443-E8, Data Dictionary 201104).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	dateAdjudicated
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::dateAdjudicated
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 internalControlId

Public String internalControlId

"Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only." - NCPDP Telecommunication (Field 993-A7, Data Dictionary 201104).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	internalControlId
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::internalControlId
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 otherPayerId

Public «II» Id otherPayerId

"ID assigned to the payer." - NCPDP Telecommunication (Field 340-7C, Data Dictionary 201104). Note that the NCPDP Telecommunication structure uses a separate "qualifier" field (339-6C) to identify what kind of id is being used here (i.e., who issued the id). Possible values include: National Provider Identifier (NPI); Medicare; Medicaid; Health Industry Number (HIN); Bank Information Number (BIN); National Association of Insurance Commissioners (NAIC); Medicare Carrier Number; Other. The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	otherPayerId
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::otherPayerId
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 previousPatientResponsibility

Public PreviousPatientResponsibility previousPatientResponsibility

Pointer to a set of amounts previously determined by other payers to be the responsibility of the Patient.

Constraints:

Properties:

Aggregation	None
Alias
Association	coordinationOfBenefits_previousPatientResponsibility
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	previousPatientResponsibility
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousPatientResponsibility
Stereotype
Template Parameter
Type	PreviousPatientResponsibility
Upper	*
Upper Value	(*)
Visibility	Public

 previousPatientResponsibilityCount

Public Integer previousPatientResponsibilityCount

"Count of Other Payer-Patient Responsibility Amount and Other Payer-Patient Responsibility Amount Qualifier occurrences." - NCPDP Telecommunication (Field 353-NR, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Patient Responsibility class instances.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	previousPatientResponsibilityCount
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousPatientResponsibilityCount
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 previousPayment

Public PreviousPayment previousPayment

Pointer to a set of amounts and categories of any payment(s) known by the pharmacy from other sources.

Constraints:

Properties:

Aggregation	None
Alias
Association	coordinationOfBenefits_previousPayment
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	previousPayment
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousPayment
Stereotype
Template Parameter
Type	PreviousPayment
Upper	*
Upper Value	(*)
Visibility	Public

 previousPaymentCount

Public Integer previousPaymentCount

"Count of the payer amount paid occurrences." - NCPDP Telecommunication (Field 341-HB, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Payment class instances.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	previousPaymentCount
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousPaymentCount
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public

 previousRejection

Public PreviousRejection previousRejection

Pointer to a set of rejections previously made by other payers.

Constraints:

Properties:

Aggregation	None
Alias
Association	coordinationOfBenefits_previousRejection
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	previousRejection
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousRejection
Stereotype
Template Parameter
Type	PreviousRejection
Upper	*
Upper Value	(*)
Visibility	Public

 previousRejectionCount

Public Integer previousRejectionCount

"Count of Other Payer Reject Code occurrences." - NCPDP Telecommunication (Field 471-5E, Data Dictionary 201104). Note that this property is marked as derived, since this number can be calculated from the number of Previous Rejection class instances.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	CoordinationOfBenefits
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	previousRejectionCount
Name Expression
Namespace	CoordinationOfBenefits
Opposite
Owner	CoordinationOfBenefits
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::CoordinationOfBenefits::previousRejectionCount
Stereotype
Template Parameter
Type	Integer
Upper	1
Upper Value	(1)
Visibility	Public