EnrollEligCOB
Class BenefitStage

Medicare Part D provides prescription benefits in several "stages", including an Initial Coverage Benefit Stage, the Coverage Gap or Out-of-Pocket Benefit Stage, and the Catastrophic Coverage Benefit Stage. This class identifies the number and dollar amount of payments made in each stage.

Attributes
«MO» MonetaryAmount amount amount

"The amount of claim allocated to the Medicare stage identified by the Benefit Stage Qualifier" - NCPDP Telecommunication (Field 393-MW, Data Dictionary 201104).

«CS» Code benefitStageType benefitStageType

"Code qualifying the Benefit Stage Amount" - NCPDP Telecommunication (Field 393-MV, Data Dictionary 201104). Possible values include: Deductible; Initial Benefit; Coverage Gap (donut hole); Catastrophic Coverage; Not paid under Part D, paid under Part C benefit (for MA-PD plan); Not paid under Part D, paid as or under a supplemental benefit only; Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing; Non-Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing.


Properties:

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

Attribute Details

 amount
Public «MO» MonetaryAmount amount

"The amount of claim allocated to the Medicare stage identified by the Benefit Stage Qualifier" - NCPDP Telecommunication (Field 393-MW, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassBenefitStage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
Nameamount
Name Expression
NamespaceBenefitStage
Opposite
OwnerBenefitStage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::BenefitStage::amount
Stereotype
Template Parameter
Type«MO» MonetaryAmount
Upper1
Upper Value(1)
VisibilityPublic


 benefitStageType
Public «CS» Code benefitStageType

"Code qualifying the Benefit Stage Amount" - NCPDP Telecommunication (Field 393-MV, Data Dictionary 201104). Possible values include: Deductible; Initial Benefit; Coverage Gap (donut hole); Catastrophic Coverage; Not paid under Part D, paid under Part C benefit (for MA-PD plan); Not paid under Part D, paid as or under a supplemental benefit only; Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing; Non-Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassBenefitStage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamebenefitStageType
Name Expression
NamespaceBenefitStage
Opposite
OwnerBenefitStage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::BenefitStage::benefitStageType
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic