| EnrollEligCOB UML Documentation |
Summary:AttributesProperties | Detail:Attributes |
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 |
"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 |
"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 Abstract | false |
Is Active | false |
Is Leaf | false |
Keywords | |
Name | BenefitStage |
Name Expression | |
Namespace | EnrollEligCOB |
Owned Template Signature | |
Owner | EnrollEligCOB |
Owning Template Parameter | |
Package | EnrollEligCOB |
Qualified Name | FHIM::EnrollEligCOB::BenefitStage |
Representation | |
Stereotype | |
Template Parameter | |
Visibility | Public |
Attribute Details |
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).
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | BenefitStage |
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 | amount |
Name Expression | |
Namespace | BenefitStage |
Opposite | |
Owner | BenefitStage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::BenefitStage::amount |
Stereotype | |
Template Parameter | |
Type | «MO» MonetaryAmount |
Upper | 1 |
Upper Value | (1) |
Visibility | Public |
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.
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | BenefitStage |
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 | benefitStageType |
Name Expression | |
Namespace | BenefitStage |
Opposite | |
Owner | BenefitStage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::BenefitStage::benefitStageType |
Stereotype | |
Template Parameter | |
Type | «CS» Code |
Upper | 1 |
Upper Value | (1) |
Visibility | Public |
| EnrollEligCOB UML Documentation |
Summary:AttributesProperties | Detail:Attributes |