| 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 |
"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 |
"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 |