Beneficiary PBP Number
BENE_PBP_NUM A UNIQUE IDENTIFIER FOR THE PLAN BENEFIT PACKAGE OFFERED UNDER THE CONTRACT. FOR PART D THIS NUMBER IS A UNIQUE IDENTIFICATION FOR AN AGREEMENT BETWEEN CMS AND A PART D PROVIDER ENABLING THE PART D PROVIDER TO PROVIDE DRUG COVERAGE TO ELIGIBLE BENEFICIARIES. MARX DEFINITION: A 3-POSITION NUMERIC IDENTIFIER ASSIGNED TO A PLAN BENEFIT PACKAGE (PBP) OFFERED WITHIN A MANAGED CARE OR PRESCRIPTION DRUG CONTRACT. VALUES BEGINNING WITH 8 ARE RESERVED FOR EMPLOYER GROUP PLANS. A VALUE OF 999 IS RESERVED FOR COST CONTRACTORS WHO DO NOT CHOOSE TO OFFER A PRESCRIPTION DRUG BENEFIT
Field Metadata
- FHIR Resource
- Coverage
- FHIRPath
- Coverage.extension.where(url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-PBP-NUM').value
- Coverage / Claim Type
-
- PartC
- PartD
- Source View
-
V2_MDCR_BENE_MAPD_ENRLMT - Source Column
-
BENE_PBP_NUM
Example
001Mappings
- CCW
-
-
PTC_PBP_ID_01 -
PTC_PBP_ID_02 -
PTC_PBP_ID_03 -
PTC_PBP_ID_04 -
PTC_PBP_ID_05 -
PTC_PBP_ID_06 -
PTC_PBP_ID_07 -
PTC_PBP_ID_08 -
PTC_PBP_ID_09 -
PTC_PBP_ID_10 -
PTC_PBP_ID_11 -
PTC_PBP_ID_12 -
PTD_PBP_ID_01 -
PTD_PBP_ID_02 -
PTD_PBP_ID_03 -
PTD_PBP_ID_04 -
PTD_PBP_ID_05 -
PTD_PBP_ID_06 -
PTD_PBP_ID_07 -
PTD_PBP_ID_08 -
PTD_PBP_ID_09 -
PTD_PBP_ID_10 -
PTD_PBP_ID_11 -
PTD_PBP_ID_12
-