51 (12) BPS NCPDP BENEFIT STAGE INDICATOR (9002313.35)
Name
Value
CODE
51
EXPLANATION
PAID UNDER THE PART B BENEFIT OF THE MEDICARE HEALTH PLAN FOR A QMB DUAL ELIGIBLE BENEFICIARY. PHARMACY SHOULD NOT ATTEMPT TO COLLECT COST-SHARE, BUT INSTEAD SHOULD ATTEMPT TO BILL COB TO MEDICAID COVERAGE.
