This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions
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<ValueSet xmlns="http://hl7.org/fhir"> <id value="v3-PayorRoleType"/> <language value="en"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><h2>PayorRoleType</h2><div><p>**Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.</p> <p>**Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.</p> </div><ul><li>Include codes from <a href="CodeSystem-v3-RoleCode.html"><code>http://terminology.hl7.org/CodeSystem/v3-RoleCode</code></a> where concept is-a <a href="CodeSystem-v3-RoleCode.html#v3-RoleCode-_PayorRoleType">_PayorRoleType</a></li></ul></div> </text> <url value="http://terminology.hl7.org/ValueSet/v3-PayorRoleType"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.1.11.19853"/> </identifier> <version value="2.0.0"/> <name value="PayorRoleType"/> <title value="PayorRoleType"/> <status value="active"/> <date value="2014-03-26T00:00:00-04:00"/> <description value="**Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set. **Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk."/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <filter> <property value="concept"/> <op value="is-a"/> <value value="_PayorRoleType"/> </filter> </include> </compose> </ValueSet>