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

PayorRoleType - XML Representation

(back to description)

Raw xml

Source view

<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>