HL7 Terminology
1.0.0 - Publication

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



Defining URL:http://terminology.hl7.org/ValueSet/v3-UnderwriterParticipationFunction

Definition: Set of codes indicating the manner in which underwriters participate in a policy or program.

OID:2.16.840.1.113883.1.11.19904 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle


This value set is not used

Content Logical Definition

Logical Definition (CLD)



This value set contains 5 concepts

Expansion based on ParticipationFunction v2.0.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction

0_UnderwriterParticipationFunctionUnderwriterParticipationFunction**Definition:** Set of codes indicating the manner in which underwriters participate in a policy or program.
1  PAYORCNTRpayor contracting**Definition:** Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided.
1  REINSreinsures**Definition:** Underwriting reinsurance for another underwriter for the policy or program.
1  RETROCESretrocessionaires**Definition:** Underwriting reinsurance for another reinsurer.
1  SUBCTRTsubcontracting risk**Definition:** Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .
1  UNDERWRTNGunderwriting**Definition:** Provision of underwriting analysis for another underwriter without assumption of risk.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26