The specification of the relationship to the covered party of the payee in the case when an insurer is not directly paying the healthcare provider (as payee) but reimbursing the party that did pay them.
\nhttp://terminology.hl7.org/CodeSystem/v3-RoleCode
Code | Display | |
FM | Family Member | A member of the covered party's family. This could be the spouse, a parent, a grand parent, a sibling, etc. |
GT | Guarantor | An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider. |
PH | Policy Holder | Policy holder for the insurance policy. |
PT | Patient | The recipient for the service(s) and/or product(s) when they are not the covered party. |