HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: 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 - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "v3-PayorRoleType",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><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>"
  },
  "url" : "http://terminology.hl7.org/ValueSet/v3-PayorRoleType",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.1.11.19853"
    }
  ],
  "version" : "2.0.0",
  "name" : "PayorRoleType",
  "title" : "PayorRoleType",
  "status" : "active",
  "date" : "2014-03-26",
  "description" : "**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.\r\n\r\n**Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "_PayorRoleType"
          }
        ]
      }
    ]
  }
}