HL7 Terminology (THO)
3.0.0 - Publication

This page is part of the HL7 Terminology (v3.0.0: 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

: x_RoleClassCoverageInvoice - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-xRoleClassCoverageInvoice"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><ul><li>Include these codes as defined in <a href="CodeSystem-v3-RoleClass.html"><code>http://terminology.hl7.org/CodeSystem/v3-RoleClass</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-v3-RoleClass.html#v3-RoleClass-PAYEE">PAYEE</a></td><td>payee</td><td>The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question.</td></tr><tr><td><a href="CodeSystem-v3-RoleClass.html#v3-RoleClass-PAYOR">PAYOR</a></td><td>invoice payor</td><td>The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices. This role may be either the underwriter or a third-party organization authorized by the underwriter. The scoping entity is the organization that underwrites the claimed coverage.</td></tr></table></li></ul></div>
  </text>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Name:Class"/>
    </extension>
    <extension url="value">
      <valueString value="invoiceRole"/>
    </extension>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Name:Role:player:Entity"/>
    </extension>
    <extension url="value">
      <valueString value="invoicePlayer"/>
    </extension>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Name:Role:scoper:Entity"/>
    </extension>
    <extension url="value">
      <valueString value="invoiceSubmitter"/>
    </extension>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Sort:Entity:playedRole:Role"/>
    </extension>
    <extension url="value">
      <valueString value="AAAAK____"/>
    </extension>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Sort:Entity:scopedRole:Role"/>
    </extension>
    <extension url="value">
      <valueString value="AAAAK____"/>
    </extension>
  </extension>
  <url value="http://terminology.hl7.org/ValueSet/v3-xRoleClassCoverageInvoice"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.14013"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="XRoleClassCoverageInvoice"/>
  <title value="x_RoleClassCoverageInvoice"/>
  <status value="active"/>
  <date value="2014-03-26"/>
  <description
               value="An abstract domain that encompasses the roles involved in submitting, responding to and managing invoices or claims for health care coverage."/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
      <concept>
        <code value="PAYEE"/>
      </concept>
      <concept>
        <code value="PAYOR"/>
      </concept>
    </include>
  </compose>
</ValueSet>