compose.inactivecompose.lockedDatecopyrightdatedescriptionexperimentalimmutablejurisdictionnamepublisherpurposestatustitleurlversion| Name | Value | Comments | |
|---|---|---|---|
| compose.inactive | |||
| compose.lockedDate | |||
| copyright | |||
| date | 2014-03-26 | ||
| description | **Definition:** Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program. | ||
| experimental | |||
| immutable | |||
| jurisdiction | |||
| name | CoverageParticipationFunction | ||
| publisher | |||
| purpose | |||
| status | active | ||
| title | CoverageParticipationFunction | ||
| url | http://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction | ||
| version | 2.0.0 | ||
| Item | Property | Value | Comments | ||
|---|---|---|---|---|---|
| include | http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction | ||||
| Code | Display | Comments | |
|---|---|---|---|
| _CoverageParticipationFunction | CoverageParticipationFunction | ||
| _PayorParticipationFunction | PayorParticipationFunction | ||
| CLMADJ | claims adjudication | ||
| ENROLL | enrollment broker | ||
| FFSMGT | ffs management | ||
| MCMGT | managed care management | ||
| PROVMGT | provider management | ||
| UMGT | utilization management | ||
| _SponsorParticipationFunction | SponsorParticipationFunction | ||
| FULINRD | fully insured | ||
| SELFINRD | self insured | ||
| _UnderwriterParticipationFunction | UnderwriterParticipationFunction | ||
| PAYORCNTR | payor contracting | ||
| REINS | reinsures | ||
| RETROCES | retrocessionaires | ||
| SUBCTRT | subcontracting risk | ||
| UNDERWRTNG | underwriting | ||