HL7 Terminology (THO)
5.0.0 - Publication International flag

This page is part of the HL7 Terminology (v5.0.0: 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

ValueSet: x_RoleClassCoverage

Official URL: http://terminology.hl7.org/ValueSet/v3-xRoleClassCoverage Version: 2.0.0
Active as of 2014-03-26 Computable Name: XRoleClassCoverage
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.14008

An abstract domain that encompasses the roles that arise in the context of providing, purchasing, and managing health care coverage and insurance.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleClass
    CodeDisplayDefinition
    COVPTYcovered partyA role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.

    *Discussion:*This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.

    Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.
    POLHOLDpolicy holderA role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.

    *Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.

    A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.
    SPNSRcoverage sponsorA role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law. A sponsor can be an employer, union, government agency, or association. Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan. Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators. Program sponsors designate services to be covered in accordance with statute. Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become

    1. a policy holder of the plan;
    2. where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or
    3. where the sponsor is a government agency, who may become program eligibles under a program.

    The sponsor role may be further qualified by the SponsorRole.code. Entities playing the sponsor role may also play the role of a Coverage Administrator.

    *Example:* An employer, union, government agency, or association.
    UNDWRTunderwriterA role played by a person or an organization. It is the party that

    1. accepts fiscal responsibility for insurance plans and the policies created under those plans;
    2. administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or
    3. has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode.

    *Example:*

    1. A health insurer;
    2. Medicaid Program;
    3. Lloyd's of London

 

Expansion

This value set contains 4 concepts

Expansion based on RoleClass v3.1.0 (CodeSystem)

CodeSystemDisplayDefinition
  COVPTYhttp://terminology.hl7.org/CodeSystem/v3-RoleClasscovered party

A role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.

*Discussion:*This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.

Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.

  POLHOLDhttp://terminology.hl7.org/CodeSystem/v3-RoleClasspolicy holder

A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.

*Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.

A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.

  SPNSRhttp://terminology.hl7.org/CodeSystem/v3-RoleClasscoverage sponsor

A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law. A sponsor can be an employer, union, government agency, or association. Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan. Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators. Program sponsors designate services to be covered in accordance with statute. Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become

  1. a policy holder of the plan;
  2. where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or
  3. where the sponsor is a government agency, who may become program eligibles under a program.

The sponsor role may be further qualified by the SponsorRole.code. Entities playing the sponsor role may also play the role of a Coverage Administrator.

Example: An employer, union, government agency, or association.

  UNDWRThttp://terminology.hl7.org/CodeSystem/v3-RoleClassunderwriter

A role played by a person or an organization. It is the party that

  1. accepts fiscal responsibility for insurance plans and the policies created under those plans;
  2. administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or
  3. has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode.

Example:

  1. A health insurer;
  2. Medicaid Program;
  3. Lloyd's of London

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
System 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

History

DateActionCustodianAuthorComment
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26