Name | Value | Comments | |
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![]() | 2014-03-26 | ||
![]() | **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. **Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk. | ||
![]() | false | ||
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![]() | PayorRoleType | ||
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![]() | active | ||
![]() | PayorRoleType | ||
![]() | http://terminology.hl7.org/ValueSet/v3-PayorRoleType | ||
![]() | 2.0.0 |
Item | Property | Value | Comments | ||
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![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode |
Code | Display | Comments | |
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![]() | PayorRoleType | ||
![]() | Enrollment Broker | ||
![]() | Third party administrator | ||
![]() | Utilization management organization |