HL7 Terminology (THO)
5.3.0 - Publication International flag

This page is part of the HL7 Terminology (v5.3.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: PayorRoleType - XML Representation

Active as of 2014-03-26

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-PayorRoleType"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <url value="http://terminology.hl7.org/ValueSet/v3-PayorRoleType"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.19853"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="PayorRoleType"/>
  <title value="PayorRoleType"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2014-03-26"/>
  <description
               value="**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."/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="_PayorRoleType"/>
      </filter>
    </include>
  </compose>
</ValueSet>