Name | Value | Comments |
---|
compose.inactive | | |
compose.lockedDate | | |
copyright | This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license | This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html | |
date | 2014-03-26 | |
description | A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.
**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.
**Discussion:** The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts. | |
experimental | false | |
immutable | | |
jurisdiction | | |
name | CoveredPartyRoleType | |
publisher | Health Level Seven International | |
purpose | | |
status | active | |
title | CoveredPartyRoleType | |
url | http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType | |
version | 3.0.0 | |
Item | Property | Value | Comments |
---|
include | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
include | | | | |
include | | | | |
include | | | | |
include | | | | |
include | | | | |
exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
Concept | _ClaimantCoveredPartyRoleType | | |
exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
Concept | _ProgramEligiblePartyRoleType | | |
exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
Concept | _IndividualInsuredPartyRoleType | | |
exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
Concept | _SubscriberCoveredPartyRoleType | | |
exclude | http://terminology.hl7.org/CodeSystem/v3-RoleCode | | |
Concept | _DependentCoveredPartyRoleType | | |