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![]() | 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 | ||
![]() | 2014-03-26 | ||
![]() | 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. | ||
![]() | false | ||
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![]() | CoveredPartyRoleType | ||
![]() | Health Level Seven International | ||
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![]() | active | ||
![]() | CoveredPartyRoleType | ||
![]() | http://terminology.hl7.org/ValueSet/v3-CoveredPartyRoleType | ||
![]() | 3.0.0 |
Item | Property | Value | Comments | ||
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![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
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![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
![]() ![]() | _ClaimantCoveredPartyRoleType | ||||
![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
![]() ![]() | _ProgramEligiblePartyRoleType | ||||
![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
![]() ![]() | _IndividualInsuredPartyRoleType | ||||
![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
![]() ![]() | _SubscriberCoveredPartyRoleType | ||||
![]() | http://terminology.hl7.org/CodeSystem/v3-RoleCode | ||||
![]() ![]() | _DependentCoveredPartyRoleType |
Unable to generate expansion - see errors