Generated Narrative: ValueSet v3-xRoleClassPayeePolicyRelationship
Language: en
http://terminology.hl7.org/CodeSystem/v3-RoleClass| Code | Display | Definition |
| COVPTY | covered 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. |
| GUAR | guarantor | A person or organization (player) that serves as a financial guarantor for another person or organization (scoper). |
| POLHOLD | policy 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. |
| PROV | healthcare provider | An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper). |
| PRS | personal relationship | Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well. |