ValueSet Comparison between http://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction vs http://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction

Messages

Metadata

NameValueComments
.compose.inactive
    .compose.lockedDate
      .copyright
        .date2014-03-26
          .description**Definition:** Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.
            .experimentalfalse
              .immutable
                .jurisdiction
                  .nameCoverageParticipationFunction
                    .publisher
                      .purpose
                        .statusactive
                          .titleCoverageParticipationFunction
                            .urlhttp://terminology.hl7.org/ValueSet/v3-CoverageParticipationFunction
                              .version2.0.0

                                Definition

                                ItemPropertyValueComments
                                .includehttp://terminology.hl7.org/CodeSystem/v3-ParticipationFunction

                                  Expansion

                                  CodeDisplayComments
                                  ._CoverageParticipationFunctionCoverageParticipationFunction
                                    ._PayorParticipationFunctionPayorParticipationFunction
                                      .CLMADJclaims adjudication
                                        .ENROLLenrollment broker
                                          .FFSMGTffs management
                                            .MCMGTmanaged care management
                                              .PROVMGTprovider management
                                                .UMGTutilization management
                                                  ._SponsorParticipationFunctionSponsorParticipationFunction
                                                    .FULINRDfully insured
                                                      .SELFINRDself insured
                                                        ._UnderwriterParticipationFunctionUnderwriterParticipationFunction
                                                          .PAYORCNTRpayor contracting
                                                            .REINSreinsures
                                                              .RETROCESretrocessionaires
                                                                .SUBCTRTsubcontracting risk
                                                                  .UNDERWRTNGunderwriting