| Id |
2.16.840.1.113883.1.11.19853
ref (from repository: ad2bbr-) |
Effective Date |
valid from 2011‑07‑26
|
| |
| Other versions of this value set |
|
|
| Status |
 Final
|
Version Label |
DEFN=UV=VO=1099-20110726 |
| Name |
PayorRoleType |
Display Name |
PayorRoleType |
| Description |
description:
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.
|
| Source Code System |
2.16.840.1.113883.5.111 - Role Code
|
| Level/ Type |
Code |
Display Name |
Code System |
| 0‑A |
_PayorRoleType
|
PayorRoleType
|
Role Code |
| 1‑L |
ENROLBKR
|
Enrollment Broker
|
Role Code |
| 1‑L |
TPA
|
Third party administrator
|
Role Code |
| 1‑L |
UMO
|
Utilization management organization
|
Role Code |
|
| |
|
| Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear
in @nullFlavor attribute instead of @code.
|
|
|
Value Set PayorRoleType 2011‑07‑26
