Back To Index  <<  Back To Terminology

ref Value Set PayorRoleType 2014‑03‑26

Id 2.16.840.1.113883.1.11.19853
ref
(from repository: ad2bbr-)		 Effective Date valid from 2014‑03‑26
 
Other versions of this value set
Status final Final Version Label DEFN=UV=VO=1360-20160323
Name PayorRoleType Display Name PayorRoleType
Description

History description 2014-03-26: Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26

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.
download XML JSON CSV SQL SVS