v3-xRoleClassPayeePolicyRelationship
type: ValueSet
node role: treeRoot
id:
  v: v3-xRoleClassPayeePolicyRelationship
language:
  v: en
text:
  status:
    v: extensions
  div: Generated Narrative: ValueSet v3-xRoleClassPayeePolicyRelationship Language: en Include these codes as defined in 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.
extension:
  extension:
    url:
      v: name
    value:
      v: Name:Class
  extension:
    url:
      v: value
    value:
      v: payeePolicyRelationship
  url:
    v: http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp
extension:
  extension:
    url:
      v: name
    value:
      v: Name:Role:player:Entity
  extension:
    url:
      v: value
    value:
      v: payee&
  url:
    v: http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp
extension:
  extension:
    url:
      v: name
    value:
      v: Name:Role:scoper:Entity
  extension:
    url:
      v: value
    value:
      v: scoping&
  url:
    v: http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp
extension:
  extension:
    url:
      v: name
    value:
      v: Sort:Entity:playedRole:Role
  extension:
    url:
      v: value
    value:
      v: AAAACA___
  url:
    v: http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp
extension:
  extension:
    url:
      v: name
    value:
      v: Sort:Entity:scopedRole:Role
  extension:
    url:
      v: value
    value:
      v: AAAACA___
  url:
    v: http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp
url:
  v: http://terminology.hl7.org/ValueSet/v3-xRoleClassPayeePolicyRelationship
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.1.11.19395
version:
  v: 3.0.0
name:
  v: XRoleClassPayeePolicyRelationship
title:
  v: x_RoleClassPayeePolicyRelationship
status:
  v: active
experimental:
  v: false
date:
  v: 2014-03-26
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: The specification of the relationship of the Payee to the invoice. Can be used in cases when an insurer is not directly paying the healthcare provider (as payee) but reimbursing the party that paid the invoice/claim.
copyright:
  v: 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
compose:
  include:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleClass
    concept:
      code:
        v: COVPTY
    concept:
      code:
        v: GUAR
    concept:
      code:
        v: POLHOLD
    concept:
      code:
        v: PROV
    concept:
      code:
        v: PRS