Generated Narrative: ValueSet v3-CoveredPartyRoleType Language: en This value set includes codes based on the following rules: Include codes fromhttp://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 where concept is-a _CoveredPartyRoleType Import all the codes that are contained in ClaimantCoveredPartyRoleType Import all the codes that are contained in ProgramEligibleCoveredPartyRoleType Import all the codes that are contained in IndividualInsuredCoveredPartyRoleType Import all the codes that are contained in SubscriberCoveredPartyRoleType Import all the codes that are contained in DependentCoveredPartyRoleType This value set excludes codes based on the following rules: Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 Code Display Definition _ClaimantCoveredPartyRoleType ClaimantCoveredPartyRoleType **Description**A role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy. Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 Code Display Definition _ProgramEligiblePartyRoleType ProgramEligiblePartyRoleType **Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program. Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 Code Display Definition _IndividualInsuredPartyRoleType IndividualInsuredPartyRoleType A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder. Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 Code Display Definition _SubscriberCoveredPartyRoleType SubscriberCoveredPartyRoleType **Description:** A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy. Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-RoleCode version ?3.0.0 Code Display Definition _DependentCoveredPartyRoleType DependentCoveredPartyRoleType **Description:** A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.
A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder. **Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. **Discussion:** The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.
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