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Template Payers Section 2013‑01‑31

Id2.16.840.1.113883.10.20.22.2.18Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NamePayersSectionDisplay NamePayers Section
Description
The Payers section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination of payers, and is used to define which entity is the responsible fiduciary for the financial aspects of a patient’s care. Each unique instance of a payer and all the pertinent data needed to contact, bill to, and collect from that payer should be included. Authorization information that can be used to define pertinent referral, authorization tracking number, procedure, therapy, intervention, device, or similar authorizations for the patient or provider, or both should be included. At a minimum, the patient’s pertinent current payment sources should be listed. The sources of payment are represented as a Coverage Activity, which identifies all of the insurance policies or government or other programs that cover some or all of the patient's healthcare expenses. The policies or programs are sequenced by preference. The Coverage Activity has a sequence number that represents the preference order. Each policy or program identifies the covered party with respect to the payer, so that the identifiers can be recorded.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.18
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 1 template, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2Containmentdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.60Containmentdraft Coverage Activity (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:section
Payedotstion
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:7924) such that itconf‑7924
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.18confdots0434
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15395).confdots5395
@code
CONF1 … 1F48768-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:7926).conf‑7926
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:7927).conf‑7927
cda:entry
0 … *RContains 2.16.840.1.113883.10.20.22.4.60 Coverage Activity (2013‑01‑31)conf‑7959