Final| 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. |
2.16.840.1.113883.5.111 - Role Code - FHIR: http://terminology.hl7.org/CodeSystem/v3-RoleCode - HL7 V2: ROLECODE
| 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 |
