EnrollEligCOB
Class Payer

The public or private organization that is responsible for payment for health care expenses. Payers may be insurance companies or self-insured employers.
"The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements." - HL7 FHIR, Coverage.payor

Attributes
«AD» Address address address

"Contains the address of the insurance company." - HL7 Version 2.8, IN1-5.

«II» Id identifier identifier

A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer. ASC X12 270/271 p 343, 358 example
"Contains unique identifiers for the insurance company." - HL7 Version 2.8, IN1-3.
"Carrier code assigned in Worker’s Compensation Program." - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).

String name name

"Contains the name of the insurance company." - HL7 Version 2.8, IN1-4.

Processor payerOrAgent payerOrAgent

Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.

«TEL» ContactPoint phone phone

"Contains the phone number of the insurance company." - HL7 Version 2.8, IN1-7.

PlanOrPolicy planOrPolicy planOrPolicy

Pointer to the Health Plan(s) and/or Healthcare Policies that the owning Payer offers.

«PN» PersonName pointOfContact pointOfContact

"Contains the name of the person who should be contacted at the insurance company." - HL7 Version 2.8, IN1-6.


Properties:

Alias
Classifier Behavior
Is Abstracttrue
Is Activefalse
Is Leaffalse
Keywords
NamePayer
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::Payer
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 address
Public «AD» Address address

"Contains the address of the insurance company." - HL7 Version 2.8, IN1-5.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameaddress
Name Expression
NamespacePayer
Opposite
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::address
Stereotype
Template Parameter
Type«AD» Address
Upper*
Upper Value(*)
VisibilityPublic


 identifier
Public «II» Id identifier

A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer. ASC X12 270/271 p 343, 358 example
"Contains unique identifiers for the insurance company." - HL7 Version 2.8, IN1-3.
"Carrier code assigned in Worker’s Compensation Program." - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
Nameidentifier
Name Expression
NamespacePayer
Opposite
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::identifier
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 name
Public String name

"Contains the name of the insurance company." - HL7 Version 2.8, IN1-4.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namename
Name Expression
NamespacePayer
Opposite
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::name
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 payerOrAgent
Public Processor payerOrAgent

Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.

Constraints:
Properties:

AggregationNone
Alias
Associationpayer_payerOrAgent
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamepayerOrAgent
Name Expression
NamespacePayer
Oppositepayer
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::payerOrAgent
Stereotype
Template Parameter
TypeProcessor
Upper*
Upper Value(*)
VisibilityPublic


 phone
Public «TEL» ContactPoint phone

"Contains the phone number of the insurance company." - HL7 Version 2.8, IN1-7.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namephone
Name Expression
NamespacePayer
Opposite
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::phone
Stereotype
Template Parameter
Type«TEL» ContactPoint
Upper*
Upper Value(*)
VisibilityPublic


 planOrPolicy
Public PlanOrPolicy planOrPolicy

Pointer to the Health Plan(s) and/or Healthcare Policies that the owning Payer offers.

Constraints:
Properties:

AggregationNone
Alias
Associationpayer_planOrPolicy
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1..*
NameplanOrPolicy
Name Expression
NamespacePayer
Oppositepayer
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::planOrPolicy
Stereotype
Template Parameter
TypePlanOrPolicy
Upper*
Upper Value(*)
VisibilityPublic


 pointOfContact
Public «PN» PersonName pointOfContact

"Contains the name of the person who should be contacted at the insurance company." - HL7 Version 2.8, IN1-6.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPayer
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamepointOfContact
Name Expression
NamespacePayer
Opposite
OwnerPayer
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::Payer::pointOfContact
Stereotype
Template Parameter
Type«PN» PersonName
Upper*
Upper Value(*)
VisibilityPublic