Template 2.16.840.1.113883.10.20.22.2.18 Payers Section

2012‑01‑12

Template 2.16.840.1.113883.10.20.22.2.18 - PayersSection
Id 2.16.840.1.113883.10.20.22.2.18
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.18
Label conf‑698
Version valid from 2012‑01‑12 status draft
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.
Item DT Card Conf Desc Label
cda:section
conf-698
treetree cda:templateId
II 1..1 M conf‑7924
treeblank treetree @root
1..1 F 2.16.840.1.113883.10.20.22.2.18
treetree cda:code
CD 1..1 M conf‑7925
treeblank treetree @code
1..1 F 48768-6
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1
treeblank treetree @displayName
1..1 F Payers
treetree cda:title
ST 1..1 M conf‑7926
treetree cda:text
ED 1..1 M conf‑7927
treetree cda:entry
0..* R conf‑7959
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.60 with overridden cardinality 0 .. * required