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pending Template  Payers Section

Template 2.16.840.1.113883.10.20.22.2.18 - PayersSection
Id 2.16.840.1.113883.10.20.22.2.18
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Section Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.18
Open/Closed Open (other than defined elements are allowed)
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.
Used by / Uses
Used by / Uses 2 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.1.2 Containment ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.60 Containment CoverageActivity DYNAMIC
Item DT Card Conf Description Label
cda:section
(PayersSection)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7924) such that it conf‑7924
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.2.18
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:15395). conf‑15395
treeblank treetree @code
1 .. 1 F 48768-6
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:title
1 .. 1 M SHALL contain exactly one [1..1] title (CONF:7926). conf‑7926
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7927). conf‑7927
treetree cda:entry
where
[cda:act [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.60']]
0 .. * R conf‑7959
  Contains 2.16.840.1.113883.10.20.22.4.60 Coverage Activity (DYNAMIC)