A Processor is an organization that performs various tasks upon claim data in order to ensure that the Payer's systems can accept that data. Some processors assist the Payer in certain adjudication tasks. This organization is an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments. Note that a Processor might be a Third Party Administrator or a Pharmacy Benefits Manager. For the purposes of claims processing, we do not need to distinguish these.

Attributes
String	bankIdNumber	"The secondary, tertiary, etc. card issuer or bank ID number used for network routing." - NCPDP Telecommunication (Field 990-MG, Data Dictionary 201104). FHIR 4: Coverage.class.value where Coverage.class.type = rxbin
Payer	payer	Pointer to the Payer for which the Processor is acting as an intermediary for claims processing.
String	planId	"Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim." - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104). Note that this property may relate more to the Health Plan than to the Processor, in which case it would be a duplicate of HealthPlan.id. In that case this property may need to be removed.
String	processorControlNumber	"Number assigned by the processor." - NCPDP Telecommunication (Field 104-A4, Data Dictionary 201104). Note that this property may relate more to the transaction than to the Processor, in which case it will need to move to the Billing Event.

 bankIdNumber

Public String bankIdNumber

"The secondary, tertiary, etc. card issuer or bank ID number used for network routing." - NCPDP Telecommunication (Field 990-MG, Data Dictionary 201104).
FHIR 4: Coverage.class.value where Coverage.class.type = rxbin

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Processor
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	bankIdNumber
Name Expression
Namespace	Processor
Opposite
Owner	Processor
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Processor::bankIdNumber
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 payer

Public Payer payer

Pointer to the Payer for which the Processor is acting as an intermediary for claims processing.

Constraints:

Properties:

Aggregation	None
Alias
Association	payer_payerOrAgent
Association End
Class	Processor
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	payer
Name Expression
Namespace	Processor
Opposite	payerOrAgent
Owner	Processor
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Processor::payer
Stereotype
Template Parameter
Type	Payer
Upper	1
Upper Value	(1)
Visibility	Public

 planId

Public String planId

"Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim." - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104).
Note that this property may relate more to the Health Plan than to the Processor, in which case it would be a duplicate of HealthPlan.id. In that case this property may need to be removed.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Processor
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	planId
Name Expression
Namespace	Processor
Opposite
Owner	Processor
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Processor::planId
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 processorControlNumber

Public String processorControlNumber

"Number assigned by the processor." - NCPDP Telecommunication (Field 104-A4, Data Dictionary 201104).
Note that this property may relate more to the transaction than to the Processor, in which case it will need to move to the Billing Event.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Processor
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	processorControlNumber
Name Expression
Namespace	Processor
Opposite
Owner	Processor
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Processor::processorControlNumber
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public