Provider
Class PlanNetworkAffliliation

Represents the participation of a Network of healthcare providers with a Health Plan for the purpose of providing healthcare services to members (i.e., patients) of that Plan.

Attributes
HealthPlan healthPlan healthPlan

Pointer to a collection of Health Plan in which the Network of healthcare providers participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.

«II» Id identifier identifier

A unique identifier that the Payer or information source can use to identify the Provider Network that "participates in" or is associated with a particular Health Plan. For example, Tri-City Radiologists Network (consisting of 100 radiology practices) may have contracted with a Payer for their Gold and Silver plans, where this identifer may be different for each plan. It is conceivable that the contract number could be used here.

ProviderNetwork network network

Pointer to the Network with which the Health Plan has some contractual relationship.


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NamePlanNetworkAffliliation
Name Expression
NamespaceProvider
Owned Template Signature
OwnerProvider
Owning Template Parameter
PackageProvider
Qualified NameFHIM::Provider::PlanNetworkAffliliation
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 healthPlan
Public HealthPlan healthPlan

Pointer to a collection of Health Plan in which the Network of healthcare providers participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.

Constraints:
Properties:

AggregationNone
Alias
AssociationplanNetworkAffliliation_healthPlan
Association End
ClassPlanNetworkAffliliation
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
NamehealthPlan
Name Expression
NamespacePlanNetworkAffliliation
OppositeplanNetworkAffliliation
OwnerPlanNetworkAffliliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Provider::PlanNetworkAffliliation::healthPlan
Stereotype
Template Parameter
TypeHealthPlan
Upper1
Upper Value(1)
VisibilityPublic


 identifier
Public «II» Id identifier

A unique identifier that the Payer or information source can use to identify the Provider Network that "participates in" or is associated with a particular Health Plan. For example, Tri-City Radiologists Network (consisting of 100 radiology practices) may have contracted with a Payer for their Gold and Silver plans, where this identifer may be different for each plan. It is conceivable that the contract number could be used here.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPlanNetworkAffliliation
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*
Nameidentifier
Name Expression
NamespacePlanNetworkAffliliation
Opposite
OwnerPlanNetworkAffliliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Provider::PlanNetworkAffliliation::identifier
Stereotype
Template Parameter
Type«II» Id
Upper*
Upper Value(*)
VisibilityPublic


 network
Public ProviderNetwork network

Pointer to the Network with which the Health Plan has some contractual relationship.

Constraints:
Properties:

AggregationNone
Alias
Associationnetwork_planNetworkAffliliation
Association End
ClassPlanNetworkAffliliation
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
Namenetwork
Name Expression
NamespacePlanNetworkAffliliation
OppositeplanNetworkAffliliation
OwnerPlanNetworkAffliliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Provider::PlanNetworkAffliliation::network
Stereotype
Template Parameter
TypeProviderNetwork
Upper1
Upper Value(1)
VisibilityPublic