This class identifies the entity to receive payment for the claim. The entity might be the billing physician, an agent, or a third party.
"The party to be reimbursed for the services." - HL7 FHIR, Claim.payee

Attributes
«AD» UsMailingAddress	address	Mailing address of the entity to receive payment for claim (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 121-TV, 122-TW, 123-TX, and 124-TY).
«CS» Code	billingType	"A code that identifies the entity submitting the billing transaction." - NCPDP Telecommunication (Field 117-TR, Data Dictionary 201104). Possible values include: Provider Submitted-Pay to Provider; Provider Submitted-Pay to Another Party; Agent Submitted-Pay to Agent; Agent Submitted-Pay to Another Party. "Type of Party to be reimbursed: Subscriber, provider, other." - HL7 FHIR, Claim.payee.type
«II» Id	identifier	"Identifying number of the entity to receive payment for claim." - NCPDP Telecommunication (Field 119-TT, Data Dictionary 201104). Note that the NCPDP Telecommunication structure uses a separate "qualifier" field (118-TS) to identify what kind of id is being used here (i.e., who issued the id). Possible values include: National Provider Identifier (NPI); Blue Cross; Blue Shield; Medicare; Medicaid; UPIN (Unique Physician/Practitioner Identification Number); NCPDP Provider Identification Number (deprecated); State License; CHAMPUS (Civilian Health and Medical Program of the Uniformed Services); Health Industry Number (HIN); Federal Tax ID; Drug Enforcement Administration (DEA) Number; State Issued; Plan Specific; HCID (HC IDea); Combat Methamphetamine Epidemic Act (CMEA) Certificate ID; Other. The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.
String	name	"Name of the entity to receive payment for claim." - NCPDP Telecommunication (Field 120-TU, Data Dictionary 201104). Note that this property may potentially be derived from the associated party to be paid.
Participation	party	"Party to be reimbursed: Subscriber, provider, other." - HL7 FHIR, Claim.payee.party
«CS» Code	partyType	This property is included for backwards compatibility with FHIR. FHIR uses it to tell which kind of class (i.e., which subtype of Participation) is being referenced by the party attribute. In FHIM, this is known through the Participation class hierarchy. This property is therefore marked as derived, as it can be generated based on the subtype of Participation that was instantiated. "organization | patient | practitioner | relatedperson." - HL7 FHIR, Claim.payee.resource

 address

Public «AD» UsMailingAddress address

Mailing address of the entity to receive payment for claim (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 121-TV, 122-TW, 123-TX, and 124-TY).

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
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	address
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::address
Stereotype
Template Parameter
Type	«AD» UsMailingAddress
Upper	1
Upper Value	(1)
Visibility	Public

 billingType

Public «CS» Code billingType

"A code that identifies the entity submitting the billing transaction." - NCPDP Telecommunication (Field 117-TR, Data Dictionary 201104). Possible values include: Provider Submitted-Pay to Provider; Provider Submitted-Pay to Another Party; Agent Submitted-Pay to Agent; Agent Submitted-Pay to Another Party.
"Type of Party to be reimbursed: Subscriber, provider, other." - HL7 FHIR, Claim.payee.type

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
Terminologies	[ HL7_FHIR_R4 Claim Payee Type Codes http://hl7.org/fhir/ValueSet/payeetype ]
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	billingType
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::billingType
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 identifier

Public «II» Id identifier

"Identifying number of the entity to receive payment for claim." - NCPDP Telecommunication (Field 119-TT, Data Dictionary 201104).
Note that the NCPDP Telecommunication structure uses a separate "qualifier" field (118-TS) to identify what kind of id is being used here (i.e., who issued the id). Possible values include: National Provider Identifier (NPI); Blue Cross; Blue Shield; Medicare; Medicaid; UPIN (Unique Physician/Practitioner Identification Number); NCPDP Provider Identification Number (deprecated); State License; CHAMPUS (Civilian Health and Medical Program of the Uniformed Services); Health Industry Number (HIN); Federal Tax ID; Drug Enforcement Administration (DEA) Number; State Issued; Plan Specific; HCID (HC IDea); Combat Methamphetamine Epidemic Act (CMEA) Certificate ID; Other. The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
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	identifier
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::identifier
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 name

Public String name

"Name of the entity to receive payment for claim." - NCPDP Telecommunication (Field 120-TU, Data Dictionary 201104).
Note that this property may potentially be derived from the associated party to be paid.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
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	name
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::name
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

 party

Public Participation party

"Party to be reimbursed: Subscriber, provider, other." - HL7 FHIR, Claim.payee.party

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
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	party
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::party
Stereotype
Template Parameter
Type	Participation
Upper	1
Upper Value	(1)
Visibility	Public

 partyType

Public «CS» Code partyType

This property is included for backwards compatibility with FHIR. FHIR uses it to tell which kind of class (i.e., which subtype of Participation) is being referenced by the party attribute. In FHIM, this is known through the Participation class hierarchy. This property is therefore marked as derived, as it can be generated based on the subtype of Participation that was instantiated.
"organization | patient | practitioner | relatedperson." - HL7 FHIR, Claim.payee.resource

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Payee
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
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	partyType
Name Expression
Namespace	Payee
Opposite
Owner	Payee
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::Payee::partyType
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

• Note: this should link to either an Agent or the Provider (in an exclusive OR), but since we don't instantiate those, we'll just stop here.