|
| EnrollEligCOB UML Documentation |
EnrollEligCOB
Class Payer
The public or private organization that is responsible for payment for health care expenses. Payers may be insurance companies or self-insured employers."The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements." - HL7 FHIR, Coverage.payor
| Attributes |
| «AD» Address |  address |
"Contains the address of the insurance company." - HL7 Version 2.8, IN1-5.
|
| «II» Id | identifier |
A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer. ASC X12 270/271 p 343, 358 example "Contains unique identifiers for the insurance company." - HL7 Version 2.8, IN1-3."Carrier code assigned in Worker’s Compensation Program." - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).
|
| String | name |
"Contains the name of the insurance company." - HL7 Version 2.8, IN1-4.
|
| Processor | payerOrAgent |
Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.
|
| «TEL» ContactPoint | phone |
"Contains the phone number of the insurance company." - HL7 Version 2.8, IN1-7.
|
| PlanOrPolicy | planOrPolicy |
Pointer to the Health Plan(s) and/or Healthcare Policies that the owning Payer offers.
|
| «PN» PersonName | pointOfContact |
"Contains the name of the person who should be contacted at the insurance company." - HL7 Version 2.8, IN1-6.
|
Properties:
| Alias | |
| Classifier Behavior | |
| Is Abstract | true |
| Is Active | false |
| Is Leaf | false |
| Keywords | |
| Name | Payer |
| Name Expression | |
| Namespace | EnrollEligCOB |
| Owned Template Signature | |
| Owner | EnrollEligCOB |
| Owning Template Parameter | |
| Package | EnrollEligCOB |
| Qualified Name | FHIM::EnrollEligCOB::Payer |
| Representation | |
| Stereotype | |
| Template Parameter | |
| Visibility | Public |
address
Public «AD» Address address
-
"Contains the address of the insurance company." - HL7 Version 2.8, IN1-5.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | |
| Association End | |
| Class | Payer |
| 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 | * |
| Name | address |
| Name Expression | |
| Namespace | Payer |
| Opposite | |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::address |
| Stereotype | |
| Template Parameter | |
| Type | «AD» Address |
| Upper | * |
| Upper Value | (*) |
| Visibility | Public |
identifier
Public «II» Id identifier
-
A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer. ASC X12 270/271 p 343, 358 example "Contains unique identifiers for the insurance company." - HL7 Version 2.8, IN1-3."Carrier code assigned in Worker’s Compensation Program." - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | |
| Association End | |
| Class | Payer |
| 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 | Payer |
| Opposite | |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::identifier |
| Stereotype | |
| Template Parameter | |
| Type | «II» Id |
| Upper | 1 |
| Upper Value | (1) |
| Visibility | Public |
name
Public String name
-
"Contains the name of the insurance company." - HL7 Version 2.8, IN1-4.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | |
| Association End | |
| Class | Payer |
| 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 | name |
| Name Expression | |
| Namespace | Payer |
| Opposite | |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::name |
| Stereotype | |
| Template Parameter | |
| Type | String |
| Upper | 1 |
| Upper Value | (1) |
| Visibility | Public |
payerOrAgent
Public Processor payerOrAgent
-
Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | payer_payerOrAgent |
| Association End | |
| Class | Payer |
| 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 | * |
| Name | payerOrAgent |
| Name Expression | |
| Namespace | Payer |
| Opposite | payer |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::payerOrAgent |
| Stereotype | |
| Template Parameter | |
| Type | Processor |
| Upper | * |
| Upper Value | (*) |
| Visibility | Public |
phone
Public «TEL» ContactPoint phone
-
"Contains the phone number of the insurance company." - HL7 Version 2.8, IN1-7.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | |
| Association End | |
| Class | Payer |
| 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 | * |
| Name | phone |
| Name Expression | |
| Namespace | Payer |
| Opposite | |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::phone |
| Stereotype | |
| Template Parameter | |
| Type | «TEL» ContactPoint |
| Upper | * |
| Upper Value | (*) |
| Visibility | Public |
planOrPolicy
Public PlanOrPolicy planOrPolicy
-
Pointer to the Health Plan(s) and/or Healthcare Policies that the owning Payer offers.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | payer_planOrPolicy |
| Association End | |
| Class | Payer |
| 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 | planOrPolicy |
| Name Expression | |
| Namespace | Payer |
| Opposite | payer |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::planOrPolicy |
| Stereotype | |
| Template Parameter | |
| Type | PlanOrPolicy |
| Upper | * |
| Upper Value | (*) |
| Visibility | Public |
pointOfContact
Public «PN» PersonName pointOfContact
-
"Contains the name of the person who should be contacted at the insurance company." - HL7 Version 2.8, IN1-6.
-
Constraints:
-
Properties:
-
| Aggregation | None |
| Alias | |
| Association | |
| Association End | |
| Class | Payer |
| 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 | * |
| Name | pointOfContact |
| Name Expression | |
| Namespace | Payer |
| Opposite | |
| Owner | Payer |
| Owning Association | |
| Owning Template Parameter | |
| Qualified Name | FHIM::EnrollEligCOB::Payer::pointOfContact |
| Stereotype | |
| Template Parameter | |
| Type | «PN» PersonName |
| Upper | * |
| Upper Value | (*) |
| Visibility | Public |
|
| EnrollEligCOB UML Documentation |