Payers and Brands
A health care payer is an entity that supports the branding of health care products.
Payer
Field | Description |
---|---|
Code |
The unique key that is used to identify the payer |
Description |
The description of the payer |
Name |
The name of the payer |
Access Restriction |
The access restriction restricting access to claims related to this payer (see the User Access chapter in the Security Guide for more details) |
Constraints:
-
A payer can only be linked to an access restriction of type Payer Claim Access
Payer Codes
A payer code shows the code by which the payer presents itself to the providers. Providers can use one of these codes to submit claims. A payer can have one or more time valid payer codes.
Payer Code
Field | Description |
---|---|
Payer |
The payer this payer code belongs to |
Code |
The key that is used to identify the payer code |
Description |
The description of the payer code |
Start date |
The start date of the payer code |
End date |
The end date of the payer code |
Constraints:
-
It is not allowed to have an overlap in time validity for payer codes with the same payer and code
Brands
A brand is a commercial label placed on a product. A payer can have one or more brands.
Brand
Field | Description |
---|---|
Payer |
The payer this brand belongs to |
Code |
The unique key that is used to identify the brand |
Description |
The description of the brand |
Access Restriction |
The access restriction restricting access to claims related to this brand (see the User Access chapter in the Security Guide for more details) |
Active? |
Indicator if the brand can be linked to new products |
Constraints:
-
A brand can only be linked to an access restriction of type Brand Claim Access.