A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.
**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.
Discussion:The Abstract Value Set \'CoverageRoleType\', which was developed for use in the Canadian realm \'pre-coordinate\' coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., \'handicapped dependent\'. Other codes in the Abstract Value Set CoveredPartyRoleType domain can be \'post-coordinated\' with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.
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