{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on:\\r\\n\\r\\n * The activity of another party\\r\\n * The behavior of another party\\r\\n * The manner in which an act is executed\\r\\n\\r\\n**Examples:**A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.",
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"property" : [ {
"_uri" : "http://hl7.org/fhir/concept-properties#status",
"code" : "status",
"valueCode" : "active"
}, {
"_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
"code" : "internalId",
"valueCode" : "22183"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "subsumedBy",
"valueCode" : "_ActPolicyType"
} ],
"codesystem" : "cbab4a87-49ca-5502-88d6-f33b5f07237f",
"concept_id" : "f01c59c5-c36e-5aa5-b813-d0115d23a335",
"ancestors" : {
"COVPOL" : 0,
"_ActPolicyType" : 1
},
"id" : "c3e79000-bd2c-4f18-a983-dd4e5897f9d4",
"code" : "COVPOL",
"display" : "benefit policy",
"version" : "9.0.0"
}