This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
General Person Secondary Coverage Example
{ "resourceType": "Coverage", "id": "7546D", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>" }, "identifier": [ { "system": "http://xyz.com/codes/identifier", "value": "AB98761" } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "EHCPOL", "display": "extended healthcare" } ] }, "subscriber": { "reference": "Patient/5" }, "subscriberId": { "value": "AB9876" }, "beneficiary": { "reference": "Patient/5" }, "dependent": "1", "relationship": { "coding": [ { "code": "self" } ] }, "period": { "start": "2011-03-17", "end": "2012-03-17" }, "payor": [ { "reference": "Organization/2" } ], "class": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/coverage-class", "code": "group" } ] }, "value": "WESTAIR", "name": "Western Airlines" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/coverage-class", "code": "plan" } ] }, "value": "BG4352", "name": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/coverage-class", "code": "subplan" } ] }, "value": "D15C9", "name": "Platinum" } ], "order": 2, "network": "5", "costToBeneficiary": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type", "code": "gpvisit" } ] }, "valueMoney": { "value": 20.00, "currency": "USD" }, "exception": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception", "code": "retired" } ] }, "period": { "start": "2018-01-01", "end": "2018-12-31" } } ] } ], "contract": [ { "reference": "Contract/INS-101" } ] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.