Primary Coverage specifying Benefit Example
{
"resourceType" : "CoverageEligibilityRequest",
"id" : "52346",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityRequest</div>"
},
"identifier" : [{
"system" : "http://happyvalley.com/coverageelegibilityrequest",
"value" : "52346"
}],
"status" : "active",
"priority" : {
"coding" : [{
"code" : "normal"
}]
},
"purpose" : ["validation",
"benefits"],
"patient" : {
"reference" : "Patient/pat1"
},
"servicedDate" : "2014-09-17",
"created" : "2014-08-16",
"enterer" : {
"identifier" : {
"system" : "http://happyvalleyclinic.com/staff",
"value" : "14"
}
},
"provider" : {
"reference" : "Organization/1"
},
"insurer" : {
"reference" : "Organization/2"
},
"facility" : {
"identifier" : {
"system" : "http://statecliniclicensor.com/clinicid",
"value" : "G35B9"
}
},
"insurance" : [{
"coverage" : {
"reference" : "Coverage/9876B1"
},
"businessArrangement" : "NB8742"
}],
"item" : [{
"category" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
"code" : "69",
"display" : "Maternity"
}]
}
}]
}
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.