CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Ballot

This page is part of the CARIN Blue Button Implementation Guide (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Example Coverage: CoverageDental1

Generated Narrative

Resource "CoverageDental1" Updated "2021-01-01T14:22:01.031Z" (Language "en-US")

Profile: C4BB Coverage (version 1.2.0)

identifier: Member Number: 210300002

status: active

type: dental care policy (ActCode#DENTAL)

policyHolder: Patient/Patient1 " EXAMPLE1"

subscriber: Patient/Patient1 " EXAMPLE1"

subscriberId: 10300007

beneficiary: Patient/Patient1 " EXAMPLE1"

dependent: 01

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2021-01-01 --> 2021-12-31

payor: Organization/OrganizationDentalPayer1 "INSURANCE COMPANY XYZ"

class

type: An employee group (Coverage Class Codes#group)

value: 10300007

name: Transcorp - dental

class

type: Plan (Coverage Class Codes#plan)

value: 66783JJT

name: INSURANCE COMPANY XYZ - PRIME

network: INSURANCE COMPANY XYZ - PRIME