US Core Implementation Guide
6.1.0 - STU6 United States of America flag

This page is part of the US Core (v6.1.0: STU6 Update) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Coverage: Coverage Example

Generated Narrative: Coverage

Resource Coverage "coverage-example"

Profile: US Core Coverage Profile

identifier: Member Number: 88800933501

status: active

type: PPO (Source of Payment Typology#3712; ActCode#PPO "preferred provider organization policy")

subscriberId: 888009335

beneficiary: Patient/example " SHAW"

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2020-01-01 --> (ongoing)

payor: Organization/acme-payer: Acme Health Plan "Acme Health Plan"

class

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

value: xyz

name: XYZ employee Group Plan

class

type: A specific suite of benefits. (Coverage Class Codes#plan "Plan")

value: gold

name: Acme Gold Plan