HL7.FHIR.US.DENTAL-DATA-EXCHANGE\Medical/Dental Coverage example

Dental Data Exchange
1.0.0 - STU 1

This page is part of the Dental Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Coverage: Medical/Dental Coverage example

Generated Narrative

identifier: id: 12345

status: active

type: dental care policy

subscriber: Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01

subscriberId: 123456

beneficiary: Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01

dependent: 0

relationship: Self

period: 2020-01-01 --> 2020-01-01

payor: Generated Summary: id: 9316452725; active: true; Payer; name: Aetna Insurance; Phone: (+1) 720-677-7777, customer2-service@Aetna.org

Classes

-

Type

Value

Name

*

Plan

B37FC

Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

IG © 2020+ Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.dental-data-exchange#1.0.0 based on FHIR 4.0.1. Generated 2021-11-02
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