Generated Narrative

id: example

meta:

identifier: id: 12345

status: active

type: extended healthcare

subscriber: Generated Summary: id: example1; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME); gender: female; birthDate: 1987-02-20

beneficiary: Generated Summary: id: example1; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME); gender: female; birthDate: 1987-02-20

dependent: 0

relationship: Self

period: 2011-05-23 --> 2012-05-23

payor: Generated Summary: id: Inpatient; id: 1063494177; active; name: St. Michael's Hospital; ph: (816)932-2000(WORK), http://www.stmichaelmedicalcenter.org(WORK)

class

type: Group

value: CB135

name: Corporate Baker's Inc. Local #35

class

type: SubGroup

value: 123

name: Trainee Part-time Benefits

class

type: Plan

value: B37FC

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

class

type: SubPlan

value: P7

name: Includes afterlife benefits

class

type: Class

value: SILVER

name: Silver: Family Plan spouse only

class

type: SubClass

value: Tier2

name: Low deductable, max $20 copay

class

type: Sequence

value: 9

class

type: RX Id

value: MDF12345

class

type: RX BIN

value: 987654

class

type: RX Group

value: M35PT

class

type: RX PCN

value: 234516

class

type: Sequence

value: 9