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Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
beneficiaryReference 1..1PatientThe party who benefits from the insurance coverage.bin 0..1StringBusiness Identification Number (BIN number) used to identify the routing of eClaims.class 0..1StringIdentifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group.contract 0..*List<Contract>The policy(s) which constitute this insurance coverage.dependent 0..1positiveIntA unique identifier for a dependent under the coverage.group 0..1StringIdentifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID.identifier 0..*List<Identifier>The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Subscriber Id, Certificate number or Personal Health Number or Case ID.isAgreement 0..1BooleanA self, or other, payment agreement not an insurance policy.issuer[x] 1..1Patient | Organization | RelatedPersonThe program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.network 0..1StringThe identifier for a community of providers.period 0..1interval<DateTime>Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.plan 0..1StringIdentifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID.planholder[x] 1..1Patient | OrganizationThe party who 'owns' the insurance contractual relationship to the policy or to whom the benefit of the policy is due.relationship 1..1CodeThe relationship of beneficiary (patient) (subscriber) to the the planholder.Binding: Policyholder Relationship Codes (Example)
sequence 0..1positiveIntAn optional counter for a particular instance of the identified coverage which increments upon each renewal.status 1..1codeThe status of the resource instance.Binding: CoverageStatus (Required)
subGroup 0..1StringIdentifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID.subPlan 0..1StringIdentifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a specific employer group within a class of employers. May be referred to as a Section or Division ID.type 0..1CodeThe type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health.(Example)
Key: = Must support, = QICore-defined extension, = Is-Modifier
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