Eligibilityresponse-example-error.json

General Person Primary Coverage with error

{
  "resourceType": "EligibilityResponse",
  "id": "E2503",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EligibilityResponse.</div>"
  },
  "identifier": [
    {
      "system": "http://www.BenefitsInc.com/fhir/eligibilityresponse",
      "value": "8812343"
    }
  ],
  "status": "active",
  "created": "2014-09-16",
  "requestProvider": {
    "identifier": {
      "system": "http://national.org/provider",
      "value": "PR9876"
    }
  },
  "requestOrganization": {
    "identifier": {
      "system": "http://national.org/clinic",
      "value": "OR1234"
    }
  },
  "request": {
    "reference": "http://www.BenefitsInc.com/fhir/eligibility/225476332406"
  },
  "outcome": "error",
  "disposition": "Eligibiliy request could not be processed, please address errors before submitting.",
  "insurer": {
    "reference": "Organization/2"
  },
  "form": {
    "coding": [
      {
        "system": "http://national.org/form",
        "code": "ELRSP/2017/01"
      }
    ]
  },
  "error": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/adjudication-error",
            "code": "a001"
          }
        ]
      }
    }
  ]
}