Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: Submit Claim Insurance Example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "InsuranceExample",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>beneficiary</b>: <a href=\"Patient-SubscriberExample.html\">Generated Summary: id: 12345678901; JOE SMITH ; gender: male</a></p><p><b>payor</b>: <a href=\"Organization-InsurerExample.html\">Generated Summary: id: 789312; active; <span title=\"Codes: {https://codesystem.x12.org/005010/98 PR}\">PR</span>; name: MARYLAND CAPITAL INSURANCE COMPANY</a></p></div>"
  },
  "status" : "active",
  "beneficiary" : {
    "reference" : "Patient/SubscriberExample"
  },
  "payor" : [
    {
      "reference" : "Organization/InsurerExample"
    }
  ]
}