Da Vinci Payer Data Exchange
2.1.0 - STU 2.1 United States of America flag

Publication Build: This will be filled in by the publication tooling

Example Coverage: PDexCoverageExample

Page standards status: Informative

identifier: Member Number/234567

status: Active

subscriberId: 93542106

beneficiary: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

relationship: Self

payor: Organization Payer 1