Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
= Must Support, = Is Modifier, = QiCore defined extension
Field | Card. | Type | Description |
---|---|---|---|
type | 0..1 | Concept | The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization. Binding: Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system (required) |
policyHolder | 0..1 | Patient | Organization | RelatedPerson | The party who 'owns' the insurance policy. |
beneficiary | 1..1 | Patient | The party who benefits from the insurance coverage; the patient when products and/or services are provided. |
period | 0..1 | Interval<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. |
payor | 1..* | List<Patient | Organization | RelatedPerson> | The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. |