FHIRsmith: Coverage/Coverage-CoverageDental1.json

FHIR IG analytics

Package	hl7.fhir.us.carin-bb.r4
Resource Type	Coverage
Id	Coverage-CoverageDental1.json
FHIR Version	R4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Coverage CoverageDental1

Last updated: 2021-01-01 14:22:01+0000; Language: en-US

Profile: C4BB Coverageversion: null2.1.0)

identifier: Member Number/210300002

status: Active

type: dental care policy

policyHolder: Member 01 Test Male, DoB: 1943-01-01 ( An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.: 88800933501)

subscriber: Member 01 Test Male, DoB: 1943-01-01 ( An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.: 88800933501)

subscriberId: 10300007

beneficiary: Member 01 Test Male, DoB: 1943-01-01 ( An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.: 88800933501)

dependent: 01

relationship: Self

period: 2021-01-01 --> 2021-12-31

payor: Organization INSURANCE COMPANY XYZ

class
type: An employee group
value: 10300007
name: Transcorp - dental

class
type: Plan
value: 66783JJT
name: INSURANCE COMPANY XYZ - PRIME

network: INSURANCE COMPANY XYZ - PRIME

Source1

{
  "resourceType": "Coverage",
  "id": "CoverageDental1",
  "meta": {
    "lastUpdated": "2021-01-01T14:22:01.0314215+00:00",
    "profile": [
      "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.1.0"
    ]
  },
  "language": "en-US",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MB"
          }
        ]
      },
      "system": "https://www.xxxhealthplan.com/fhir/memberidentifier",
      "value": "210300002"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "DENTAL"
      }
    ],
    "text": "dental care policy"
  },
  "policyHolder": {
    "reference": "Patient/Patient2"
  },
  "subscriber": {
    "reference": "Patient/Patient2"
  },
  "subscriberId": "10300007",
  "beneficiary": {
    "reference": "Patient/Patient2"
  },
  "dependent": "01",
  "relationship": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code": "self"
      }
    ]
  },
  "period": {
    "start": "2021-01-01",
    "end": "2021-12-31"
  },
  "payor": [
    {
      "reference": "Organization/DentalPayer1"
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "group"
          }
        ],
        "text": "An employee group"
      },
      "value": "10300007",
      "name": "Transcorp - dental"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "plan"
          }
        ],
        "text": "Plan"
      },
      "value": "66783JJT",
      "name": "INSURANCE COMPANY XYZ - PRIME"
    }
  ],
  "network": "INSURANCE COMPANY XYZ - PRIME"
}