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Packagehl7.fhir.us.dental-data-exchange
Resource TypeCoverage
IdCoverage-Dental-Aetna.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Coverage Dental-Aetna

version: 6; Last updated: 2020-08-06 17:04:20+0000;

Information Source: #wVOzmfnx1oKPJar2

Profile: http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage

identifier: http://benefitsAetna.com/certificate/12345

status: Active

type: dental care policy

subscriber: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

subscriberId: 123456

beneficiary: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

dependent: 0

relationship: Self

period: 2020-01-01 --> 2020-01-01

payor: Organization Aetna Insurance

Classes

-TypeValueName
*PlanB37FCAetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

Source1

{
  "resourceType": "Coverage",
  "id": "Dental-Aetna",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2020-08-06T17:04:20.329+00:00",
    "source": "#wVOzmfnx1oKPJar2",
    "profile": [
      "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://benefitsAetna.com/certificate",
      "value": "12345"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "DENTAL",
        "display": "dental care policy"
      }
    ]
  },
  "subscriber": {
    "reference": "Patient/example-dental"
  },
  "subscriberId": "123456",
  "beneficiary": {
    "reference": "Patient/example-dental"
  },
  "dependent": "0",
  "relationship": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code": "self",
        "display": "Self"
      }
    ]
  },
  "period": {
    "start": "2020-01-01",
    "end": "2020-01-01"
  },
  "payor": [
    {
      "reference": "Organization/Aetna-organization"
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "plan"
          }
        ]
      },
      "value": "B37FC",
      "name": "Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
    }
  ]
}