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FHIR IG analytics

Packagehl7.fhir.uv.admin-incubator
Resource TypeInsurancePlan
IdInsurancePlan-example-onc.json
FHIR VersionR6

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: InsurancePlan example-onc

Language: en

type: Standard

generalCost

Costs

-ValueCurrency
*2000United States dollar

specificCost

category: Medical

benefit

type: primary care office visit

cost

type: copay

applicability: preferred

value: 25 USD

cost

type: coinsurance

applicability: participating

value: 35 %

cost

type: coinsurance

applicability: non-participating

value: 35 %

benefit

type: specialty care office visit

cost

type: copay

applicability: preferred

value: 35 USD

cost

type: coinsurance

applicability: participating

value: 35 %

cost

type: coinsurance

applicability: non-participating

value: 35 %


Source1

{
  "resourceType": "InsurancePlan",
  "resourceDefinition": "http://hl7.org/fhir/StructureDefinition/InsurancePlan|0.1.0",
  "id": "example-onc",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "type": {
    "text": "Standard"
  },
  "generalCost": [
    {
      "cost": {
        "value": 2000,
        "currency": "USD"
      }
    }
  ],
  "specificCost": [
    {
      "category": {
        "text": "Medical"
      },
      "benefit": [
        {
          "type": {
            "text": "primary care office visit"
          },
          "cost": [
            {
              "type": {
                "text": "copay"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "in-network"
                  }
                ],
                "text": "preferred"
              },
              "value": {
                "value": 25,
                "unit": "USD"
              }
            },
            {
              "type": {
                "text": "coinsurance"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "in-network"
                  }
                ],
                "text": "participating"
              },
              "value": {
                "value": 35,
                "unit": "%"
              }
            },
            {
              "type": {
                "text": "coinsurance"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "out-of-network"
                  }
                ],
                "text": "non-participating"
              },
              "value": {
                "value": 35,
                "unit": "%"
              }
            }
          ]
        },
        {
          "type": {
            "text": "specialty care office visit"
          },
          "cost": [
            {
              "type": {
                "text": "copay"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "in-network"
                  }
                ],
                "text": "preferred"
              },
              "value": {
                "value": 35,
                "unit": "USD"
              }
            },
            {
              "type": {
                "text": "coinsurance"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "in-network"
                  }
                ],
                "text": "participating"
              },
              "value": {
                "value": 35,
                "unit": "%"
              }
            },
            {
              "type": {
                "text": "coinsurance"
              },
              "applicability": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/applicability",
                    "code": "out-of-network"
                  }
                ],
                "text": "non-participating"
              },
              "value": {
                "value": 35,
                "unit": "%"
              }
            }
          ]
        }
      ]
    }
  ]
}