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Packagekbv.ita.aws
Resource TypeCoverageEligibilityResponse
IdBSP_KBV_PR_AW_Leistungsgenehmigung_Psychotherapie.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "CoverageEligibilityResponse",
  "id": "3215",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-09-18T15:13:00+00:00",
    "profile": [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie|1.2.0"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "purpose": [
    "auth-requirements"
  ],
  "patient": {
    "reference": "Patient/3181"
  },
  "created": "2018-01-16",
  "request": {
    "reference": "CoverageEligibilityRequest/3213"
  },
  "outcome": "complete",
  "insurer": {
    "identifier": {
      "system": "http://fhir.de/NamingSystem/arge-ik/iknr",
      "value": "109999999"
    },
    "display": "Allgemeine Technische Barmener BKK"
  },
  "insurance": [
    {
      "coverage": {
        "reference": "Coverage/3225"
      },
      "item": [
        {
          "category": {
            "coding": [
              {
                "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Eligibility_Kategorie",
                "code": "Psychotherapie_Leistungsinformation"
              }
            ]
          },
          "unit": {
            "coding": [
              {
                "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Psychotherapie_Personenbezug",
                "code": "Leistungen_fuer_Versicherten"
              }
            ]
          },
          "benefit": [
            {
              "type": {
                "text": "Anzahl_bewilligter_Leistungen"
              },
              "allowedUnsignedInt": 2
            }
          ],
          "authorizationSupporting": [
            {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM",
                  "code": "87654321"
                }
              ],
              "text": "Leistungsinformation_vor_1417"
            }
          ]
        }
      ]
    }
  ]
}