Health Care Surveys Reporting
2.0.0 - STU 2

Health Care Surveys Reporting, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-health-care-surveys-reporting-ig/ and changes regularly. See the Directory of published versions

## : Coverage - UPMC Health Plan

Page standards status: Informative

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    {
      "resourceType" : "Coverage",
      "id" : "coverage-upmc-example",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-upmc-example</b></p><a name=\"coverage-upmc-example\"> </a><a name=\"hccoverage-upmc-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html\">US Core Coverage Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier./88800933501</p><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href=\"Patient-patient-ledner.html\">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>subscriber</b>: <a href=\"Patient-patient-ledner.html\">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-patient-ledner.html\">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>dependent</b>: 01</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-organization-payer-upmc.html\">UPMC Health Plan</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">An employee group</span></p><p><b>value</b>: MCHMO1</p><p><b>name</b>: MEDICARE HMO PLAN</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">A specific suite of benefits.</span></p><p><b>value</b>: GR5</p><p><b>name</b>: GR5-HMO DEDUCTIBLE</p></blockquote><p><b>network</b>: GR5-HMO DEDUCTIBLE</p></div>"
      },
      "identifier" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MB",
                "display" : "Member Number"
              }
            ],
            "text" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier."
          },
          "system" : "https://www.example.org/upmchealthplan.com/fhir/memberidentifier",
          "value" : "88800933501",
          "assigner" : {
            🔗 "reference" : "Organization/organization-payer-upmc",
            "display" : "UPMC Health Plan"
          }
        }
      ],
      "status" : "active",
      "policyHolder" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "subscriber" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "subscriberId" : "888009335",
      "beneficiary" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "dependent" : "01",
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
            "code" : "self"
          }
        ],
        "text" : "Self"
      },
      "period" : {
        "start" : "2020-01-01"
      },
      "payor" : [
        {
          🔗 "reference" : "Organization/organization-payer-upmc",
          "display" : "UPMC Health Plan"
        }
      ],
      "class" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                "code" : "group",
                "display" : "Group"
              }
            ],
            "text" : "An employee group"
          },
          "value" : "MCHMO1",
          "name" : "MEDICARE HMO PLAN"
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                "code" : "plan",
                "display" : "Plan"
              }
            ],
            "text" : "A specific suite of benefits."
          },
          "value" : "GR5",
          "name" : "GR5-HMO DEDUCTIBLE"
        }
      ],
      "network" : "GR5-HMO DEDUCTIBLE"
    }