{"resourceType":"Coverage","id":"9876B1","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eA human-readable rendering of the coverage\u003c/div\u003e"},"identifier":[{"system":"http://benefitsinc.com/certificate","value":"12345"}],"status":"active","kind":"insurance","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"EHCPOL","display":"extended healthcare"}]},"policyHolder":{"reference":"http://benefits.example.org/FHIR/Organization/CBI35"},"subscriber":{"reference":"Patient/4"},"beneficiary":{"reference":"Patient/4"},"dependent":"0","relationship":{"coding":[{"code":"self"}]},"period":{"start":"2011-05-23","end":"2012-05-23"},"insurer":{"reference":"Organization/2"},"class":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"group"}]},"value":{"value":"CB135"},"name":"Corporate Baker\u0027s Inc. Local #35"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"subgroup"}]},"value":{"value":"123"},"name":"Trainee Part-time Benefits"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"plan"}]},"value":{"value":"B37FC"},"name":"Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"subplan"}]},"value":{"value":"P7"},"name":"Includes afterlife benefits"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"class"}]},"value":{"value":"SILVER"},"name":"Silver: Family Plan spouse only"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"subclass"}]},"value":{"value":"Tier2"},"name":"Low deductable, max $20 copay"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"sequence"}]},"value":{"value":"9"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"rxid"}]},"value":{"value":"MDF12345"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"rxbin"}]},"value":{"value":"987654"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"rxgroup"}]},"value":{"value":"M35PT"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"rxpcn"}]},"value":{"value":"234516"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"sequence"}]},"value":{"value":"9"}}]}
{"resourceType":"Coverage","id":"7546D","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eA human-readable rendering of the coverage\u003c/div\u003e"},"identifier":[{"system":"http://xyz.com/codes/identifier","value":"AB98761"}],"status":"active","kind":"insurance","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"EHCPOL","display":"extended healthcare"}]},"subscriber":{"reference":"Patient/5"},"subscriberId":[{"value":"AB9876"}],"beneficiary":{"reference":"Patient/5"},"dependent":"1","relationship":{"coding":[{"code":"self"}]},"period":{"start":"2011-03-17","end":"2012-03-17"},"insurer":{"reference":"Organization/2"},"class":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"group"}]},"value":{"value":"WESTAIR"},"name":"Western Airlines"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"plan"}]},"value":{"value":"BG4352"},"name":"Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"subplan"}]},"value":{"value":"D15C9"},"name":"Platinum"}],"order":2,"network":"5","costToBeneficiary":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-copay-type","code":"gpvisit"}]},"valueMoney":{"value":20.00,"currency":"USD"},"exception":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception","code":"retired"}]},"period":{"start":"2018-01-01","end":"2018-12-31"}}]}]}
{"resourceType":"Coverage","id":"SP1234","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eA human-readable rendering of a Self Pay Agreement.\u003c/div\u003e"},"identifier":[{"system":"http://hospitalx.com/selfpayagreement","value":"SP12345678"}],"status":"active","kind":"self-pay","paymentBy":[{"party":{"reference":"Patient/5"}}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/coverage-selfpay","code":"pay","display":"PAY"}]},"subscriber":{"reference":"Patient/5"},"beneficiary":{"reference":"Patient/5"},"relationship":{"coding":[{"code":"self"}]},"period":{"end":"2012-03-17"}}
{"resourceType":"Coverage","id":"7547E","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eA human-readable rendering of the European Health Insurance Card\u003c/div\u003e"},"identifier":[{"system":"http://ehic.com/insurer/123456789/member","value":"A123456780"}],"status":"active","kind":"insurance","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"EHCPOL","display":"extended healthcare"}]},"subscriber":{"reference":"Patient/5"},"beneficiary":{"reference":"Patient/5"},"relationship":{"coding":[{"code":"self"}]},"period":{"end":"2012-03-17"},"insurer":{"identifier":{"system":"http://ehic.com/insurer","value":"123456789"}}}