General Person Primary Coverage with error

{
  "resourceType" : "CoverageEligibilityResponse",
  "id" : "E2503",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityResponse.</div>"
  },
  "identifier" : [{
    "system" : "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse",
    "value" : "8812343"
  }],
  "status" : "active",
  "purpose" : ["validation"],
  "patient" : {
    "reference" : "Patient/f201"
  },
  "created" : "2014-09-16",
  "requestor" : {
    "identifier" : {
      "system" : "http://national.org/clinic",
      "value" : "OR1234"
    }
  },
  "request" : {
    "reference" : "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332406"
  },
  "outcome" : "error",
  "disposition" : "Eligibiliy request could not be processed, please address errors before submitting.",
  "insurer" : {
    "reference" : "Organization/2"
  },
  "form" : {
    "coding" : [{
      "system" : "http://national.org/form",
      "code" : "ELRSP/2017/01"
    }]
  },
  "error" : [{
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/adjudication-error",
        "code" : "a001"
      }]
    }
  }]
}