US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Resource Coverage "coverage-example"
identifier: Member Number: 88800933501
status: active
type: PPO (Source of Payment Typology#3712; ActCode#PPO "preferred provider organization policy")
subscriberId: 888009335
beneficiary: Patient/example " SHAW"
relationship: Self (SubscriberPolicyholder Relationship Codes#self)
period: 2020-01-01 --> (ongoing)
payor: Organization/acme-payer: Acme Health Plan "Acme Health Plan"
class
type: An employee group (Coverage Class Codes#group "Group")
value: xyz
name: XYZ employee Group Plan
class
type: A specific suite of benefits. (Coverage Class Codes#plan "Plan")
value: gold
name: Acme Gold Plan