US Core Implementation Guide
7.0.0-ballot - STU6 United States of America flag

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

Example Coverage: Coverage Example

Page standards status: Informative

Generated Narrative: Coverage

Resource Coverage "coverage-example"

Profile: US Core Coverage Profile (version 7.0.0-ballot)

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