CARIN Consumer Directed Payer Data Exchange
0.3.1 - STU1

CARIN Consumer Directed Payer Data Exchange, published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 0.3.1). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

Example Coverage: Coverage1

Generated Narrative

id: Coverage1

meta:

language: en-US

identifier: Member ID: 1234-234-1243-12345678901

status: active

type: health insurance plan policy

policyHolder: Generated Summary: id: Patient1; language: en-US; Member ID: 1234-234-1243-12345678901, Medical Record Number: 1234-234-1243-12345678901m, Unique Member ID: 1234-234-1243-12345678901u, Patient Account Number: 1234-234-1243-12345678901a; active; Johnny Example1 ; ph: (301)666-1212; gender: male; birthDate: 1986-01-01; unknown

subscriber: Generated Summary: id: Patient1; language: en-US; Member ID: 1234-234-1243-12345678901, Medical Record Number: 1234-234-1243-12345678901m, Unique Member ID: 1234-234-1243-12345678901u, Patient Account Number: 1234-234-1243-12345678901a; active; Johnny Example1 ; ph: (301)666-1212; gender: male; birthDate: 1986-01-01; unknown

subscriberId: 12345678901

beneficiary: Generated Summary: id: Patient1; language: en-US; Member ID: 1234-234-1243-12345678901, Medical Record Number: 1234-234-1243-12345678901m, Unique Member ID: 1234-234-1243-12345678901u, Patient Account Number: 1234-234-1243-12345678901a; active; Johnny Example1 ; ph: (301)666-1212; gender: male; birthDate: 1986-01-01; unknown

dependent: 01

relationship: Self

period: Jan 1, 2019, 12:00:00 AM --> Oct 31, 2019, 12:00:00 AM

payor: Generated Summary: id: OrganizationPayer1; language: en-US; National Provider Identifier: 345678, Payer ID: 901234; active; name: Payer 1

class

type: An employee group

value: 021890

name: Acme Corporation

class

type: Plan

value: XYZ123

name: XYZ123-UPMC CONSUMER ADVA

class

type: A subgroup of an employee group

value: 300

name: ACME HSA PPO 1500

network: XYZ123-UPMC CONSUMER ADVA