{ "resourceType" : "Coverage", "id" : "Coverage1", "meta" : { "lastUpdated" : "2020-10-30T09:48:01.8462752-04:00", "profile" : ["http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.0.0"] }, "language" : "en-US", "text" : { "status" : "generated", "div" : "
Resource Coverage "Coverage1" Updated "2020-10-30 09:48:01-0400" (Language "en-US")
Profile: C4BB Coverage (version 2.0.0)
identifier: An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.:\u00a088800933501
status: active
policyHolder: Patient/Patient1 " EXAMPLE1"
subscriber: Patient/Patient1 " EXAMPLE1"
subscriberId: 888009335
beneficiary: Patient/Patient1 " EXAMPLE1"
dependent: 01
relationship: Self (SubscriberPolicyholder Relationship Codes#self)
period: 2020-01-01 --> (ongoing)
payor: Organization/Payer2: UPMC Health Plan "UPMC Health Plan"
class
type: An employee group (Coverage Class Codes#group "Group")
value: MCHMO1
name: MEDICARE HMO PLAN
class
type: A specific suite of benefits. (Coverage Class Codes#plan "Plan")
value: GR5
name: GR5-HMO DEDUCTIBLE
network: GR5-HMO DEDUCTIBLE