CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Dental Coverage Example1

Raw json | Download

{
  "resourceType" : "Coverage",
  "id" : "CoverageDental1",
  "meta" : {
    "lastUpdated" : "2021-01-01T14:22:01.0314215+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.2.0"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "version" : "5.0.0",
            "code" : "MB"
          }
        ]
      },
      "system" : "https://www.example.com/fhir/memberidentifier",
      "value" : "210300002"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DENTAL"
      }
    ],
    "text" : "dental care policy"
  },
  "policyHolder" : {
    🔗 "reference" : "Patient/Patient2"
  },
  "subscriber" : {
    🔗 "reference" : "Patient/Patient2"
  },
  "subscriberId" : "10300007",
  "beneficiary" : {
    🔗 "reference" : "Patient/Patient2"
  },
  "dependent" : "01",
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-12-31"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/DentalPayer1"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group"
          }
        ],
        "text" : "An employee group"
      },
      "value" : "10300007",
      "name" : "Transcorp - dental"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          }
        ],
        "text" : "Plan"
      },
      "value" : "66783JJT",
      "name" : "INSURANCE COMPANY XYZ - PRIME"
    }
  ],
  "network" : "INSURANCE COMPANY XYZ - PRIME"
}