{
  "resourceType" : "Coverage",
  "id" : "2",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-04-06T03:04:12.348-04:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-insuranceProductType",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS",
        "code" : "mediadv",
        "display" : "Medicare Advantage"
      }]
    }
  }],
  "identifier" : [{
    "use" : "official",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MB",
        "display" : "Member Number"
      }]
    },
    "system" : "https://example.org",
    "value" : "789123"
  }],
  "status" : "active",
  "policyHolder" : {
    "reference" : "RelatedPerson/2"
  },
  "subscriber" : {
    "reference" : "RelatedPerson/2"
  },
  "subscriberId" : "AB3999",
  "beneficiary" : {
    "reference" : "Patient/2"
  },
  "dependent" : "01",
  "relationship" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
      "code" : "spouse",
      "display" : "Spouse"
    }]
  },
  "period" : {
    "start" : "2012-05-23",
    "end" : "2013-05-23"
  },
  "payor" : [{
    "reference" : "Organization/1"
  }],
  "class" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
        "code" : "plan"
      }]
    },
    "value" : "HMO"
  }]
}