Finance and Insurance Service (FAIS)
1.0.0-current - ci-build
Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions
{
"resourceType" : "CoverageEligibilityResponse",
"id" : "ex-check-coverage-resp",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse ex-check-coverage-resp</b></p><a name=\"ex-check-coverage-resp\"> </a><a name=\"hcex-check-coverage-resp\"> </a><a name=\"ex-check-coverage-resp-en-US\"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation</p><p><b>patient</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>created</b>: 2024-05-04</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-ex-check-coverage.html\">CoverageEligibilityRequest: status = active; purpose = validation; created = 2024-05-04</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Allowed</p><p><b>insurer</b>: <a href=\"Organization-ex-insurer.html\">Organization Example Public Insurance</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Coverage-ex-coverage.html\">Coverage: status = active; type = public healthcare; subscriberId = a8978d4a-0c9f-11ef-9633-cb733e9641ef; relationship = Self; period = 2024-01-01 --> 2024-12-31</a></td><td>true</td></tr></table></div>"
},
"status" : "active",
"purpose" : [
"validation"
],
"patient" : {
🔗 "reference" : "Patient/ex-beneficiary"
},
"created" : "2024-05-04",
"request" : {
🔗 "reference" : "CoverageEligibilityRequest/ex-check-coverage"
},
"outcome" : "complete",
"disposition" : "Allowed",
"insurer" : {
🔗 "reference" : "Organization/ex-insurer"
},
"insurance" : [
{
"coverage" : {
🔗 "reference" : "Coverage/ex-coverage"
},
"inforce" : true
}
]
}