LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

Example Coverage: Coverage Example - Primary Payer

Generated Narrative: Coverage

Resource Coverage "PrimaryPayerExample"

Information Source: http://acme-health.com/emr1!

Profile: CDM Coverage

identifier: Source System Row Identifier: c35466d6-0d2b-4efa-8265-b9ac3f887e08(use: OFFICIAL)

status: active

type: preferred provider organization policy (ActCode#PPO)

policyHolder: Organization/Employer1 "Employer 1"

subscriber:

beneficiary: Patient/CDMPatientInstance " MCLASTNAME"

relationship: Spouse (SubscriberPolicyholder Relationship Codes#spouse)

period: 2020-01-01 12:00:00+0000 --> (ongoing)

payor: Organization/Payer1 "Payer 1"

class

type: Group (Coverage Class Codes#group)

value: 10985-PAYER1

name: PPO with HSA

class

type: Plan (Coverage Class Codes#plan)

value: 282

order: 1

network: Choice POS II