Sha256: 58d8efb186033d3e6e4c63911333c3d68c4873b46d5f76c2b1d60c1f332133a4
Contents?: true
Size: 1.43 KB
Versions: 10
Compression:
Stored size: 1.43 KB
Contents
{
"resourceType": "Coverage",
"id": "9876B1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
},
"identifier": [
{
"system": "http://benefitsinc.com/certificate",
"value": "12345"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"policyHolder": {
"reference": "http://benefitsinc.com/FHIR/Organization/CBI35"
},
"subscriber": {
"reference": "Patient/4"
},
"beneficiary": {
"reference": "Patient/4"
},
"relationship": {
"coding": [
{
"code": "self"
}
]
},
"period": {
"start": "2011-05-23",
"end": "2012-05-23"
},
"payor": [
{
"reference": "Organization/2"
}
],
"grouping": {
"group": "CBI35",
"groupDisplay": "Corporate Baker's Inc. Local #35",
"subGroup": "123",
"subGroupDisplay": "Trainee Part-time Benefits",
"plan": "B37FC",
"planDisplay": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC",
"subPlan": "P7",
"subPlanDisplay": "Includes afterlife benefits",
"class": "SILVER",
"classDisplay": "Silver: Family Plan spouse only",
"subClass": "Tier2",
"subClassDisplay": "Low deductable, max $20 copay"
},
"dependent": "0",
"sequence": "9"
}
Version data entries
10 entries across 10 versions & 2 rubygems