Coverage coverage-CARIN-BB
Data that reflect a payer’s coverage that was effective as of the date of service or the date of admission of the claim.
Profile Differential
Coverage
meta Meta
Metadata about the resource.
profile canonical [0..*]
Profiles this resource claims to conform to.
Constant: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
identifier Identifier [0..*]
Business Identifier for the coverage
system* uri
The namespace for the identifier value
value* string
The value that is unique
type CodeableConcept
Description of identifier identifier-type Extensible
status* code
A code specifying the state of the resource instance. fm-status Extensible
type CodeableConcept
The type of insurance - public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. coverage-type Extensible
Constant: HIP
policyHolder Reference(Patient | RelatedPerson | Organization)
Owner of the policy
subscriber Reference(Patient | RelatedPerson)
Subscriber to the policy
subscriberId* string
ID assigned to the subscriber
beneficiary* Reference(C4BB Patient)
Plan beneficiary
dependent string
Dependent number
Constant: 01
relationship* CodeableConcept
Beneficiary relationship to the subscriber subscriber-relationship Extensible
period Period
Coverage start and end dates
payor* Reference(C4BB Organization) [1..*]
Issuer of the policy
network string
Insurer network
B
class BackboneElement [0..*]
Additional coverage classifications.
type* CodeableConcept
Type of class such as 'group' or 'plan'. coverage-class Extensible
value* string
Value associated with the type.
name string
Human readable description of the type and value.