Publication Build: This will be filled in by the publication tooling
Page standards status: Informative |
Generated Narrative: Coverage example
identifier: Member Number/12345
status: Active
type: extended healthcare
policyHolder: ??
subscriber: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))
beneficiary: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))
dependent: 0
relationship: Self
period: 2011-05-23 --> 2012-05-23
payor: Payer XYZ
Type | Value | Name |
Group | CB135 | Corporate Baker's Inc. Local #35 |