Da Vinci - Documentation Templates and Rules
2.1.0 - STU 2.1 United States of America flag

Publication Build: This will be filled in by the publication tooling

Example Coverage: CoverageExample

Page standards status: Informative

Generated Narrative: Coverage CoverageExample

status: Active

subscriber: Anonymous Patient Male, DoB: 1996-12-23

subscriberId: PFP123450000

beneficiary: Anonymous Patient Male, DoB: 1996-12-23

relationship: Self

period: 2022-01-01 --> 2023-01-01

payor: Organization Insurance Company

Classes

-TypeValueName
*PlanPremim Family PlusPremim Family Plus Plan

Generated Narrative: Organization #OrgExample

identifier: Clinical Laboratory Improvement Amendments/10D0202020

active: true

type: Payer

name: Insurance Company

telecom: ph: 860-547-5001(Work)

address: 680 Asylum Street Hartford CT 06155 US