NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage TUDomainResourceInsurance or medical plan or a payment agreement
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierBusiness Identifier for the coverage
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... type Σ0..1CodeableConceptCoverage category such as medical or accident
Coverage Type and Self-Pay Codes (Preferred)
... policyHolder Σ0..1Reference(Patient | RelatedPerson | Organization)Owner of the policy
... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
... subscriberId Σ0..1stringID assigned to the subscriber
... beneficiary Σ1..1Reference(Patient)Plan beneficiary
... dependent Σ0..1stringDependent number
... relationship 0..1CodeableConceptBeneficiary relationship to the subscriber
SubscriberPolicyholder Relationship Codes (Extensible)
... period Σ0..1PeriodCoverage start and end dates
... payor Σ1..*Reference(Organization | Patient | RelatedPerson)Issuer of the policy
... class 0..*BackboneElementAdditional coverage classifications
.... type Σ1..1CodeableConceptType of class such as 'group' or 'plan'
Coverage Class Codes (Extensible)
.... value Σ1..1stringValue associated with the type
.... name Σ0..1stringHuman readable description of the type and value
... order Σ0..1positiveIntRelative order of the coverage
... network Σ0..1stringInsurer network
... costToBeneficiary 0..*BackboneElementPatient payments for services/products
.... type Σ0..1CodeableConceptCost category
Coverage Copay Type Codes (Extensible)
.... value[x] Σ1..1The amount or percentage due from the beneficiary
..... valueQuantitySimpleQuantity
..... valueMoneyMoney
.... exception 0..*BackboneElementExceptions for patient payments
..... type Σ1..1CodeableConceptException category
Example Coverage Financial Exception Codes (Example)
..... period Σ0..1PeriodThe effective period of the exception
... subrogation 0..1booleanReimbursement to insurer
... contract 0..*Reference(Contract)Contract details

doco Documentation for this format