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Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
beneficiary 0..1ReferenceThe party who benefits from the insurance coverage., the patient when services are provided.contract 0..*List<Reference>The policy(s) which constitute this insurance coverage.dependent 0..1StringA unique identifier for a dependent under the coverage.grouping 0..1GroupingA suite of underwrite specific classifiers, for example may be used to identify a class of coverage or employer group, Policy, Plan.identifier 0..*List<Identifier>The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatination of the Coverage.SubscriberID and the Coverage.dependant.network 0..1StringThe insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.order 0..1IntegerThe order of applicability of this coverage relative to other coverages which are currently inforce. Note, there may be gaps in the numbering and this does not imply primary, secondard etc. as the specific positioning of coverages depends upon the episode of care.payor 0..*List<Reference>The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).period 0..1Interval<DateTime>Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.policyHolder 0..1ReferenceThe party who 'owns' the insurance policy, may be an individual, corporation or the subscriber's employer.relationship 0..1ConceptThe relationship of beneficiary (patient) to the subscriber.Binding: Policyholder Relationship Codes (Example)
sequence 0..1StringAn optional counter for a particular instance of the identified coverage which increments upon each renewal.status 0..1StringThe status of the resource instance.Binding: Financial Resource Status Codes (Required)
subscriber 0..1ReferenceThe party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.subscriberId 0..1StringThe insurer assigned ID for the Subscriber.type 0..1ConceptThe type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.Binding: Coverage Type and Self-Pay Codes (Preferred)
Key: = Must support, = QICore-defined extension, = Is-Modifier
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