Implementation Guide
23.0.0 - R4 APIs

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Example Coverage: General Coverage Example

Generated Narrative: Coverage Example1

Last updated: 2024-12-20 10:40:07+0000

Profile: ATHENACoverage

Security Label: Normal (Details: Confidentiality code N = ' normal ', stated as ' Normal ')

identifier: Member Number/89438

status: Active

type: MEDICARE

policyHolder: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

subscriber: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

subscriberId: 89438

beneficiary: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

relationship: Common Law Spouse

period: 2024-12-11 00:00:00+0000 --> 2024-12-26 00:00:00+0000

payor: (D000)

class

type: coverage-class group

value: 3433

name: Star Group

class

type: plan

value: 1532879610244880

name: Test Plan