Implementation Guide
23.1.0 - R4 APIs

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: General Coverage Example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "Example1",
  "meta" : {
    "profile" : [
      🔗 "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage Example1</b></p><a name=\"Example1\"> </a><a name=\"hcExample1\"> </a><a name=\"Example1-en-US\"> </a><p><b>identifier</b>: Member Number/850582812</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/Training MB}\">Medicare</span></p><p><b>subscriber</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriberId</b>: 850582812</p><p><b>beneficiary</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>period</b>: 2006-01-11 00:00:00+0530 --&gt; 2010-01-10 00:00:00+0530</p><p><b>payor</b>: <a href=\"Organization-Example1.html\">Anthem Insurance Companies, Inc</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">coverage-class group</span></td><td>236552</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-coverage-type",
      "valueString" : "Primary"
    },
    {
      "url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-subscriber-name",
      "valueHumanName" : {
        "family" : "Abbey",
        "given" : [
          "Jeff"
        ]
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ],
        "text" : "Member Number"
      },
      "value" : "850582812"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/Training",
        "code" : "MB",
        "display" : "Medicare"
      }
    ],
    "text" : "Medicare"
  },
  "subscriber" : {
    🔗 "reference" : "Patient/Example1"
  },
  "subscriberId" : "850582812",
  "beneficiary" : {
    🔗 "reference" : "Patient/Example1"
  },
  "period" : {
    "start" : "2006-01-11T00:00:00+05:30",
    "end" : "2010-01-10T00:00:00+05:30"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/Example1",
      "display" : "Anthem Insurance Companies, Inc"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group"
          }
        ],
        "text" : "coverage-class group"
      },
      "value" : "236552"
    }
  ]
}