FHIR Implementation Guide for HCX
0.7.1 - CI Build
FHIR Implementation Guide for HCX
0.7.1 - CI Build
FHIR Implementation Guide for HCX - Local Development build (v0.7.1). See the Directory of published versions
Generated Narrative: InsurancePlan
Resource InsurancePlan "AB_GUJ_UniqueIdForTheObject"
identifier: id: AB_GUJ_Plan1 (use: USUAL, period: 2001-05-06 --> (ongoing))
status: active
type: Medical (Insurance plan type#medical)
name: PMJAY-Mukhyamantri Amrutam & Mukhyamantri Vatsalya
period: 2020-09-23 --> (ongoing)
ownedBy: Organization/AB_GUJ_SHA: Gujarat State Health Protection Society
administeredBy: Organization/AB_GUJ_TPA_1: MD India Healthcare Service (TPA) Pvt. Ltd.
coverageArea: Location/GUJARAT: Gujarat
coverage
type: Medical (coverage-type#Medical)
benefit
type: Inpatient (benefit-type#Inpatient)
Limits
- Value * 500000 INR
plan
type: PMJAY_GUJ_GOLD_CARD (plan-type#PMJAY_GUJ_GOLD_CARD)
specificCost
category: Inpatient-packages (cost-category#Inpatient-packages)
benefit
type: Vertebroplasty (packages#IN010)
Costs
- Type Applicability Value * hospitalization (pacakgeCostTypes#hospitalization) Gujarat SHA empaneled hospitals (applicabilityCodes#in-network) 22800 INR benefit
type: ABC Surgery (procedures#MC999A; unknown#ICD_PCS_001)
cost
type: hospitalization (pacakgeCostTypes#hospitalization)
applicability: Gujarat SHA empaneled hospitals (applicabilityCodes#in-network)
value: 11000 INR
cost
type: hospitalization (pacakgeCostTypes#hospitalization)
applicability: Gujarat SHA empaneled hospitals (applicabilityCodes#in-network)
qualifiers: STRAT002 (stratificationTypes#STRAT002), IMP0005 (implantCodes#IMP0005)
value: 12000 INR
benefit
type: Microlaryngoscopic Surgery (packages#HBP_PACKAGE_00003)
Costs
- Type Applicability Qualifiers Value * hospitalization (pacakgeCostTypes#hospitalization) Gujarat SHA empaneled hospitals (applicabilityCodes#in-network) STRAT002 (stratificationTypes#STRAT002), IMP0005 (implantCodes#IMP0005) 18500 INR