FHIR Implementation Guide for HCX
0.8.0 - CI Build
FHIR Implementation Guide for HCX - Local Development build (v0.8.0). See the Directory of published versions
Generated Narrative: CoverageEligibilityResponse
Resource CoverageEligibilityResponse "example-01"
identifier: id: urn:uuiad:581da6a9
status: active
purpose: discovery, benefits
patient:
serviced: 2021-12-22 --> 2021-12-25
created: 2021-12-22
requestor:
request:
outcome: complete
insurer:
insurance
coverage:
inforce: true
item
category: Health Benefit Plan Coverage (Benefit Category Codes#30)
network: In Network (Network Type Codes#in)
unit: Individual (Unit Type Codes#individual)
term: Annual (Benefit Term Codes#annual)
benefit
type: Benefit (Benefit Type Codes#benefit)
allowed: ₹500,000.00 (INR)
benefit
type: Copayment maximum per service (Benefit Type Codes#copay-maximum)
allowed: ₹100.00 (INR)
benefit
type: Copayment Percent per service (Benefit Type Codes#copay-percent)
allowed: 20
item
category: Maternity (Benefit Category Codes#69)
network: In Network (Network Type Codes#in)
unit: Individual (Unit Type Codes#individual)
term: Annual (Benefit Term Codes#annual)
Benefits
- Type Allowed[x] * Benefit (Benefit Type Codes#benefit) ₹15,000.00 (INR) item
category: Dental Coverage (Benefit Category Codes#F3)
network: In Network (Network Type Codes#in)
unit: Individual (Unit Type Codes#individual)
term: Annual (Benefit Term Codes#annual)
Benefits
- Type Allowed[x] * Benefit (Benefit Type Codes#benefit) ₹2,000.00 (INR) item
category: Vision Coverage (Benefit Category Codes#F6)
network: In Network (Network Type Codes#in)
unit: Individual (Unit Type Codes#individual)
term: Annual (Benefit Term Codes#annual)
Benefits
- Type Allowed[x] * Benefit (Benefit Type Codes#benefit) ₹400.00 (INR) item
category: Hospital Room and Board (Benefit Category Codes#49)
network: In Network (Network Type Codes#in)
unit: Individual (Unit Type Codes#individual)
term: Day (Benefit Term Codes#day)
benefit
type: Room (Benefit Type Codes#room)
allowed: shared
benefit
type: Benefit (Benefit Type Codes#benefit)
allowed: ₹600.00 (INR)