Coverage
This topic describes information for the Coverage resource.
To interact with the REST endpoints in the Coverage resource, see Coverage.
Overview
The Coverage resource provides high-level information about an insurance plan for a specific person or patient or an encounter. Identifying coverage information would appear on an insurance card and can be used to pay for health care services. The resource can also be used for self-pay where an individual takes responsibility for the cost of healthcare services, rather than a company or organization.
The following fields are returned if valued:
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Extensions including encounter (for more information, see the Extensions section of this topic)
Terminology Bindings
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Description: Indicates the beneficiary relationship to the subscriber.
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Details: Subscriber Relationship
System:
http://terminology.hl7.org/CodeSystem/subscriber-relationship
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Details: For more information, see Code Set 40 Person Relationships under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR_source_id>/codeSet/40
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Extensions
Table - Extensions
ID | Value[x} Type | Description |
---|---|---|
coverage-encounter |
Reference |
A reference to an encounter. |