BSeR: Bidirectional Services_eReferral
2.0.0-connectathon - CI Build United States of America flag

BSeR: Bidirectional Services_eReferral - Local Development build (v2.0.0-connectathon). See the Directory of published versions

Example Coverage: coverage-BSeR-Coverage-eve-everywoman

Generated Narrative: Coverage

Resource Coverage "coverage-BSeR-Coverage-eve-everywoman" Version "3" Updated "2023-03-31 04:46:33+0000"

Information Source: #inkCoxzgZSNurkBt!

Profile: BSeR Coverage

identifier: id: 12345

status: active

type: extended healthcare (ActCode#EHCPOL)

subscriber: RelatedPerson/relatedperson-self-eve-everywoman: Eve Everywoman " EVERYWOMAN"

beneficiary: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman " EVERYWOMAN"

relationship: self (RoleCode#ONESELF)

period: 2019-05-23 --> 2020-05-23

payor: Organization/organization-bser-organization-saint-luke "Saint Luke's Hospital of Kansas City"

class

type: Group (Coverage Class Codes#group)

value: CB135

name: Corporate Baker's Inc. Local #35

class

type: SubGroup (Coverage Class Codes#subgroup)

value: 123

name: Trainee Part-time Benefits

class

type: Plan (Coverage Class Codes#plan)

value: B37FC

name: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

class

type: SubPlan (Coverage Class Codes#subplan)

value: P7

name: Includes afterlife benefits

class

type: Class (Coverage Class Codes#class)

value: SILVER

name: Silver: Family Plan spouse only

class

type: SubClass (Coverage Class Codes#subclass)

value: Tier2

name: Low deductable, max $20 copay

class

type: Sequence (Coverage Class Codes#sequence)

value: 9

class

type: RX Id (Coverage Class Codes#rxid)

value: MDF12345

class

type: RX BIN (Coverage Class Codes#rxbin)

value: 987654

class

type: RX Group (Coverage Class Codes#rxgroup)

value: M35PT

class

type: RX PCN (Coverage Class Codes#rxpcn)

value: 234516

class

type: Sequence (Coverage Class Codes#sequence)

value: 9