Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
If the element is present, it must have either a @value, an @id, or extensions
A unique identifier assigned to this coverage.
The status of the resource instance.
The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
The party who 'owns' the insurance policy.
The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.
The insurer assigned ID for the Subscriber.
The party who benefits from the insurance coverage; the patient when products and/or services are provided.
A unique identifier for a dependent under the coverage.
The relationship of beneficiary (patient) to the subscriber.
Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.
The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.
A suite of underwriter specific classifiers.
The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care.
The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.
A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been included on the health card.
When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.
The policy(s) which constitute this insurance coverage.
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.
The alphanumeric string value associated with the insurer issued label.
A short description for the class.
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
The category of patient centric costs associated with treatment.
The amount due from the patient for the cost category.
A suite of codes indicating exceptions or reductions to patient costs and their effective periods.
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
The code for the specific exception.
The timeframe during when the exception is in force.