---
type: "example"
title: "CoverageEligibilityRequest Example: coverageeligibilityrequest-example"
resource: "CoverageEligibilityRequest"
example: "coverageeligibilityrequest-example"
---
# CoverageEligibilityRequest Example: coverageeligibilityrequest-example

## Narrative

A human-readable rendering of the CoverageEligibilityRequest

## Example XML



```xml
<CoverageEligibilityRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/remittance.xsd">
	<id value="52345"/>

	<text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the CoverageEligibilityRequest</div>
	</text>

	<identifier>
		<system value="http://happyvalley.com/coverageelegibilityrequest"/>
		<value value="52345"/>
	</identifier>

	<status value="active"/>

	<priority>
		<coding>
			<code value="normal"/>
		</coding>
	</priority>

	<purpose value="validation"/>
	
	<patient>
		<reference value="Patient/pat1"/>
	</patient>

	<created value="2014-08-16"/>

	<provider>
		<reference value="Organization/1"/>
	</provider>

	<insurer>
		<reference value="Organization/2"/>
	</insurer>

	<insurance>
		<focal value="true"/>
		<coverage>
			<reference value="Coverage/9876B1"/>
		</coverage>
	</insurance>

</CoverageEligibilityRequest>
```