CoverageEligibilityResponse Example: coverageeligibilityresponse-example

Narrative

A human-readable rendering of the CoverageEligibilityResponse.

Example XML

<CoverageEligibilityResponse 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="E2500"/>

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

    <identifier>
        <system value="http://www.BenefitsInc.com/fhir/coverageeligibilityresponse"/>
        <value value="881234"/>
    </identifier>

    <status value="active"/>

    <purpose value="validation"/>

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

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

    <request>
        <reference value="http://www.BenefitsInc.com/fhir/coverageeligibilityrequest/225476332402"/>
    </request>

    <outcome value="complete"/>

    <disposition value="Policy is currently in-force."/>

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

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

</CoverageEligibilityResponse>