Coverage

Coverage represents insurance plans to cover claims or other health care services.

Overview

See the FHIR documentation for more information about Coverage resources.

Mapped Concepts in HIEBus

  • Insurance

Supported Interactions

Coverage resources support the following interactions.

Search Parameters

When searching for Coverage resources, the following search parameters are supported.

Name Type Prefixes
Modifiers
Can be Chained? Description
_id Token Resource id.
_lastUpdated Date ne  lt  le  gt  ge  sa  eb  ap  When the resource last changed.
_source Uri :missing  Where the resource comes from.
beneficiary Reference :missing  yes Covered party.
dependent String :contains  :exact  Dependent number.
group String :contains  :exact  :missing  See the HL7 FHIR documentation.
identifier Token :missing  The primary identifier of the insured and the coverage.
patient Reference :missing  yes Retrieve coverages for a patient.
plan String :contains  :exact  :missing  See the HL7 FHIR documentation.
provenance-agent Reference :missing  yes Search by provenance, specified by its author (aka originator) Organization.
sequence String :contains  :exact  See the HL7 FHIR documentation.
subplan String :contains  :exact  :missing  See the HL7 FHIR documentation.
type Token :not  :in  :notin  :missing  The kind of coverage (health plan, auto, Workers Compensation).

Sortable Parameters

When searching Coverage resources, it is possible to sort the returned values by the following search parameters.

  • _id
  • plan
  • type

Only one sort parameter may be specified.

Supported Includes

When searching Coverage resources, it is possible to include the resources referenced by the following field names.

  • Beneficiary
  • Patient
  • Provenance Agent

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