Coverage

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

Sample Query

Find coverage for members of a family:

https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir/Coverage?subscriber.family=Demoski

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.
dependent Token Dependent number.
group Token :missing  Group identifier.
identifier Token :missing  The primary identifier of the insured.
patient Reference :missing  yes See the HL7 FHIR documentation.
plan Token :missing  A plan or policy identifier.
provenance-agent Reference :missing  yes Search by provenance, specified by its author (aka originator) Organization.
sequence Token Sequence number.
subplan Token :missing  Sub-plan identifier.
type Token :not  :in  :not-in  :missing  The kind of coverage.

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.

  • Patient
  • Provenance Agent

Supported Operations

Coverage supports the following extended operations.


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