DXP Coverage Example

{
    "resourceType": "Coverage",
    "id": "Coverage1",
    "meta": {
        "lastUpdated": "2020-10-30T09:48:01.8462752-04:00",
        "profile":  [
            "https://dxp.com/fhir/StructureDefinition/DXPCoverage"
        ]
    },
    "language": "en-US",
    "text": {
        "status": "generated",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MB",
                        "display": "Member Number"
                    }
                ],
                "text": "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier."
            },
            "system": "https://www.upmchealthplan.com/fhir/memberidentifier",
            "value": "88800933501",
            "assigner": {
                "reference": "Organization/Payer2",
                "display": "UPMC Health Plan"
            }
        }
    ],
    "status": "active",
    "policyHolder": {
        "reference": "Patient/Patient1"
    },
    "subscriber": {
        "reference": "Patient/Patient1"
    },
    "subscriberId": "888009335",
    "beneficiary": {
        "reference": "Patient/Patient1"
    },
    "dependent": "01",
    "relationship": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                "code": "self"
            }
        ],
        "text": "Self"
    },
    "period": {
        "start": "2020-01-01"
    },
    "payor":  [
        {
            "reference": "Organization/Payer2",
            "display": "UPMC Health Plan"
        }
    ],
    "class":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "group",
                        "display": "Group"
                    }
                ],
                "text": "An employee group"
            },
            "value": "MCHMO1",
            "name": "MEDICARE HMO PLAN"
        },
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "plan",
                        "display": "Plan"
                    }
                ],
                "text": "A specific suite of benefits."
            },
            "value": "GR5",
            "name": "GR5-HMO DEDUCTIBLE"
        }
    ],
    "network": "GR5-HMO DEDUCTIBLE"
}