API ReferencePre EncounterCoveragesV1

Create

Beta

Creates a new Coverage. A Coverage provides the high-level identifiers and descriptors of a specific insurance plan for a specific individual - typically the information you can find on an insurance card. Additionally a coverage will include detailed benefits information covered by the specific plan for the individual.

Headers

AuthorizationstringRequired

OAuth authentication of the form <token>.

Request

This endpoint expects an object.
statusenumRequired
The status indiciating if the coverage is active or not.
Allowed values:
subscriberobjectRequired

The party who has signed-up for or ‘owns’ the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.

relationshipenumRequired

The relationship of beneficiary (patient) to the subscriber. https://hl7.org/fhir/valueset-relationship.html

Allowed values:
patientstringRequired
The patient who benefits from the insurance coverage
insurance_planobjectRequired
verifiedbooleanRequired
A boolean indicating if the coverage has been verified by a user.
eligibility_checkslist of objectsOptional
A list of eligibility check metadata that have been initiated on this coverage.
latest_eligibility_checkobjectOptional
The latest eligibility check metadata that has been initiated on this coverage.
benefitsobjectOptional
The eligibility of the patient for the coverage, manually verified by users.

Response

This endpoint returns an object.
deactivatedboolean
True if the object is deactivated. Deactivated objects are not returned in search results but are returned in all other endpoints including scan.
idUUID
The unique identifier for a Coverage in the database
insurance_planobject
organization_idstring
The organization that owns this object.
patientstring
The patient who benefits from the insurance coverage
relationshipenum

The relationship of beneficiary (patient) to the subscriber. https://hl7.org/fhir/valueset-relationship.html

Allowed values:
statusenum
The status indiciating if the coverage is active or not.
Allowed values:
subscriberobject

The party who has signed-up for or ‘owns’ the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.

updated_atdatetime
updating_user_idstring
The user ID of the user who last updated the object.
verifiedboolean
A boolean indicating if the coverage has been verified by a user.
versioninteger
The version of the object. Any update to any property of an object object will create a new version.
benefitsobject or null
The eligibility of the patient for the coverage, manually verified by users.
eligibility_checkslist of objects or null
A list of eligibility check metadata that have been initiated on this coverage.
latest_eligibility_checkobject or null
The latest eligibility check metadata that has been initiated on this coverage.