Insurance Card/Coverage Bundle #

The Smart Health Insurance card/coverage bundle contains up to two entries. The first is the Coverage resource followed by an optional DocumentReference resource containing an image of the insurance card

Standards/Exceptions/Profiles in use #

Coverage Resource #

Attributes #

Attribute Comment Reference
identifier identifier of type MB (Member Number) will be present. The value will contain the member id (also found in C4DIC-PlanBeneficiaries-extension above) CodeSystem
status active, cancelled, draft, or entered-in-error Coverage.status
type set to code HIP for health insurance plan policy valueset-coverage-type and CodeSystem
beneficiary Name of the insurance plan benificiary Coverage.beneficiary
subscriber Name of the insurance plan subscriber Coverage.subscriber
subscriberId Insurance company subscriberId. This should match the member id found under identifier and C4DIC-PlanBeneficiaries-extension Coverage.subscriberId
period Coverage start and end dates Coverage.period
payor Display name of the insurance company/payer. Coverage.payor
relationship The relationship of beneficiary (patient) to the subscriber. Coverage.relationship

costToBeneficiary #

Smart Health Check-In uses the following costToBeneficiary slices from the CARIN Digital Insurance Card standard and R4 FHIR Standard

Code Comment Reference
FamOutDed Family Out of Network Deductible ValueSet-C4DICCopayTypeVS.html
FamInDed Family In Network Deductible ValueSet-C4DICCopayTypeVS.html
FamOutMax Family Out of Network Out of Pocket Maximum ValueSet-C4DICCopayTypeVS.html
FamInMax Family In Network Out of Pocket Maximum ValueSet-C4DICCopayTypeVS.html
gpvisit An office visit for a general practitioner of a discipline. R4#valueset-coverage-copay-type.html
spvisit An office visit for a specialist practitioner of a discipline R4#valueset-coverage-copay-type.html
emergency An episode in an emergency department. R4#valueset-coverage-copay-type.html
rx Pharmacy Deductibles C4DICExtendedCopayTypeCS and C4DIC-BeneficiaryCostString-extension

extension #

Smart Health Check-In uses the following extensions from the CARIN Digital Insurance Card standard

url Comment Reference
C4DIC-PlanBeneficiaries-extension This extension allows for the representation of all of the members on the plan with corresponding Names and MemberIDs. C4DIC-PlanBeneficiaries-extension
C4DIC-CardIssueDate-extension This extension allows for the expression of the date at which the insurance card was issued by the payer. C4DIC-CardIssueDate-extension
C4DIC-Logo-extension This extension enables payers to provide an image of their company or organization logo C4DIC-Logo-extension
C4DIC-QRCode-extension image of the QR code C4DIC-QRCode-extension

class #

Smart Health Check-In uses the following class slices from the CARIN Digital Insurance Card standard and R4 FHIR Standard

class Comment Reference
group An employee group. Value contains the group number and name contains the group name CoverageClasses
plan Insurance plan. Value contains the plan number and name contains the plan name CoverageClasses
rxbin Pharmacy benefit manager’s Business Identification Number CoverageClasses
rxpcn A Pharmacy Benefit Manager specified Processor Control Number. CoverageClasses
rxid A Pharmacy Benefit Manager specified Member ID. CoverageClasses
rxgroup A Pharmacy Benefit Manager specified Group number. CoverageClasses

Insurance Card Image (C4DIC-SupportingImage-extension) #

The insurance card images will optionally be included under CARIN extension C4DIC-SupportingImage-extension

Sections #

Label

Reference

Attributes #

Attributes Comment Reference
url value of label
valueString element contains a valueString with the text Insurance Card Front or Insurance Card Back

description

Reference

Attributes #

Attributes Comment Reference
url value of description
valueString element contains a valueString with the text Insurance Card Front or Insurance Card Back

image

Attributes #

Attributes Comment Reference
url value of image
valueAttachment valueAttachment has the following sub-attributes Attachement
valueAttachment.contentType content type/MIME type
valueAttachment.data base64Binary data of the image
valueAttachment.hash base64Binary hash of the data
valueAttachment.aize int size of the data

Example #

{
  "iss": "https://shpbcsamples.z13.web.core.windows.net",
  "nbf": 1591037940,
  "vc": {
    "type": ["https://smarthealth.cards#health-card"],
    "credentialSubject": {
      "fhirVersion": "4.0.1",
      "fhirBundle": {
        "resourceType": "Bundle",
        "id": "bundle-references",
        "type": "collection",
        "entry": [
          {
            "fullUrl": "resource:1",
            "resource": {
              "resourceType": "Coverage",
              "id": "3e99efa2-3de5-4a96-9170-601d9d592737",
              "meta": {
                "lastUpdated": "2023-09-18T19:31:53.920+00:00",
                "profile": [
                  "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage"
                ]
              },
              "contained": [
                {
                  "id": "f6173d13-6844-4128-8fcb-fecebadbbb00",
                  "name": [
                    {
                      "text": "Todd Weedall"
                    }
                  ],
                  "resourceType": "Patient"
                }
              ],
              "extension": [
                {
                  "extension": [
                    {
                      "url": "memberId",
                      "valueString": "1234567890"
                    },
                    {
                      "url": "name",
                      "valueHumanName": {
                        "family": "Weedall",
                        "given": ["Todd"]
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-PlanBeneficiaries-extension"
                },
                {
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-CardIssueDate-extension",
                  "valueDate": "2023-01-01"
                },
                {
                  "extension": [
                    {
                      "url": "description",
                      "valueString": "Acme Insurance Co. logo"
                    },
                    {
                      "url": "image",
                      "valueAttachment": {
                        "contentType": "image/png",
                        "data": "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"
                      }
                    },
                    {
                      "url": "label",
                      "valueString": "Acme Insurance Co."
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Logo-extension"
                },
                {
                  "extension": [
                    {
                      "url": "description",
                      "valueString": "SmartHealth QR code for insurance card"
                    },
                    {
                      "url": "image",
                      "valueAttachment": {
                        "contentType": "image/png",
                        "data": "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"
                      }
                    },
                    {
                      "url": "label",
                      "valueString": "SmartHealth QR code"
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-QRCode-extension"
                },
                {
                  "extension": [
                    {
                      "url": "description",
                      "valueString": "Insurance Card Front"
                    },
                    {
                      "url": "label",
                      "valueString": "Insurance Card Front"
                    },
                    {
                      "url": "image",
                      "valueAttachment": {
                        "contentType": "image/jpeg",
                        "data": "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",
                        "hash": "952569f16dd05f2296bb6b387adbaec2defa883bc6d43f7c136dd15274477f1b",
                        "size": 11644
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-SupportingImage-extension"
                },
                {
                  "extension": [
                    {
                      "url": "description",
                      "valueString": "Insurance Card Back"
                    },
                    {
                      "url": "label",
                      "valueString": "Insurance Card Back"
                    },
                    {
                      "url": "image",
                      "valueAttachment": {
                        "contentType": "image/png",
                        "data": 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qgcCwoZnLRpKXLMuMBozJfElSoIbhav/YqCO7T3ay9IvuYaV0lTR0XJaV6kGwviQuyOfLJK+PZ1O9XwoU9SZouyqVn5ZmZQN5Jhe7jYEhRAPJiwpMO5PaUXhf3mlUcqCyM5x+JQv4MTjcRuLx/sdSaWyWnUMbdD4o1N6jA4evCRXpEJ+X4WnoaO/xejCc8PwcYhcSGeTNdLY7yfrl92SxPN3ZQmxSZqcj5PnFPsS8UdfYbQw0FA012BNuTAcJIIwDIDemtzkQEC5hGARpl9AGjxleOABobC7JMw/4ORbKMy8OnlSezBoqaZS8Uj2KtJmfA9E3AXzwy6DESK3eLwWYZ+w2BkYNjZx5+UxIfuVxX90VpEIzXnb8ZLDpUsXjePV0QkJd8pDDQJVhSELClVByKpdXTcN4kmFelkAICfGUz2eALFvyTOH5ffcS6uyR1yN2GwOjggYa7AONBgjJJr1LCvnhMH9gZSDIKxAINBLNJC8uRbCeSIuXxaAsfXZpA4HAsKF55EVbEIlLjN5mK4G/C5Wws3qhm6jLk6iTz8Nq4nO72SDg9juB2d78PrcrlXf3Mrk4KhEYQjSOvEoDEaDBuHRcQYzHeuwhlyWBcLeM8zU5ZgHyytP2PGZBWQ5eDDj6/ZiEyttGAAd1ll+K9/xswCMur/tyQAzqtoFAiIFbjNuoCUkmjkoEGormkRcHi/lFoanwJCZTYiEvOD/O4Movsx8MhvRCNwZYlpaDQtNzoHo4Z2haGgdKnq+W5wMPVwmvxlt+CCvqPACwDnFUIjBqaN6ykYMIyp4fOSgdV+A9Bo4fZ/BBoUs3mynhnx8I9bQ5eenyRMNloNugzfPloCyTF+664rP6oCLdy6HlAevg4zqOSgRGBc002C8jZOmJAcjZUxqygXMGCMkms0uKYmkeWDFoJHmJTcX8w4eguEBgOdBAgz2WCVyKYKnhv7Rqf0mkUT0VLzFI0w/5DmSRpgalbGrylD9qm9WlmtdCn49+I1Cqgy27/T5fmpUN5Jlc7DYGhhANXTZmdhIMFDfAO9RGo8ouf3MxIzxf/lHpxcCOwcB7NeirbUbiauTE8M6BDCGW4TuLqWSzpSFMXvGxQa91ZXqz0Umc3ef54JryWhoIsYMsCjJH+bHbGBgFNJC8VNlVvfkrrsbh8fGtnXt5heI/SpKReEhQwc3IQmUnmVHHlZRM8QGfrTnBlcnL5DgQOXg4kEloEpcGmMzeuOM2PtYZsz9KK6SEQSh5IhPdDbXBKs/Snc9SgwQTu42BUUPzlo0y+DkgksJTscszr5y84MdAkpkDCUIGFUkoIyUgpSEh1stpPhzEGH6WZ6pHeUC2xsaK9KCMYtA7eRQzmSwfLsveCAIrD3aSPZ8NBdlsRvkm8xdyJB22Tew2BoYPDV02BhoLEJJNhJcU8iNl/sDKQCOXjWJTgXu9oPGc9qZAINA8NI68ZHkn5IWllv+EdxGQ3hdLQYsX+5P4NG5U/8hsFflz48GxpMvaIVualQ3kmVzsNgaGEM0kL/PT3lHsJLoSt8ZFwdW+BYKyeN67EV5gA5GyDKPtxvMpdhdlAOKKQeVl1e0S5ruQZLGijCGA2KTM3kaIjUjsQ6wr2iB2GwMNRcPJi8Z7EI0Qjiq6DCaJI9mQnKDguMqvPa5pLJhPZnBGWJZPGhBKTJzgaVn5gMvKFSJE/sVIGy6wLWK3MTBqaCB5pTNc8iuP+3zXz5WZVw5S/T59N3mRmHgvv+aVfNIupC5x8vzqdgk1nPkhHNdh47DyYAeR4D52GwNNRwMN9oFGA4TEmexSg8v34K6VhSCvQCDQSAR5rQikZd7igaU0lnxuGhx2LMXRmUCz0DjyyncV1aaSLUNMgd2u4nC9lnNd+fJihSh89WVxf+60+dEjDn7anYq0lXRF+ko7ljZV4JfYXMb8Hkd52uHyPitQk05hfgmjHZJ2S98w6FFuT2h6QY18EdQnr6rOQdguWVjmL2dVky6wIBposOfAUKM5HbRUjME0HOdHHfy4RH6MgQom95JPkpcZhmY/grBnr3luOhrW09ESjXO/bk6osb2aTvNi+5bbnRsBTJu/GO/5atpUBvuC7a7klerhfcEy/WhKUQ7TiaxtppBcuSkjdUT+dmQiL4tXOROIOL77igCRSdA2quoQn8X1h8c9PI5J9ap1kxyy+nfVD3kXdbHnTjpZTacypeoFatG8ZSNnWuxoU1bdQWTnc3ahcb7zKMpP5eFAEqXAPRWnIo+okUV6WdwGY/bc2lYYVJCTtuGOHeKEDKSdCNtRraRjHNu3+9PY2i+aloOcJJal5T38lOVV+6lcD02rA1q7Bn4jCSlTyvF4vkc6LnJerhJEpVwJQzm8b6eX+DV/EglczbMgU8kHKlrEib6QAOe2dlpf1Hzuzervs0ivH8vN61/VySId5PQ5IKMVC/RBA21eUAZXLP6SWi+rUuQDjcpIpTFlwb0MUFOMXP6NeiF68PABlPwkk+K54VciSIPOj5WwnXodSZE8rA01jbe75lUmr3KZlPEy8sGa14Px7A8vkwO/8Bfl+LPNyQFZIpWLsuzlei+XB2h11pV0hhAZOEblz+jPonnwHNtYyktSZnoIlEioVD9cq/W3PF0nUzrTW8pLroF+CIN9IHAukGWfU9fSwIkssDgEeQUCgUYiyCsQCDQSQV6BQKCRCPIKBAKNRJBXIBBoJIK8AoFAI9FA8prXE/FwC+NsZImqXJy2CQSGFY0jL31/ba7Dz/4mTnIPr4lwClk7TV2OT3IK3M9DNgtmek2Wp8kFMn8gEFhWNJO8eDq75aewSUw8sc3wMT2pbZxSkFebp8VJYhrPE/gpzXhH3p9juJFVypN/fxFhLZ4A56nrlL+8GN6GDBIEhQUCy49GkhffCdOlIEmH5APvXEveP8ve/EjkRXncy0uwQlQpjbz3R3IiCRl5qZymHxtTkuJrHfLysOfPV0aY1v64bCAQWF40lLzsBpgXAlLHmVSVvHLZgpSyNP7FACcryvMq7/XJTM7JjQSW8telKPMI8goEBoEGGuwDgUCggeR1/PjxzpEjR8KFCzfi7sSJEzbq69E48vrSp6/trF23vrNh/drOVWvXddZv2NDZUHLrO2vXru+sX7u2Jk5dv7hwzXXr117VueoqOPS/3kc/N9lt2rTJRn09GkdeamviDiKvZm/it5Hg169W0j5F47vF2ccL+V0p36GMT4+MJtymmV+pD/LlGtMRfqdLvqPFcHEIw31Vj0Rn5ucRxLg55CESgSFCA8lLP9qmH8qzj72NQ0lbY/JROioajy8oQSFOZJBOFBLpoNVBXqMJOQoj5KREo/2s+sBv8bP/uXssXMY4fiUVsvKhQCRRGdcj3NMZyXEjJzBcaCR58TvlPAJREJMorB6V8JmXE5T8+opC4tc4yGuk4TMuh/Zz+jJqf/LiD53LQI+oN8Jo/Ipq6MswonHkFQgsH7hs1B+8wPAhyCsQCDQSjSMvHjDNjazytxj5nqNGC/Iw+ktycjI/B35d3RhbebeRkPS0hfCUvuXVBeTZM64G/uezBFy62PJXblEW6+DXAi7Hb6fjKnEWVlrS8NCtyDHO6tSjDAXkecAXSyb5Yxq07xR+Td9VF4TS4C0yiMifx/1s6+VG0g2tzdn0yWJQ5Fd9B7amnKIu5YYroVf9euqH923VT+S64Gkq/S5w/UGfqny5LzVtXi+OmySjepH7VbasI5U8gUIvllA/mmfzyjsW4L2QEhrPlYVKUd1JUjl2zJgtA9gpkgX6i51oebNz7Z55Fp2EJKJsHm/lcUeKdhLuYEm9LN6d6APTMY7R7FSe7Ld7sb1A0fnKkygObXMs1079O+TrGEhLYzL/Ck2RL9Nkgm7LEaOzxXlaMTp7GZaE4ayd2w8Rkvyslzy/1rakoMizUGh7ntKzcfCmai0LCt1g38DD+kkflPoCfniSvui9pKEM2lSuyEl/1JKeiA7JDxXTJD1x3dL4JCtetDdUgwWn8jKdVF1dnH7kdrrcT+S6kOtKoVsGptO6J3nvS7X7oU55vgjXuiysI3X6IdnbMwnpLaF+NJC8tPF9tkQFkEYRDWGnsNFUudjIbCxKqpw6+kXZmAGBzpIOpWPnShmWj8i6snk57BuWxfskB5XBVcsdB0EgBvfdPUQF+oantfJaVrZvLojBGHWQjpc86FeDc7tQLp01SYki96j+OS7Es3x5talIm5eheRMyCFjvOsUENL4O/OXXmFym8MugkaBlgx6NYF/as0mf6Awl7yvGylX6Xf36R2DRvuNtSUvIj1qmJ4XuiVxFTxDOtsv1UnxSBtvU+pmvsJE4KIP61tnTvA3ZZ18c36jp2HfWt/Ln0cy/8fc3dukC68G0oiuS1vVI9UP1B66QT31JuaQ3qS7M8+x0JOVJuMxS6kejyUu6jIpjTsnFlAl+Kp6/e5jkGF5uWHYGG5X9RTmZVblSyr2Tl99DMZCv/KpJebhaZ3p6vjeJGMijnpbekXe27oayIyHhv1ZSttbHoXIkJO6mcpBCxo4G+GAlRElNTkkqpZVHzn4RCa3L4hSz9MuaKV/5ecw/CPJC26eW8Hv9u46pr1I/JfJinPWryGo4Hhjtlh6iyJ/9izYq6Yn0g6UTEd7zxwJycq/5y/u0uGq5yA9pilm7oZd+eN+ySrlf5ZIueH/rj6CmdQg5SVymO1lfdefrdVlYR3rpB+EyS6kfI2OwV+VIytMPOu23m5WON6gtpD/M31ScjZ4IEZl/pDDE+tFgg31SlerMporaeMxAzikdsYi0vdCl5JzC269Y/stV+hUjXI7LG/6aSwINK5RAZgqWv8RZHXuUgdqA8HUmpnYLtm3u1/TlNEneZ3z5M9GvS6hBAbMC0Q8+W7mPevXZYvtyMXKl/s3aXW6tHc+pbwnv3x59K7eV/uXScPF9S5T7t9q39LNdhwHNNdij0clfbPyi4xHHjmCYDyx2oCgz2luVDx2CqxxYlU50ZelOL1emRWfKoJR4TpkxrWbnV9MU/nollyk5lw12T8g0mlNoxok9C4FUSPcbFmOwl7zkns/HNtG4wmCP+nUb68Wn8lU/64U8ZaDg+VimAPnJsgj3+TMVfv7AuOwyo9AP6Sf4K/0is3PcF4Z6ijKeV5dl+4kMdcB1Rv06u1fSF91yEgHytiCKvpXCre2R/lz6lvD+pVxX32oH1PTvwn0rMaiXPJLcJALr6lvGD7B/czSPvIQ4kuIpqaBhyU7sHFwLBWaIxKFT0UkaTsVk56ii6r26anq9ali3gb6uTM27H3zNr/VCCtyLoRhKp7YG5CFKRb8ppuRJv8rVG+w3dsav3ijKLUqNdGWDfV6G1tHrIs9Qp+BAkslRsQVlMuKXAWsBywzvO/erId7aWvoN8Wgjdp3Llnab4VOjvfalh5V1xtJwwMOfg88fmzHLg+bOvAyuUHS5AbXoLCEYAHE601KF0V8WyiXFrKZP02eSH+PLabvL1Lz017oeVYUpDLJCgPaLls1sHG6E7WewFyUW5S37Pa3X3fNNdVlYwUu/zBXl7VLwQSo3+8N+TLRd837TPluIvOR1oKyvu8iP5YAUdUZa7utyW7Dd2RaQ8D4VXTn7viW8T1fiZkwdRsZgHzgHCPGafwnBQT4Euv06oT9EvSBLzGF/yBHv3yCvQCDQSAR5BQKBRiLIKxAINBJBXoFAoJEI8goEAo1EkFcgEGgkgrwCgUAjEeQVODfIIc3yIUqCBz57nY4q4vhKi4QkVNP1y6eEmrwCKwNBXoFzAk92y2lxOTFOouHbDDwZzhPiJDUSEK7ieDLdX6GC3DhPhBvl8LR7q529N6dvM/hJ8K48ePASfk2e5eVkKt7stHhgZBHkFTg3yKso+t0ykgZoBVf8L359DYXv2pXftVSCSq+cpNdVRJYhJCcQIN/zK2RLeYzLazNOTqk8vy5yxhZoPIK8AucEzrBIIsV7diQWIS/4Ge5EVkteaeal8k5WSkK9yUvf6/N3DYv0yKuoD8qNmdfKQJBXIBBoJIK8AucIvrisiz9H/4/UdcsvBvLZGS4lF0jKTxbVIaXHrK5XJvycjNRdbXgShNmdhNDWJukpY3E1dfIwiuiLy5qXh8sXKEw2sDQYGvLavXv3y6dOnbJqBYYdsjTzQcorRjK/KcWBqgMefonvIQ+y8auQCuRbTJvlx7T+SRoVoT+L8zwtrafTfBQpPckL9ZKMuAyF7LyTkdUF10RQIC+GtyBrYXwuLZf/29XyYJ6+kcB6iZ/k5eWzziYaWBpgwvN/ExMT77nhhhsGS14zMzM/OHHihFUrMNzgjAI0ROLhAMfA5HetxM8BLeRghFAjL18kNbJgWs5seE/yE1nLj2Nd8jMoWZXjxA+n5KV+luFI6XXmpXmQzLRsz0flWE9lGAkDcfEq9XOSZZzUnQQNWSfAIszKNDud5guQrFU0sAQ4ffp0Z3Jy8tXNmze/bRjI6/v8pG0gsOwAsbzRmkdSDSwdXnjhhQ5Waz+66aabrgBxrUHQKqOS5QfI6/Gnn35aaxYIBAJ9cPz48c7s7OwzIK7LB05eqMDXH3nkkTNatcCwQ5ZftkySs1myvErzF4/vtVTiTIRLKl1KcqlIO5Et47gEg1/yt7BAIMdTTz3VmZ6e/vtbb731ra1W6wJQyODIa/v27X/cbrdftLoFhhy5IdztRG7QJpSAQD48zEqSEnIjyVFWjedqc9J4l9f0JDMlL7dLBQI5Dh48+CImPH9yyy23vAXX1aCQwZHXli1bPrVnz56XTp48adULDDPcEC1/ektmWGrQdrulEJGRlRAQ5OWvPsGv8RpGaiL5FTMxiVODuhrVndACAcWZM2c6U1NTP52YmHj/zTff/ObrrrvufKORwWDz5s3rdu/effjo0aNWxUAgEOgGfyBnZ2e/A854B2ZdF8INbqeRQAWuxdLxhrvvvjumXoFAoCcefPDBl8EV2zZt2nQZeGOwxnoClXjvtm3bfmVmZuaHcd4rEAjUgQfZp6enX9q6desHwBkXww3W3kVwCogKfQiVuSlmX8MP302kCcvtX/1Q//qO2skIxquBX241b8T5VYz9tJNlccnob6jsXObxsiOaywYaicOHD/9kampqHw+ngisGv2QkUIlLd+3adc3k5OR6MOu/PPvss1bdwDAi7TYqmZAceEJerkYapCWJw73H6W6jQgz9lJU7kk2KY/5ySt9kJB0N+FmcvkqEa3G4mcZ/JUHN1+IZI/moP9BMcEW2e/fu/wJXXO1HJBA82FkXgQpdBHflzp07P4T17J/GsYnhRj7bEj/IQQiluCpRaBxf31FSkdmPkI0Sjb8yJJ/CkXvmaKTDvCydXBlfxHH3Uo9qlMkr7Vz6UQ5JwzAhtEBTYccj/hzu7fv373+T7TIOBXmt+epXv3oprlfD8djEXz/00EMvWb0DI4RENoHA4vDtb3/7lb179z6EGdd7wQ+XHDhwYDhmXQRZ9MYbb3wT17Jbt279xW3btv3q7Ozs408++eQrWv1AILAS8dxzz/2U7z7TSL9p06afB3ldOPCzXTlQx1Vcw6Ji3EG4CiT2YRDYr4HA/pWV18cIBAIrCTy0vm/fvv8GF3wWvHAl/G/GdTWihmPW5UClzoNbQ2Pcrl273gOm/Sgq/TsgsB8888wzr+njBAKBlYDnn3++87Wvfe1H4IDf3LJly7vADbJcJE8YZQwXOB3klxGnp6cvm5iYeB8q+jFWHuvd733zm9+MrxUGAisANBdhqfhvGP+/zg8Owv/WgX+3axFY9cADD5yPSvIMx+WYgQmBwW3AAzx48ODB/4kvrgYCowl+ZPDQoUMnsdp6DGP+U1yB4XopJzRDs7vYD3iGgsDsFYD3Ygn5EVw/NzU1NY1Z2Ivf+ta3TvMFzUAgMBo4evToa/v27fsxVl132IH1dztxkQ9ADcNNXA48S0FgPEJha95fgvs0lpG/u3v37kNg55f5wEFigUBzwQPpt99++8tYWf0DxvcX4K7FeH8nrpc0ZsZVBZ5rFSvOta59t+ftWP9eg+s6XMfBzn8Alv5Hfh6DB9j4gbL4pE4gMNzg0vDYsWOd+++//6WdO3e+hknIdzCmN8J9GO5qe/WHpw7WNJK4MqzCQ5xnxygusmXkVXBr4dbBfYYGfVx3Yjb2GL8JxtP5fD+SjXPkyJFOuHDhBusOHTp0imPyrrvuOsk/nAHCepJjFmP3N2gS4re5cH8l3KU874nrajga5xtLXAVA2LKM5CzMznpcjhkXp5a/APdBTDM/getn4D4P19q+ffvNcNPw/224cOEG5zAO/wZuH9yNcF/h+8sgrI/D/bKtpK7kpOTAgQN8RVBmWxzvNvRHBjILgyMrr+FXFHG9lNNM2sSsIa6F+yAcZ2XcpfwE2P2TdPB/Kly4cG+8y8YcJxUchxyPH8QykZ+yudps2FfwTCeuQlpm4x6N2VYfCInxYe3Q2oVGZJfAXU4yg3uHGf2usobizkW4cOGWyXHcmXsnxyPC+GfK+Nd+LuF4pTGe5qCVQlpVrOL0kg9uDSAzMjaKrZsvYiOFCxduMI5jkI7jkeOS4xNutRPWKC4PzxUFmbnj+jlcuHCDc/l4NLIKwgoEAoFAIBAInDXGxv4fIWf1tgndTegAAAAASUVORK5CYII=",
                        "hash": "b3b5de2d9dfd282ba164a598fdd2020c8c014d28fb15d1d00f2c91c646c5d880",
                        "size": 10211
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-SupportingImage-extension"
                }
              ],
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MB",
                        "display": "Member Number"
                      }
                    ]
                  },
                  "system": "https://shqr.io/memberid",
                  "value": "1234567890",
                  "assigner": {
                    "display": "Acme Insurance Co."
                  }
                }
              ],
              "status": "active",
              "type": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "HIP",
                    "display": "health insurance plan policy"
                  }
                ]
              },
              "beneficiary":{
                "reference":"#f6173d13-6844-4128-8fcb-fecebadbbb00"
              },
              "subscriber": {
                "reference": "Patient/f6173d13-6844-4128-8fcb-fecebadbbb00",
                "display": "Tod Weedall"
              },
              "subscriberId": "1234567890",
              "dependent": "0",
              "relationship": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                    "code": "self",
                    "display": "Self"
                  }
                ],
                "text": "Self"
              },
              "period": {
                "start": "2023-01-01T00:00:00+00:00",
                "end": "2024-01-01T00:00:00+00:00"
              },
              "payor": [
                {
                  "display": "Acme Insurance Co."
                }
              ],
              "class": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "group"
                      }
                    ]
                  },
                  "value": "887676",
                  "name": "Walt Disney"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "plan"
                      }
                    ]
                  },
                  "name": "Acme Gold",
                  "value": "12345321"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "rxid"
                      }
                    ]
                  },
                  "value": "1112223334455"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "rxbin"
                      }
                    ]
                  },
                  "value": "2525252"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "rxpcn"
                      }
                    ]
                  },
                  "value": "1234"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code": "rxgroup"
                      }
                    ]
                  },
                  "value": "123456789"
                }
              ],
              "costToBeneficiary": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS",
                        "code": "FamOutDed",
                        "display": "Family Out of Network Deductible"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 7000.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS",
                        "code": "FamInDed",
                        "display": "Family In Network Deductible"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 5000.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS",
                        "code": "FamOutMax",
                        "display": "Family Out of Network Out of Pocket Maximum"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 9000.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS",
                        "code": "FamInMax",
                        "display": "Family In Network Out of Pocket Maximum"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 7000.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
                        "code": "gpvisit"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 10.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
                        "code": "spvisit"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 50.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
                        "code": "emergency"
                      }
                    ]
                  },
                  "valueMoney": {
                    "value": 100.0,
                    "currency": "USD"
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS",
                        "code": "rx"
                      }
                    ]
                  },
                  "valueMoney": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-BeneficiaryCostString-extension",
                        "valueString": "DED THEN $10/$40/$70/25%"
                      }
                    ]
                  }
                }
              ]
            }
          }
        ]
      }
    }
  }
}