AuthorizationDate |
extension('http://careevolution.com/fhirextensions#coverage-authorizationDate')
|
AuthorizationNumber |
extension('http://careevolution.com/fhirextensions#coverage-authorizationNumber')
|
AuthorizationSource |
extension('http://careevolution.com/fhirextensions#coverage-authorizationSource')
|
Class |
grouping.class
grouping.classDisplay
|
Comment |
text
|
CoordinationOfBenefitsPriority |
extension('http://careevolution.com/fhirextensions#coverage-coordinationOfBenefitsPriority')
|
DataSource |
extension('http://careevolution.com/fhirextensions#dataSource')
|
EncounterID |
extension('http://careevolution.com/fhirextensions#coverage-encounterID')
|
EndDate |
period
|
GroupEmpId |
grouping.subPlan
|
GroupEmpName |
extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
|
GroupName |
grouping.subGroup
|
GroupNumber |
grouping.group
|
InsuranceCompanyAddress |
payor
|
InsuranceCompanyCity |
payor
|
InsuranceCompanyName |
payor
|
InsuranceCompanyPhone |
payor
|
InsuranceCompanyPostalCode |
payor
|
InsuranceCompanyState |
payor
|
InsuredAddress |
subscriber
|
InsuredAltPhone |
extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
|
InsuredCity |
subscriber
|
InsuredDob |
extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
subscriber
|
InsuredGender |
extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
subscriber
|
InsuredName |
extension('http://careevolution.com/fhirextensions#coverage-insuredName')
subscriber
|
InsuredPhone |
extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
subscriber
|
InsuredPostalCode |
subscriber
|
InsuredRelationship |
relationship
|
InsuredSsn |
extension('http://careevolution.com/fhirextensions#coverage-insuredSsn')
subscriber
|
InsuredState |
subscriber
|
MedicaidCaseName |
extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseName')
|
MedicaidCaseNumber |
extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseNumber')
|
MedicareCardNumber |
extension('http://careevolution.com/fhirextensions#coverage-medicareCardNumber')
|
Network |
network
|
PatientID |
beneficiary
|
PharmacyCoverage |
extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
|
PlanIdentifier |
identifier
id
|
PlanName |
grouping.plan
grouping.subPlan
|
PlanType |
type
|
PolicyNumber |
extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
|
PrimaryCaregiver |
extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
|
Product |
grouping.extension('http://careevolution.com/fhirextensions#coverage-product')
|
ProductGroup |
grouping.extension('http://careevolution.com/fhirextensions#coverage-productgroup')
|
Property('Dependent') |
dependent
|
Property('Sequence') |
sequence
|
Property('SusbcriberIdentifier') |
subscriberId
|
RateCode |
extension('http://careevolution.com/fhirextensions#coverage-rateCode')
|
Segment |
extension('http://careevolution.com/fhirextensions#coverage-segment')
|
Sponsor |
extension('http://careevolution.com/fhirextensions#coverage-sponsor')
|
StartDate |
period
|
Status |
status
|
Type |
extension('http://careevolution.com/fhirextensions#coverage-type')
|