Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions
: External - UAPI Copay Explanation of Benefit in copay enrollment response - JSON Representation
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{
"resourceType" : "ExplanationOfBenefit",
"id" : "d9acfd1d-addc-4e0d-b7a6-ff921bde9236",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name=\"d9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ExplanationOfBenefit \"d9acfd1d-addc-4e0d-b7a6-ff921bde9236\" </p></div><p><b>identifier</b>: id: ad44f19a-42b6-ed11-827c-9e11af077484(use: USUAL)</p><p><b>status</b>: active</p><p><b>type</b>: institutional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#institutional)</span></p><p><b>use</b>: predetermination</p><p><b>patient</b>: <a href=\"Bundle-uapi-copay-response-rejected-1.html#urn-uuid-2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9\">urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9</a></p><p><b>created</b>: 2023-02-26 09:01:11+0000</p><p><b>insurer</b>: <a href=\"Bundle-18faf9d2-4553-4b8c-ac81-c9c845a72be6.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">urn:uuid:d02db104-a75c-433f-8764-9778c2e20626</a></p><p><b>provider</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1</a></p><p><b>outcome</b>: complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>true</td><td><a href=\"Bundle-18faf9d2-4553-4b8c-ac81-c9c845a72be6.html#urn-uuid-5c2e19ac-8227-4de5-a893-069dec07448e\">urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e</a></td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://connectiverx.com/enrollmentId",
"value" : "ad44f19a-42b6-ed11-827c-9e11af077484"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"code" : "institutional"
}
]
},
"use" : "predetermination",
"patient" : {
"reference" : "urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"
},
"created" : "2023-02-26T21:01:11.230Z",
"insurer" : {
"reference" : "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"
},
"provider" : {
"reference" : "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"
},
"outcome" : "complete",
"insurance" : [
{
"focal" : true,
"coverage" : {
"reference" : "urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e"
}
}
]
}