Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. Reference Table: TheDocumentation Index
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coverage_references table contains normalized references from the coverage to other entities. It supports the following reference properties:
- beneficiary (required): links to the patient who is the beneficiary of the coverage
- payor: links to the organization or patient responsible for payment
- policyHolder: links to the owner of the insurance policy
- subscriber: links to the subscriber to the insurance policy
- coverage_id
- patient_id
| Column | Data Type | Description |
|---|---|---|
| coverage_id | varchar | Unique identifier for the coverage |
| patient_id | varchar | Unique identifier for the patient (beneficiary) |
| status | varchar | Status of the coverage. Possible values: – active: The coverage is currently in effect.– cancelled: The coverage has been cancelled.– draft: The coverage is in draft state.– entered-in-error: The coverage was entered in error. |
| period_start | date | Start date of the coverage period |
| period_end | date | End date of the coverage period |
| type_code | varchar | Code for coverage type |
| type_display | varchar | Human-readable description of coverage type |
| type_system | varchar | Coding system for coverage type |
| subscriber_member_id | varchar | Subscriber member identifier |
| dependent | varchar | Dependent number |
| relationship_code | varchar | Code for relationship |
| relationship_display | varchar | Human-readable description of relationship |
| relationship_system | varchar | Coding system for relationship |
| class_group_code | varchar | Group class code |
| class_group_display | varchar | Human-readable description of group class |
| class_group_system | varchar | Coding system for group class |
| class_plan_code | varchar | Plan class code |
| class_plan_display | varchar | Human-readable description of plan class |
| class_plan_system | varchar | Coding system for plan class |
| meta_source | varchar | Source document filename from FHIR meta.source |
| data_source | varchar | Deprecated. Use meta_source instead. |
| data_source_ext | varchar | Integration source of the data, derived from FHIR extension |