US Behavioral Health Profiles Implementation Guide
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US Behavioral Health Profiles Implementation Guide - Downloaded Version 0.1.0 See the Directory of published versions

## : medicaid-coverage-example - XML Representation

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="medicaid-coverage-example-1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage medicaid-coverage-example-1</b></p><a name="medicaid-coverage-example-1"> </a><a name="hcmedicaid-coverage-example-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html">US Core Coverage Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: Member Number/88800933501</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://nahdo.org/sopt 2}">Medicaid</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href="Patient-bh-patient-example.html">James Wolff  Male, DoB: 1961-07-16 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2024-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href="Organization-fl-medicaid-example-1.html">MyACCESS - Florida Medicaid</a></p><h3>Classes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">Group</span></td><td>Union Group Plan</td></tr></table></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
            <display value="Member Number"/>
          </coding>
        </type>
        <system value="http://example.org/fhir/memberidentifier"/>
        <value value="88800933501"/>
      </identifier>
      <status value="active"/>
      <type>
        <coding>
          <system value="https://nahdo.org/sopt"/>
          <code value="2"/>
          <display value="Medicaid"/>
        </coding>
        <text value="Medicaid"/>
      </type>
      <subscriberId value="888009335"/>
      <beneficiary>🔗
        <reference value="Patient/bh-patient-example"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
        </coding>
        <text value="Self"/>
      </relationship>
      <period>
        <start value="2024-01-01"/>
      </period>
      <payor>🔗
        <reference value="Organization/fl-medicaid-example-1"/>
        <display value="MyACCESS - Florida Medicaid"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="group"/>
            <display value="Group"/>
          </coding>
          <text value="Group"/>
        </type>
        <value value="Union Group Plan"/>
      </class>
    </Coverage>