| Source | hl7.fhir.us.ndh#current:National Directory of Healthcare Providers & Services (NDH) Implementation Guide (v4.0.1) |
| resourceType | StructureDefinition |
| id | ndhPnQry-InsurancePlan |
| canonical | http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPnQry-InsurancePlan |
| version | 1.0.0-ballot |
| status | active |
| publisher | HL7 International - Patient Administration Work Group |
| name | NdhPnQryInsurancePlan |
| title | Payer Provider Network Query InsurancePlan Profile |
| date | 2023-07-29T19:27:44+00:00 |
| description | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products
typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer.
A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan),
and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| jurisdictions | us |
| fhirVersion | 4.0.1 |
| kind | resource |
| abstract | false |
| sdTtype | InsurancePlan |
| derivation | constraint |
| base | http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-InsurancePlan |
| Usages | |
InsurancePlan
identifier
assigner
