hl7

{"resourceType":"CoverageEligibilityResponse","id":"E2501","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eA human-readable rendering of the CoverageEligibilityResponse.\u003c/div\u003e"},"identifier":[{"system":"http://www.BenefitsInc.com/fhir/coverageeligibilityresponse","value":"881234"}],"status":"active","purpose":["validation","benefits"],"patient":{"reference":"Patient/pat1"},"servicedDate":"2014-09-17","created":"2014-08-16","request":{"reference":"http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332402"},"outcome":"complete","disposition":"Policy is currently in-force.","insurer":{"reference":"Organization/2"},"insurance":[{"coverage":{"reference":"Coverage/9876B1"},"inforce":true,"item":[{"category":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-benefitcategory","code":"30","display":"Health Benefit Plan Coverage"}]},"network":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-network","code":"in"}]},"unit":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-unit","code":"individual"}]},"term":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-term","code":"annual"}]},"benefit":[{"type":{"coding":[{"code":"benefit"}]},"allowedMoney":{"value":500000,"currency":"SAR"}},{"type":{"coding":[{"code":"copay-maximum"}]},"allowedMoney":{"value":100,"currency":"SAR"}},{"type":{"coding":[{"code":"copay-percent"}]},"allowedUnsignedInt":20}]},{"category":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-benefitcategory","code":"69","display":"Maternity"}]},"network":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-network","code":"in"}]},"unit":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-unit","code":"individual"}]},"term":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-term","code":"annual"}]},"benefit":[{"type":{"coding":[{"code":"benefit"}]},"allowedMoney":{"value":15000,"currency":"SAR"}}]},{"category":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-benefitcategory","code":"F3","display":"Dental Coverage"}]},"network":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-network","code":"in"}]},"unit":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-unit","code":"individual"}]},"term":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-term","code":"annual"}]},"benefit":[{"type":{"coding":[{"code":"benefit"}]},"allowedMoney":{"value":2000,"currency":"SAR"}}]},{"category":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-benefitcategory","code":"F6","display":"Vision Coverage"}]},"network":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-network","code":"in"}]},"unit":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-unit","code":"individual"}]},"term":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-term","code":"annual"}]},"benefit":[{"type":{"coding":[{"code":"benefit"}]},"allowedMoney":{"value":400,"currency":"SAR"}}]},{"category":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-benefitcategory","code":"49","display":"Hospital Room and Board"}]},"network":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-network","code":"in"}]},"unit":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-unit","code":"individual"}]},"term":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/benefit-term","code":"day"}]},"benefit":[{"type":{"coding":[{"code":"room"}]},"allowedString":"shared"},{"type":{"coding":[{"code":"benefit"}]},"allowedMoney":{"value":600,"currency":"SAR"}}]}]}],"meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"HTEST","display":"test health data"}]}}