Wellcare Fhir Patient Access Api Listexplanationofbenefit Example

Fortune 500

Wellcare Fhir Patient Access Api Listexplanationofbenefit Example is an example object payload from wellcare-health-plans, with 2 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

requestresponse

Example Payload

{
  "request": {
    "method": "GET",
    "url": "https://partners.centene.com/fhir/r4/ExplanationOfBenefit?patient=wc-patient-001&type=pharmacy&_count=5",
    "headers": {
      "Authorization": "Bearer {access_token}",
      "Accept": "application/fhir+json"
    }
  },
  "response": {
    "status": 200,
    "headers": {
      "Content-Type": "application/fhir+json"
    },
    "body": {
      "resourceType": "Bundle",
      "id": "eob-bundle-001",
      "type": "searchset",
      "total": 47,
      "link": [
        {
          "relation": "self",
          "url": "https://partners.centene.com/fhir/r4/ExplanationOfBenefit?patient=wc-patient-001&type=pharmacy&_count=5"
        },
        {
          "relation": "next",
          "url": "https://partners.centene.com/fhir/r4/ExplanationOfBenefit?patient=wc-patient-001&type=pharmacy&_count=5&_page=2"
        }
      ],
      "entry": [
        {
          "fullUrl": "https://partners.centene.com/fhir/r4/ExplanationOfBenefit/eob-pharm-001",
          "resource": {
            "resourceType": "ExplanationOfBenefit",
            "id": "eob-pharm-001",
            "status": "active",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/claim-type",
                  "code": "pharmacy"
                }
              ]
            },
            "patient": {
              "reference": "Patient/wc-patient-001"
            },
            "created": "2026-02-10",
            "billablePeriod": {
              "start": "2026-02-08",
              "end": "2026-02-08"
            },
            "item": [
              {
                "sequence": 1,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                      "code": "858769",
                      "display": "Metformin 500 MG Oral Tablet"
                    }
                  ]
                },
                "quantity": {
                  "value": 90,
                  "unit": "tablets"
                },
                "adjudication": [
                  {
                    "category": {
                      "coding": [{"code": "benefit"}]
                    },
                    "amount": {
                      "value": 28.50,
                      "currency": "USD"
                    }
                  }
                ]
              }
            ],
            "total": [
              {
                "category": {
                  "coding": [{"code": "submitted"}]
                },
                "amount": {
                  "value": 32.00,
                  "currency": "USD"
                }
              }
            ]
          }
        }
      ]
    }
  }
}