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UnitedHealth Group
Optum Fhir Coverage Structure
Optum Fhir Coverage Structure
FHIR R4 Coverage resource representing UnitedHealth Group insurance coverage including plan, group, and benefit period
Type: object
Properties: 0
Healthcare Health Insurance FHIR Claims Interoperability Fortune 100
UnitedHealth Group FHIR Coverage is a JSON Structure definition published by UnitedHealth Group. It conforms to the https://json-structure.org/meta/core/v0/# meta-schema.
Meta-schema: https://json-structure.org/meta/core/v0/#
JSON Structure
{
"$schema": "https://json-structure.org/meta/core/v0/#",
"$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealth/refs/heads/main/json-structure/optum-fhir-coverage-structure.json",
"name": "UnitedHealth Group FHIR Coverage",
"type": "object",
"description": "FHIR R4 Coverage resource representing UnitedHealth Group insurance coverage including plan, group, and benefit period",
"fields": [
{
"name": "resourceType",
"type": "string",
"description": "FHIR resource type",
"enum": [
"Coverage"
]
},
{
"name": "id",
"type": "string",
"description": "Resource ID"
},
{
"name": "status",
"type": "string",
"description": "Coverage status",
"enum": [
"active",
"cancelled",
"draft",
"entered-in-error"
]
},
{
"name": "type",
"type": "object",
"description": "Coverage type coding"
},
{
"name": "subscriber",
"type": "object",
"description": "Subscriber reference"
},
{
"name": "subscriberId",
"type": "string",
"description": "Subscriber/member ID"
},
{
"name": "beneficiary",
"type": "object",
"description": "Beneficiary patient reference"
},
{
"name": "relationship",
"type": "object",
"description": "Relationship to subscriber"
},
{
"name": "period",
"type": "object",
"description": "Coverage period"
},
{
"name": "payor",
"type": "array",
"description": "Payer references",
"items": {
"type": "object"
}
},
{
"name": "class",
"type": "array",
"description": "Plan classification",
"items": {
"type": "object"
}
}
]
}
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