Availity · Schema

Coverage

HealthcareClearinghouseHIPAAX12 EDIEligibilityClaimsPrior AuthorizationRevenue Cycle ManagementPayersPrice Transparency

Properties

Name	Type	Description
serviceTypeCodes	array
serviceTypeNames	array
insuranceType	string
planCoverage	string
coverageStatus	string
effectiveDate	string
expirationDate	string
benefits	array

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "#/components/schemas/Coverage",
  "title": "Coverage",
  "type": "object",
  "properties": {
    "serviceTypeCodes": {
      "type": "array",
      "items": {
        "type": "string"
      }
    },
    "serviceTypeNames": {
      "type": "array",
      "items": {
        "type": "string"
      }
    },
    "insuranceType": {
      "type": "string"
    },
    "planCoverage": {
      "type": "string"
    },
    "coverageStatus": {
      "type": "string",
      "enum": [
        "Active",
        "Inactive",
        "Cancelled"
      ]
    },
    "effectiveDate": {
      "type": "string",
      "format": "date"
    },
    "expirationDate": {
      "type": "string",
      "format": "date"
    },
    "benefits": {
      "type": "array",
      "items": {
        "$ref": "#/components/schemas/Benefit"
      }
    }
  }
}