Independence Blue Cross · Schema

IBX Coverage (CARIN BB subset)

Operational subset of the FHIR R4 Coverage resource as published by Independence Blue Cross at https://eapics.ibx.com/patient/v1/fhir/Coverage. Anchored to the CARIN for Blue Button Coverage profile.

HealthcareHealth InsuranceBlue Cross Blue ShieldManaged CareMedicareMedicare AdvantageMedicaidCHIPCommercialDentalVisionBehavioral HealthPharmacy BenefitsInteroperabilityFHIRSMART on FHIRCMSPatient AccessProvider DirectoryDrug FormularyTransparency In Coverage

Properties

Name Type Description
resourceType string
id string
status string
type object Type of coverage (e.g. Medicare Advantage, CHIP, commercial).
policyHolder object Reference to Patient/Organization.
subscriber object Reference to Patient.
subscriberId string
beneficiary object Reference to Patient.
dependent string
relationship object
period object
payor array Reference to the IBX organization that pays for the coverage.
class array
View JSON Schema on GitHub

JSON Schema

independence-blue-cross-coverage-schema.json Raw ↑ 
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/independence-blue-cross/refs/heads/main/json-schema/independence-blue-cross-coverage-schema.json",
  "title": "IBX Coverage (CARIN BB subset)",
  "description": "Operational subset of the FHIR R4 Coverage resource as published by Independence Blue Cross at https://eapics.ibx.com/patient/v1/fhir/Coverage. Anchored to the CARIN for Blue Button Coverage profile.",
  "type": "object",
  "required": ["resourceType", "id", "status", "beneficiary"],
  "properties": {
    "resourceType": {"type": "string", "const": "Coverage"},
    "id": {"type": "string"},
    "status": {"type": "string", "enum": ["active", "cancelled", "draft", "entered-in-error"]},
    "type": {
      "type": "object",
      "description": "Type of coverage (e.g. Medicare Advantage, CHIP, commercial)."
    },
    "policyHolder": {"type": "object", "description": "Reference to Patient/Organization."},
    "subscriber": {"type": "object", "description": "Reference to Patient."},
    "subscriberId": {"type": "string"},
    "beneficiary": {"type": "object", "description": "Reference to Patient."},
    "dependent": {"type": "string"},
    "relationship": {"type": "object"},
    "period": {
      "type": "object",
      "properties": {
        "start": {"type": "string", "format": "date"},
        "end": {"type": "string", "format": "date"}
      }
    },
    "payor": {
      "type": "array",
      "items": {"type": "object"},
      "description": "Reference to the IBX organization that pays for the coverage."
    },
    "class": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "type": {"type": "object"},
          "value": {"type": "string"},
          "name": {"type": "string"}
        }
      }
    }
  },
  "x-fhir-version": "4.0.1",
  "x-source-capability-statement": "https://eapics.ibx.com/patient/v1/fhir/metadata"
}

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