Insurance

From OpenIndivo Documentation Wiki

Contents 1 Overview 2 Schema 3 Detailed Schema Description 3.1 InsuranceType 4 XML Usage Example

Overview

The Insurance schema stores a patient's medical or dental insurance information.

Schema

• Syntax-Highlighted Schema
• Raw Schema

Detailed Schema Description

InsuranceType

Date

dateTime (optional)

TO DO

Origin

ConciseContactInformationType (optional)

The institution which provided the data in this document.

Comments

string (optional)

Any free-text comments about this document.

Provider

ConciseContactInformationType (optional)

Not applicable.

EncounterId

string (optional)

An identifier which is unique across an Indivo Record, used to identify documents which originated from a discrete health encounter.

PaymentProvider

ConciseContactInformationType (optional)

Name of the health plan and associated contact information.

Id

string (optional)

Unique identifier assigned by the health plan to each participant.

GroupNumber

string (optional)

The plan-specific number assigned to an individual which links the individual to a defined set or class of benefits.

Subscriber

ConciseContactInformationType (optional)

The individual who is responsible for the coverage.

Type

string (optional)

Description of the product line associated with the primary plan of benefits (e.g. HMO, PPO).

PharmacyBenefitsProvider

string (optional)

Name of the third-party administrator of the insurance plan's prescription drug program.

PharmacyBenefitsId

string (optional)

Unique identifier assigned by the Pharmacy Benefits Provider to each participant.

XML Usage Example

<Insurance>
   <PaymentProvider>       
     <OrganizationName>Blue Cross of Massachusetts</OrganizationName>       
     <ContactMethod>       
       <Medium>phone</Medium>       
       <Priority>1</Priority>       
       <Class>default</Class>       
       <Value>800-344-8080</Value>       
     </ContactMethod>       
   </PaymentProvider>       
   <Id>1234-567-ABC</Id>       
   <GroupNumber>9876</GroupNumber>       
   <Subscriber>       
     <PersonName>       
       <FirstName>James</FirstName>       
       <LastName>Patient</LastName>       
     </PersonName>       
   </Subscriber>       
   <Type>HMO</Type>       
   <PharmacyBenefitsProvider>Express Scripts</PharmacyBenefitsProvider>       
   <PharmacyBenefitsId>DEF-456</PharmacyBenefitsId>       
 </Insurance>