Coverage and Insurance
Model payer diversity:
- Coverage resource: Include subscriber, beneficiary, payor references.
- Payer types: Medicare (Part A, B, C, D), Medicaid, Commercial (BCBS, Aetna, UHC, Cigna),
Tricare, VA, Self-pay/uninsured, Workers' Comp.
- Class: group, plan, subplan, class, subclass, sequence.
- Include Coverage.type codes from http://terminology.hl7.org/CodeSystem/v3-ActCode:
EHCPOL (employee healthcare), PUBLICPOL (public policy), SUBSIDIZ, MANDPOL.
- Period: coverag
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