Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: Example Coverage Eligibility Request Bundle

Generated Narrative: Bundle ex-covreq-bundle

Bundle ex-covreq-bundle of type collection

Entry 1 - fullUrl = https://profiles.ihe.net/ITI/FAIS/CoverageEligibilityRequest/ex-check-coverage

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest ex-check-coverage

status: Active

purpose: Coverage Validation

patient: Jane Doe Female, DoB: 2000-05-04

created: 2024-05-04

insurer: Organization Example Public Insurance

Insurances

-FocalCoverage
*trueCoverage: status = active; type = public healthcare; subscriberId = a8978d4a-0c9f-11ef-9633-cb733e9641ef; relationship = Self; period = 2024-01-01 --> 2024-12-31

Entry 2 - fullUrl = https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary

Resource Patient:

Generated Narrative: Patient ex-beneficiary

Jane Doe Female, DoB: 2000-05-04

Entry 3 - fullUrl = https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer

Resource Organization:

Generated Narrative: Organization ex-insurer

name: Example Public Insurance

Entry 4 - fullUrl = https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage

Resource Coverage:

Generated Narrative: Coverage ex-coverage

status: Active

type: public healthcare

policyHolder: Jane Doe Female, DoB: 2000-05-04

subscriber: Jane Doe Female, DoB: 2000-05-04

subscriberId: a8978d4a-0c9f-11ef-9633-cb733e9641ef

beneficiary: Jane Doe Female, DoB: 2000-05-04

relationship: Self

period: 2024-01-01 --> 2024-12-31