Stream: implementers
Topic: How to represent an insurance policy?
Lin Zhang (Feb 18 2022 at 09:11):
Which FHIR Resource type should be used to represent an insurance policy? Coverage, Contract or even InsurancePlan? Thanks
Lloyd McKenzie (Feb 18 2022 at 14:53):
It depends on what aspect you care about :)
- InsurancePlan defines a plan "on offer" - who's offering it, what's covered
- Coverage indicates that a particular Patient has coverage under a particular plan for a particular period of time
- Contract could be used to convey the specific signed agreement between member and insurer - though typically in healthcare this wouldn't be captured/exposed over a FHIR interface (certainly not in clinical systems)
Lin Zhang (Feb 19 2022 at 03:52):
@Lloyd McKenzie That's very helpful:blush: THANKS a lot:+1:
Last updated: Apr 12 2022 at 19:14 UTC
