FHIR Chat · Resource Type: Insurance Benefit · implementers

Stream: implementers

Topic: Resource Type: Insurance Benefit


view this post on Zulip Lin Zhang (Jan 28 2021 at 03:23):

Do we have a Resource Type for Insurance Benefits? For example, a beneficiary have right to receive an annual well visit/checkup for free. And She/he can also transfer this benefit to other people such her/his family member.

view this post on Zulip Lin Zhang (Jan 28 2021 at 03:36):

Use the Resource Coverage to represent such benefits?

view this post on Zulip Daniel Venton (Jan 28 2021 at 14:26):

I don't think coverage would be scoped for that. Coverage would represent the plan details which should include 1..* benefits. I would expect some other "benefit" resource that "targets" 1..* coverage resources. "Bi-annual cleaning" is a benefit of dental coverage plan 1, 5, 80.

view this post on Zulip John Moehrke (Jan 28 2021 at 18:58):

ask over on the #Da Vinci streams???

view this post on Zulip Lin Zhang (Jan 28 2021 at 23:37):

@daniel venton @John Moehrke Thank you both. I need clearer understanding on related concepts.

view this post on Zulip Lloyd McKenzie (Jan 29 2021 at 04:56):

InsurancePlan is supposed to cover that I believe

view this post on Zulip Lin Zhang (Jan 29 2021 at 07:07):

InsurancePlan.coverage.benefit would be closer to my expectation.

view this post on Zulip Lin Zhang (Jan 29 2021 at 07:07):

InsurancePlan seems too large.

view this post on Zulip Lin Zhang (Jan 29 2021 at 07:10):

Another example benefit that I mean: just a coupon for teeth scaling.


Last updated: Apr 12 2022 at 19:14 UTC