Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example CoverageEligibilityResponse: Coverage Eligibility Response #3

Site Eligibility: Eligible

identifier: http://sni.com.sa/identifiers/coverageeligibilityresponse/Elig_199719982262

status: Active

purpose: Coverage benefits

patient: Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)

serviced: 2024-01-12 --> 2024-01-12

created: 2024-01-12 08:20:29+0000

request: Identifier: http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest/req_161959

outcome: Processing Complete

disposition: Coverage is in-force

insurer: Organization Saudi National Insurance

insurance

Site Eligibility: Eligible

coverage: Coverage: identifier = http://sni.com.sa/identifiers/memberid#0000000001; status = active; type = extended healthcare; dependent = 01; relationship = Self; network = Golden C

inforce: true

item

category: Medical Care

excluded: false

name: Health Benefit Plan Coverage

description: Policy Maximum Annual Limit and Approval limit

network: In Network

unit: Individual

term: Annual

Benefits

-TypeAllowed[x]Used[x]
*BenefitSAR50,000.00 (SAR)SAR15,000.00 (SAR)