EnrollEligCOB
Class PlanCoverage

"Details about the coverage offered by the insurance product." - HL7 FHIR, InsurancePlan.coverage
"Specific benefits under this type of coverage." - HL7 FHIR, InsurancePlan.coverage.benefit
Note that FHIR uses two classes to categories these concepts, but FHIM uses one.

Attributes
«CS» Code benefitType benefitType

"Type of benefit (primary care; speciality care; inpatient; outpatient)." - HL7 FHIR, InsurancePlan.coverage.benefit.type

CoverageLimit coverageLimit coverageLimit

"The specific limits on the benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.limit

«CS» Code kind kind

"Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health)." - HL7 FHIR, InsurancePlan.coverage.type

ProviderNetwork network network

"Reference to the network that providing the type of coverage." - HL7 FHIR, InsurancePlan.coverage.network

String requirement requirement

"The referral requirements to have access/coverage for this benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.requirement


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NamePlanCoverage
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::PlanCoverage
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 benefitType
Public «CS» Code benefitType

"Type of benefit (primary care; speciality care; inpatient; outpatient)." - HL7 FHIR, InsurancePlan.coverage.benefit.type

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPlanCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamebenefitType
Name Expression
NamespacePlanCoverage
Opposite
OwnerPlanCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PlanCoverage::benefitType
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 coverageLimit
Public CoverageLimit coverageLimit

"The specific limits on the benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.limit

Constraints:
Properties:

AggregationComposite
Alias
AssociationhealthPlanCoverage_coverageLimit
Association End
ClassPlanCoverage
Datatype
Default
Default Value
Is Compositetrue
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamecoverageLimit
Name Expression
NamespacePlanCoverage
Opposite
OwnerPlanCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PlanCoverage::coverageLimit
Stereotype
Template Parameter
TypeCoverageLimit
Upper*
Upper Value(*)
VisibilityPublic


 kind
Public «CS» Code kind

"Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health)." - HL7 FHIR, InsurancePlan.coverage.type

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPlanCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
Namekind
Name Expression
NamespacePlanCoverage
Opposite
OwnerPlanCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PlanCoverage::kind
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 network
Public ProviderNetwork network

"Reference to the network that providing the type of coverage." - HL7 FHIR, InsurancePlan.coverage.network

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPlanCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namenetwork
Name Expression
NamespacePlanCoverage
Opposite
OwnerPlanCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PlanCoverage::network
Stereotype
Template Parameter
TypeProviderNetwork
Upper*
Upper Value(*)
VisibilityPublic


 requirement
Public String requirement

"The referral requirements to have access/coverage for this benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.requirement

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPlanCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namerequirement
Name Expression
NamespacePlanCoverage
Opposite
OwnerPlanCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PlanCoverage::requirement
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic