Insurance Plan
Insurance Plan
Source Object: Insurance Plan
The Insurance Plan source object provides details about specific insurance plans associated with patients and their healthcare practices. It plays a crucial role in maintaining comprehensive patient records and managing insurance-related information.
Overview
Insurance plans are a fundamental aspect of healthcare administration, and they define the coverage and benefits available to patients. The Insurance Plan source object is an integral part of the healthcare data model, helping to organize and manage information related to various insurance plans.
Usage
The Insurance Plan source object serves the following purposes:
- Plan Identification: It helps identify and categorize different insurance plans associated with patients. Each plan is assigned a unique ID for reference.
- Plan Name: Provides the name or title of the insurance plan, making it easier for healthcare practitioners and administrators to recognize the plan.
- Insurance Company: Specifies the insurance company or provider offering the plan, facilitating quick reference and communication with insurers.
- Patient Associations: Associates the insurance plan with the patients it covers, enabling healthcare providers to track patient coverage and benefits accurately.
- Practice Connection: Links the insurance plan to the healthcare practice where it is applicable. This is especially important for multi-practice organizations.
By utilizing the Insurance Plan source object, healthcare administrators can manage and monitor various insurance plans efficiently. It ensures that patient records are complete and up to date, allowing for seamless billing, claims processing, and overall patient care coordination.
Mapping Table
Data Field | Source Field Data Type | Resource Mapping Context | Source Data Field Cardinality | Source Data Field Description | Example Value | Source Data Field Validation Rule | Mapped FHIR Resource | Mapped FHIR Data Field | Augmented Mapping | Associated Coding System | Associated FHIR Data Field Extension | Mapped FHIR Data Field Type |
---|---|---|---|---|---|---|---|---|---|---|---|---|
created_date | DateTime | Top Level | 0..1 | - | - | datetime(iso8601) | Insurance Plan | period.start | - | NA | - | TBD |
deleted_date | DateTime | Top Level | 0..1 | - | - | datetime(iso8601) | Insurance Plan | period.end | - | NA | - | TBD |
id | Integer | Top Level | 0..1 | - | - | - | Insurance Plan | id | - | NA | - | TBD |
insurance_company | Integer | Top Level | 0..1 | - | - | - | Insurance Plan | administeredBy.reference | Organization | NA | - | TBD |
name | String | Top Level | 0..1 | - | - | string(200) | Insurance Plan | name | - | NA | - | TBD |
patients | Integer | Top Level | 0..* | List of patients. Only available when a single insurance plan object is requested. | - | - | Insurance Plan | extension[*].valueReference.reference | Patient | NA | patient | TBD |
practice | Integer | Top Level | 0..1 | - | - | - | Insurance Plan | extension[*].valueReference.reference | Organization | NA | practice | TBD |