Generated Narrative: Bundle CoverageEligibilityResponseBundle-auth-requirements-example-01

Bundle CoverageEligibilityResponseBundle-auth-requirements-example-01 of type collection

Entry 1 - fullUrl = urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse fd4fb0db-e2f5-45ca-bd8d-0dea24776e18

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage auth-requirements

patient: Patient

created: 2025-03-07 15:32:26+0530

requestor: Organization

request: CoverageEligibilityRequest-auth-requirements

outcome: Processing Complete

disposition: Policy is currently in-force.

insurer: Organization

insurance

coverage: Coverage

inforce: true

benefitPeriod: 2023-09-07 --> 2026-08-07

item

productOrService: Consultant

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet

Entry 2 - fullUrl = urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c

Resource Patient:

Generated Narrative: Patient d7ac4f66-455d-4e12-b656-a55b976b352c

Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)

---

Contact Detail

+919818512600

Entry 3 - fullUrl = urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389

Resource Practitioner:

Generated Narrative: Practitioner 9fb2a38c-697c-4a1c-94ea-2ddfe52c9389

identifier: Medical License number/21-1521-3828-3227

name: Dr. Aayush Agrawal

Entry 4 - fullUrl = urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5

Resource Organization:

Generated Narrative: Organization 26748d18-9935-4224-bbd0-5c2ae24620b5

identifier: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878

type: Insurance Company

name: XYZ Insurance Co. Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

Entry 5 - fullUrl = urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898

Resource Organization:

Generated Narrative: Organization 3877486b-1fae-4049-a5d0-afa2416da898

identifier: Provider number/1234567890

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

telecom: +91 243 2634 1278, contact@xyz.org

Entry 6 - fullUrl = urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest 54878741-032f-4c07-b464-f4eaea8b7712

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage auth-requirements

patient: Patient

created: 2025-03-07 11:01:00+0500

enterer: Practitioner

provider: Organization

insurer: Organization

facility: Location

Insurances

-	Focal	Coverage
*	true	Coverage

item

productOrService: Consultant

Diagnoses

-	Diagnosis[x]
*	Type 2 diabetes mellitus : Without complications

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet

Diagnoses

-	Diagnosis[x]
*	Type 2 diabetes mellitus : Without complications

Entry 7 - fullUrl = urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb

Resource Location:

Generated Narrative: Location 6f5b74a7-dd29-4c05-87e3-2188096cb0eb

identifier: B1-S.F2

status: Active

name: South Wing, second floor

alias: XYZ Life Hospital Co. Ltd., South Wing, second floor

description: Second floor of the Old South Wing, formerly in use by Psychiatry

mode: Instance

telecom: ph: 2328(Work), fax: 2329(Work), http://sampleorg.com/southwing

address: 91, Building A Pune 451855 IND (work)

physicalType: Wing

Positions

-	Longitude	Latitude	Altitude
*	-83.6945691	42.25475478	0

managingOrganization: Organization

Entry 8 - fullUrl = urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a

Resource Coverage:

Generated Narrative: Coverage 00fb258d-f692-4a62-9eed-db09e2bcbb7a

identifier: https://xyzinsurance.in/policynumber//235037120

status: Active

type: health insurance plan policy

subscriber: Patient

subscriberId: ABC123456BI007

beneficiary: Patient

relationship: Self

period: ?? --> 2026-03-17

payor: Organization