Generated Narrative: Bundle CoverageEligibilityResponseBundle-benefits-example-01

Bundle CoverageEligibilityResponseBundle-benefits-example-01 of type collection

Entry 1 - fullUrl = urn:uuid:e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage benefits

patient: Patient

created: 2025-03-07

requestor: Organization

request: CoverageEligibilityRequest-benefits

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

Benefits

-	Type	Allowed[x]	Used[x]
*	Benefit	₹50,000.00 (INR)	₹0.00 (INR)

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet

Benefits

-	Type	Allowed[x]	Used[x]
*	Benefit	₹50,000.00 (INR)	₹0.00 (INR)

Entry 2 - fullUrl = urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2

Resource Patient:

Generated Narrative: Patient 37dbfdfb-cc6e-4cb5-86e9-6151679082e2

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

---

Contact Detail

+919818512600

Entry 3 - fullUrl = urn:uuid:752681ee-5db5-4cff-b10c-f9d6f69fe014

Resource Practitioner:

Generated Narrative: Practitioner 752681ee-5db5-4cff-b10c-f9d6f69fe014

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

name: Dr. Aayush Agrawal

Entry 4 - fullUrl = urn:uuid:b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage benefits

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 5 - fullUrl = urn:uuid:01806af2-daf1-4473-a31b-657787eadee3

Resource Organization:

Generated Narrative: Organization 01806af2-daf1-4473-a31b-657787eadee3

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 6 - fullUrl = urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8

Resource Organization:

Generated Narrative: Organization 0e17029b-e167-4473-9679-4b9052a8eca8

identifier: Provider number/1234567890

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

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

Entry 7 - fullUrl = urn:uuid:2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef

Resource Location:

Generated Narrative: Location 2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef

identifier: B1-S.F2

status: Active

name: South Wing, second floor

alias: IndiaFirst Life Insurance 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:1c3642a2-2d2c-4812-8736-67c74862955a

Resource Coverage:

Generated Narrative: Coverage 1c3642a2-2d2c-4812-8736-67c74862955a

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