Generated Narrative: CoverageEligibilityRequest benefits-example-01
Language: en
Profile: CoverageEligibilityRequest
identifier: 7612345
status: Active
priority: Normal
purpose: Coverage benefits
patient: ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)
created: 2023-09-07 11:01:00+0500
enterer: Practitioner Dr. DEF
provider: Practitioner Dr. DEF
insurer: Organization XYZ Insurance Co. Ltd.
facility: Location South Wing, second floor
- | Focal | Coverage |
* | true | Coverage: identifier = https://xyzinsurance.in/policynumber/#235037120; status = active; type = PAY; subscriberId = ABC123456BI007; relationship = Self; period = (?) --> 2026-03-17 |
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