Create Coverage
POST {{baseUrl}}/api/v2/Coverage?patient=<integer>
Overview:
Adds new insurance coverage records to the system, facilitating the seamless integration of updated coverage information and supporting efficient billing procedures within healthcare applications.
Use Cases:
New Insurance Policy: Add new coverage policy
Health Information Exchange: Receive external coverage info
Member Enrollment Updates: Post eligibility changes
Clinical Trial Preauthorizations: Submit study charges for coverage
Gap Exception Requests: Request benefits exceptions
Request Params
Key | Datatype | Required | Description |
---|---|---|---|
patient | string | (Required) The patient identifier associated with the coverage. |
Request Body
{"data"=>{"resourceType"=>"<string>", "beneficiary"=>{"reference"=>"<string>", "id"=>"<string>"}, "status"=>"<string>", "identifier"=>[{"system"=>"<string>", "value"=>"<string>"}, {"system"=>"<string>", "value"=>"<string>"}], "policyHolder"=>{"display"=>"<string>", "reference"=>"<string>", "extension"=>[{"url"=>"<string>", "valueCode"=>"<string>", "valueString"=>"<string>", "valueDate"=>"<date>", "valueAddress"=>{"state"=>"<string>", "postalCode"=>"<string>", "country"=>"<string>", "line"=>["<string>", "<string>"]}, "valueHumanName"=>{"given"=>["<string>", "<string>"], "family"=>"<string>"}}, {"url"=>"<string>", "valueCode"=>"<string>", "valueString"=>"<string>", "valueDate"=>"<date>", "valueAddress"=>{"state"=>"<string>", "postalCode"=>"<string>", "country"=>"<string>", "line"=>["<string>", "<string>"]}, "valueHumanName"=>{"given"=>["<string>", "<string>"], "family"=>"<string>"}}]}, "period"=>{"start"=>"<dateTime>", "end"=>"<dateTime>"}, "relationship"=>{"id"=>"<integer>", "text"=>"<string>"}, "class"=>[{"type"=>{"text"=>"<string>"}, "name"=>"<string>", "value"=>"<string>"}, {"type"=>{"text"=>"<string>"}, "name"=>"<string>", "value"=>"<string>"}], "extension"=>[{"url"=>"<string>", "valueString"=>"<string>", "valueInteger"=>"<integer>", "valueDate"=>"<date>"}, {"url"=>"<string>", "valueString"=>"<string>", "valueInteger"=>"<integer>", "valueDate"=>"<date>"}], "type"=>{"coding"=>[{"system"=>"<string>", "display"=>"<string>"}, {"system"=>"<string>", "display"=>"<string>"}]}}}
HEADERS
Key | Datatype | Required | Description |
---|---|---|---|
x-source-id | string | (Required) The source id provided for connecting to the data source | |
Content-Type | string | ||
Authorization | string |
RESPONSES
status: OK
{"context":{"requestId":"\u003cstring\u003e","source":"\u003cstring\u003e","quorum":"\u003cboolean\u003e","notify":"\u003cboolean\u003e"},"data":{"id":"\u003cinteger\u003e","status":"\u003cstring\u003e"}}