{
  "resourceType" : "Coverage",
  "id" : "coverage-example-ach-monthly-pass1",
  "meta" : {
    "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass1</b></p><a name=\"coverage-example-ach-monthly-pass1\"> </a><a name=\"hccoverage-example-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-coverage.html\">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/084536836</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}\">subsidized health program</span></p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}\">Child</span></p><p><b>period</b>: 2020-08-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-organization-coverage-example-medicaid.html\">Medicaid</a></p></div>"
  },
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MB",
        "display" : "Member Number"
      }]
    },
    "system" : "http://example.org/fhir/memberidentifier",
    "value" : "084536836"
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "SUBSIDIZ",
      "display" : "subsidized health program"
    }]
  },
  "subscriberId" : "98435938934",
  "beneficiary" : {
    "reference" : "Patient/patient-example-ach-monthly-pass1"
  },
  "relationship" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
      "code" : "child",
      "display" : "Child"
    }],
    "text" : "Child"
  },
  "period" : {
    "start" : "2020-08-01"
  },
  "payor" : [{
    "reference" : "Organization/organization-coverage-example-medicaid",
    "display" : "Medicaid"
  }]
}