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Coverage

The Coverage resource is a "Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment." (HL7 FHIR R4 Coverage)

Supported Profiles​

The API supports the following FHIR profiles:

Operations​

The Certified API Coverage resource supports the following standard operations. However, support varies by the targeted CareRecord or solution.

CareRecord / SolutionCreateReadUpdateSearch
GEHRIMED----
myAvatar-Yes-Yes
myEvolv----
myUnity----
TheraOffice-Yes-Yes
info

Not all Netsmart solutions support Coverage search. See supported operations table above and consult your target solution's documentation for more information.

This resource supports standard search parameters in addition to the common parameters.

Standard Parameters​

NameTypeDescription
patientreferenceREQUIRED Retrieve coverages for a patient
pagestringZero-based page index
payorreferenceThe identity of the insurer or party paying for services
_revincludespecialInclude Provenance resource(s) that reference the matched search results. Allowed: "Provenance:target"

Search Examples​

Via POST​

The POST method is recommended as it keeps health information out of the URL.

Search by Patient
curl -X POST https://fhir.netsmartcloud.com/uscore/v1/Coverage/_search \
    -H "Authorization: {Bearer Token}" \
    -H "Accept: application/fhir+json" \
    -H "Content-Type: application/x-form-urlencoded" \
    -d "patient=Patient/123"
Via GET​

The POST method is recommended as it keeps health information out of the URL.

Search by Patient
curl -X POST https://fhir.netsmartcloud.com/uscore/v1/Coverage?patient=Patient/2345 \
    -H "Authorization: {Bearer Token}" \
    -H "Accept: application/fhir+json"