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InsurancePlan

The InsurancePlan resource provides the "Details of a Health Insurance product/plan provided by an organization." HL7 FHIR R4 InsurancePlan

Supported Profiles

This API supports the following FHIR profiles:

Operations

The Certified and Regulated Provider Directory API InsurancePlan resource supports the following standard operations. However, support varies by the targeted CareRecord or solution.

CareRecord / SolutionCreateReadUpdateSearch
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info

Not all Netsmart solutions support InsurancePlan 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
administered-byreferenceProduct administrator
coverage-areareferenceLocation(s) insurance plan is intended for/available to
identifiertokenAny identifier for the organization (not the accreditation issuer's identifier
namestringA portion of the organization's name or alias
owned-byreferenceAn organization of which this organization forms a part
plan-typetokenA code for the type of plan
typetokenA code for the type of organization

Search Examples

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

Search by Name
curl -X POST https://fhir.netsmartcloud.com/payer/provider-directory/v2/{tenant-id}/InsurancePlan/_search \
-H "Accept: application/fhir+json" \
-H "Content-Type: application/x-form-urlencoded" \
-d "name=Acme of CT QHP Bronze"
Search by OwnedBy
curl -X POST https://fhir.netsmartcloud.com/payer/provider-directory/v2/{tenant-id}/InsurancePlan/_search \
-H "Accept: application/fhir+json" \
-H "Content-Type: application/x-form-urlencoded" \
-d "owned-by=Organization/123"