https://ns.adobe.com/xdm/mixins/healthcare-plan-details
Patient medical plan details such as network, type, and active status.
Abstract | Extensible | Status | Identifiable | Custom Properties | Additional Properties | Defined In |
---|---|---|---|---|---|---|
Can be instantiated | Yes | Stable | No | Forbidden | Permitted | fieldgroups/plan/healthcare-plan-details.schema.json |
{}
Property | Type | Required | Defined by |
---|---|---|---|
xdm:healthcarePlanDetails | object |
Optional | Healthcare Plan Details (this schema) |
* |
any | Additional | this schema allows additional properties |
Information about the healthcare plan.
xdm:healthcarePlanDetails
- is optional
- type:
object
- defined in this schema
object
with following properties:
Property | Type | Required |
---|---|---|
xdm:coverageType |
string | Optional |
xdm:isActive |
boolean | Optional |
xdm:lastVerificationDate |
string | Optional |
xdm:networkDetails |
array | Optional |
xdm:payerID |
string | Optional |
xdm:payerName |
string | Optional |
xdm:planLevel |
string | Optional |
xdm:planType |
string | Optional |
xdm:targetOwnerType |
string | Optional |
Plan coverage type.
xdm:coverageType
- is optional
- type:
string
string
Value | Description |
---|---|
medical |
Medical |
dental |
Dental |
vision |
Vision |
accident |
Accident |
Indicates whether the plan is active.
xdm:isActive
- is optional
- type:
boolean
boolean
The date on which the plan was last verified.
xdm:lastVerificationDate
- is optional
- type:
string
string
- format:
date-time
– date and time (according to RFC 3339, section 5.6)
undefined
xdm:networkDetails
- is optional
- type:
object[]
Array type: object[]
All items must be of the type:
object
with following properties:
Property | Type | Required |
---|---|---|
xdm:networkID |
string | Optional |
xdm:networkName |
string | Optional |
The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate.
xdm:networkID
- is optional
- type:
string
string
The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate.
xdm:networkName
- is optional
- type:
string
string
Unique identifier of the payer. This is the insurance provider of the plan.
xdm:payerID
- is optional
- type:
string
string
Name of the payer. This is the insurance provider of the plan.
xdm:payerName
- is optional
- type:
string
string
This indicates if the plan is primary, secondary, tertiary etc.
xdm:planLevel
- is optional
- type:
string
string
Value | Description |
---|---|
primary |
Primary |
secondary |
Secondary |
tertiary |
Tertiary |
quaternary |
Quaternary |
This indicates if the plan is primary, secondary or a tertiary plan.
xdm:planType
- is optional
- type:
string
string
Value | Description |
---|---|
hmo |
HMO |
epo |
PPO |
pos |
POS |
hdhp |
HDHP |
The type of owner a plan is for. Examples are individual, group, organization, etc.
xdm:targetOwnerType
- is optional
- type:
string
string