Healthcare Plan Details is a standard schema field group for the Plan class. It provides a single object-type field healthcarePlanDetails
which captures properties related to a medical plan.
Property | Data type | Description |
---|---|---|
networkDetails |
Array of objects | Lists the details of the insurer-defined network(s) of providers to which the beneficiary may seek treatment, and will be covered at the “in-network” rate. Each object includes the following properties:
|
affiliations |
Array of strings | A list of business entities that are affiliated with the plan. |
coverageType |
String | The plan coverage type. Accepted values are:
|
isActive |
Boolean | Indicates whether the plan is active. |
lastVerificationDate |
DateTime | The date on which the plan was last verified. |
payerID |
String | The unique identifier for the payer (in other words, the insurance provider for the plan). |
planLevel |
String | Indicates the plan level. Accepted values are:
|
planType |
String | Indicates the plan type. Accepted values are:
|
targetOwnerType |
String | The type of owner a plan is for. Examples include individual, group, organization, and so on. |
For more details on the field group, refer to the public XDM repository.