FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions

Example CoverageEligibilityResponse: CoverageEligibilityResponse/preauth-example-01

Generated Narrative: CoverageEligibilityResponse

Resource CoverageEligibilityResponse "preauth-example-01"

Profile: CoverageEligibilityResponse

status: active

purpose: auth-requirements

patient: Patient/example-01 ""

serviced: 2025-08-07

created: 2022-07-08

requestor: Practitioner/example-01 ""

request: CoverageEligibilityRequest/preauth-example-01

outcome: complete

disposition: Policy is currently in-force.

insurer: Organization/example-01 "XYZ Lab Pvt.Ltd."

insurance

id

2222

coverage: Coverage/example-01

inforce: true

item

id

11111

productOrService: Removal of foreign body (SNOMED CT#10849003)

authorizationRequired: true

authorizationSupporting: Lab Order (CoverageEligibilityResponse Auth Support Codes#laborder)