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I'm looking to understand the finance interactions a bit. If I have a doctor who takes 2 or 3 insurance plans, what are the FHIR objects I need to use to model that?

My current guess is that one needs

  • An Organization to represent an insurance company with type = ins
  • Another Organization to represent the healthcare provider with type prov
  • Somehow attach and InsurancePlan to the network.

The Finance Overview does not cover this use case.

Brian Dolan
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    Is the goal to expose the plans that the provider takes via FHIR? Like as a patient, should I be able to use an API to find doctors that my insurance? What is the workflow you want to accomplish? I think the answer is to use https://www.hl7.org/fhir/coverageeligibilityrequest.html - but that needs a tons of context to use - namely coverage + patient + services. Sounds like you want something a bit more abstract. – Nick Hatt Nov 13 '20 at 16:34

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