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Coverage
  • Data that reflect a payer’s coverage that was effective as of the date of service or the date of admission of the claim.
  • Commonly available via

URL
https://fp.medicaid.utah.gov/ProviderClient/Coverage


Sample Request
ACCEPT: application/json
AUTHORIZATION: Bearer {ACESS_TOKEN}

Sample request
ACCESS_TOKEN=utahid-link-access-token

curl "https://fp.medicaid.utah.gov/ProviderClient/coverage/$ID" \
			-H "Authorization: Bearer $ACCESS_TOKEN"

Sample response
{
	"fullUrl": "http://localhost:9090/ProviderDirectoryServices/Coverage/4545499292",
	"resource": {
		"resourceType": "Coverage",
		"id": "4545499292",
		"extension": [
			{
				"url": "HEALTH",
				"valueCode": "9938845458"
			}
		],
		"identifier": [
			{
				"type": {
					"coding": [
						{
							"system": "https://npiregistry.cms.hhs.gov/",
							"code": "9938845458",
							"display": "NPI",
							"userSelected": false
						},
						{
							"system": "State  System",
							"code": "1023385",
							"display": "PROV_SID",
							"userSelected": false
						}
					]
				},
				"system": "9938845458",
				"value": "9938845458"
			}
		],
		"status": "active",
		"beneficiary": {
			"reference": "Beneficiary",
			"type": "Patient Beneficiary",
			"identifier": {
				"type": {
					"coding": [
						{
							"system": "State System",
							"code": "410575949",
							"display": "Client Medicaid ID",
							"userSelected": false
						}
					]
				},
				"system": "410575949",
				"value": "410575949"
			},
			"display": "Beneficiary"
		},
		"relationship": {
			"coding": [
				{
					"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
					"version": "1.0.0",
					"code": "subscriber-relationship",
					"display": "self",
					"userSelected": false
				}
			]
		},
		"period": {
			"start": "2020-12-01T00:00:00-07:00",
			"end": "2020-12-01T00:00:00-07:00"
		},
		"payor": [
			{
				"reference": " Provider System",
				"type": "Healthcare Sevice Reference",
				"identifier": {
					"type": {
						"coding": [
							{
								"system": "https://npiregistry.cms.hhs.gov/",
								"code": "99388433458",
								"display": "NPI",
								"userSelected": false
							},
							{
								"system": "State System",
								"code": "043403385",
								"display": "PROV_SID",
								"userSelected": false
							}
						]
					},
					"system": "9938845458",
					"value": "9938845458"
				},
				"display": "HEALTH"
			}
		]
	}
}