<?xml version="1.0" encoding="UTF-8"?>

<Coverage xmlns="http://hl7.org/fhir">
  <id value="MedicaidHmoInsuranceCoverage"/>
  <meta>
    <lastUpdated value="2026-02-08T00:00:00+00:00"/>
    <profile value="https://haau3.com/fhir/StructureDefinition/haau3-coverage"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage MedicaidHmoInsuranceCoverage</b></p><a name="MedicaidHmoInsuranceCoverage"> </a><a name="hcMedicaidHmoInsuranceCoverage"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2026-02-08 00:00:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-haau3-coverage.html">haau3 Coverage</a></p></div><p><b>status</b>: Active</p><p><b>subscriberId</b>: 123456789</p><p><b>beneficiary</b>: <a href="Patient-haau3-patient.html">Derrick Lin  Male, DoB: 1965-04-12 ( https://haau3.com/fhir/NamingSystem/haau3-patient-id#Haau3PatientId#example-haau3-patient (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="Organization-c4bb-medicaid-hmo.html">Organization Medicaid HMO</a></p></div>
  </text>
  <status value="active"/>
  <subscriberId value="123456789"/>
  <beneficiary>
    <reference value="Patient/haau3-patient"/>
  </beneficiary>
  <relationship>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <payor>
    <reference value="Organization/c4bb-medicaid-hmo"/>
  </payor>
</Coverage>