haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "InsurancePlan",
"id" : "H2406-013-000",
"meta" : {
"profile" : [
🔗 "https://haau3.com/fhir/StructureDefinition/haau3-insurance-plan",
"http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-insurance-plan|2.0.0-ballot"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: InsurancePlan H2406-013-000</b></p><a name=\"H2406-013-000\"> </a><a name=\"hcH2406-013-000\"> </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\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-haau3-insurance-plan.html\">haau3 Insurance Plan (Plan Benefits)</a>, <code>http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-insurance-plan|2.0.0-ballot</code></p></div><blockquote><p><b>Plan Benefits Source Release</b></p><blockquote><p><b>url</b></p>release</blockquote><p><b>value</b>: ma-2027-2026-10-01</p><p><b>downloadUrl</b>: <a href=\"https://www.cms.gov/files/zip/pbp-benefits-2027.zip\">https://www.cms.gov/files/zip/pbp-benefits-2027.zip</a></p><p><b>lastModified</b>: 2026-10-01</p><p><b>sha256</b>: 6d8430e2ecb51acf3cc8547f12dd73506aa73f0dccf034cc3c3393868576ff47</p><blockquote><p><b>url</b></p>file</blockquote></blockquote><blockquote><p><b>Plan Benefits Plan Facts</b></p><ul><li>specialNeeds: false</li><li>employerOnly: false</li><li>partBOnly: false</li><li>filesCostData: true</li><li>outOfNetworkBenefit: true</li><li>pointOfService: false</li></ul></blockquote><p><b>identifier</b>: <a href=\"NamingSystem-cms-ma-plan-id.html\" title=\"CMS's identifier for a Medicare Advantage plan: the contract number, the plan ID and the segment ID joined with hyphens, with 000 for a plan that is not segmented (H2406-013-000). CMS defines this system in its technical implementation guide for Medicare Advantage provider directory data and confirmed the format in its office hours Q&A of 2026-09-16. CMS publishes no NamingSystem resource for it, so haau3 publishes this one, which only describes CMS's system, so that a validator can resolve it. It gives way to one CMS or HL7 publishes.\">CMSMAPlanId</a>/H2406-013-000, <a href=\"NamingSystem-cms-ma-bid-id.html\" title=\"The bid_id that keys a Medicare Advantage plan in CMS's Plan Benefit Package (PBP) Benefits files, exactly as the files write it: the contract number, the plan ID and the segment ID joined with underscores, the segment unpadded (H2406_013_0). Carried beside CMS's ma-plan-id so that the key matches the files byte for byte. haau3 publishes this until CMS or HL7 publishes an identifier system for it.\">CMSMABidId</a>/H2406_013_0</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/insurance-product-type mediadv}\">Medicare Advantage</span></p><p><b>name</b>: AARP Medicare Advantage from UHC FL-0021 (PPO)</p><p><b>period</b>: 2027 --> 2027</p><p><b>ownedBy</b>: <a href=\"#hcH2406-013-000/issuer\">UnitedHealthcare</a></p><p><b>coverageArea</b>: <a href=\"#hcH2406-013-000/state-FL\">Unnamed Location</a></p><blockquote><p><b>contact</b></p><p><b>purpose</b>: <span title=\"Codes:\">General Questions</span></p><p><b>telecom</b>: ph: (866)627-7806, AARPMedicarePlans.com</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: <span title=\"Codes:\">Provider directory</span></p><p><b>telecom</b>: AARPMedicarePlans.com</p></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category primary-care-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7a}\">Primary Care Visit</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category specialist-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7d}\">Specialist Visit</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category urgent-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4b}\">Urgent Care</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-room-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4a}\">Emergency Room Care</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-inpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 1a}\">Hospital Inpatient Care</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9a1}\">Hospital Outpatient Care</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category facility-fee}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9b}\">Facility Fee</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category imaging}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 8b1}\">Imaging (CT/PET/MRI)</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category rehabilitation}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7i}\">Rehabilitation Services</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category mental-health-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7e1}\">Mental/Behavioral Health Outpatient Services</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-medical-transport}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 10a1}\">Emergency Medical Transportation</span></p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category skilled-nursing}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 2}\">Skilled Nursing Care</span></p></blockquote></blockquote><blockquote><p><b>plan</b></p><blockquote><p><b>Plan Benefits Additional Benefit</b></p><blockquote><p><b>url</b></p>category</blockquote><p><b>value</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 8a2}\">Lab Services</span></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>amount</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p><blockquote><p><b>url</b></p>cost</blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>amount</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p><blockquote><p><b>url</b></p>cost</blockquote></blockquote><blockquote><p><b>Plan Benefits Additional Benefit</b></p><blockquote><p><b>url</b></p>category</blockquote><p><b>value</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9a2}\">Observation Services</span></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifier</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>amount</b>: 550 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p><blockquote><p><b>url</b></p>cost</blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>amount</b>: 40 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p><blockquote><p><b>url</b></p>cost</blockquote></blockquote><blockquote><p><b>Plan Benefits Additional Benefit</b></p><blockquote><p><b>url</b></p>category</blockquote><p><b>value</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 6}\">Home Health Services</span></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>amount</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p><blockquote><p><b>url</b></p>cost</blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>amount</b>: 50 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p><blockquote><p><b>url</b></p>cost</blockquote></blockquote><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type PPO}\">Local PPO</span></p><p><b>coverageArea</b>: <a href=\"#hcH2406-013-000/state-FL\">Unnamed Location</a></p><blockquote><p><b>generalCost</b></p><p><b>type</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-general-cost-type monthly-premium}\">Monthly premium</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>United States dollar</td></tr></table></blockquote><blockquote><p><b>generalCost</b></p><p><b>type</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-general-cost-type part-b-premium-reduction}\">Part B premium reduction</span></p><p><b>comment</b>: None</p></blockquote><blockquote><p><b>generalCost</b></p><blockquote><p><b>Plan Benefits Cost Scope</b></p><ul><li>network: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html#benefit-network-out\">Network Type Codes: out</a> (Out of Network)</li><li>member: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-unit.html#benefit-unit-individual\">Unit Type Codes: individual</a> (Individual)</li><li>appliesTo: <a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-medical\">Plan Benefits Cost Scope: medical</a> (Medical)</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-copay-type deductible}\">Individual Deductible</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1000</td><td>United States dollar</td></tr></table><p><b>comment</b>: Out of network, for medical care</p></blockquote><blockquote><p><b>generalCost</b></p><blockquote><p><b>Plan Benefits Cost Scope</b></p><ul><li>network: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html#benefit-network-in\">Network Type Codes: in</a> (In Network)</li><li>member: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-unit.html#benefit-unit-individual\">Unit Type Codes: individual</a> (Individual)</li><li>appliesTo: <a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-medical\">Plan Benefits Cost Scope: medical</a> (Medical)</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-copay-type maxoutofpocket}\">Individual Out-of-Pocket Maximum</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>7150</td><td>United States dollar</td></tr></table><p><b>comment</b>: In network, for medical care</p></blockquote><blockquote><p><b>generalCost</b></p><blockquote><p><b>Plan Benefits Cost Scope</b></p><ul><li>network: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html#benefit-network-out\">Network Type Codes: out</a> (Out of Network)</li><li>member: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-unit.html#benefit-unit-individual\">Unit Type Codes: individual</a> (Individual)</li><li>appliesTo: <a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-medical\">Plan Benefits Cost Scope: medical</a> (Medical)</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-copay-type maxoutofpocket}\">Individual Out-of-Pocket Maximum</span></p><p><b>comment</b>: Out of network, for medical care: none</p></blockquote><blockquote><p><b>generalCost</b></p><blockquote><p><b>Plan Benefits Cost Scope</b></p><ul><li>network: <a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-combined\">Plan Benefits Cost Scope: combined</a> (In and out of network combined)</li><li>member: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-unit.html#benefit-unit-individual\">Unit Type Codes: individual</a> (Individual)</li><li>appliesTo: <a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-medical\">Plan Benefits Cost Scope: medical</a> (Medical)</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-copay-type maxoutofpocket}\">Individual Out-of-Pocket Maximum</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10750</td><td>United States dollar</td></tr></table><p><b>comment</b>: In and out of network combined, for medical care</p></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category primary-care-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7a}\">Primary Care Visit</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category primary-care-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7a}\">Primary Care Visit</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 45 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category specialist-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7d}\">Specialist Visit</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category specialist-visit}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7d}\">Specialist Visit</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-65 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: <=65 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 100 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category urgent-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4b}\">Urgent Care</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category urgent-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4b}\">Urgent Care</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-50 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier one-price-both-networks}\">One price in and out of network</span></p><p><b>value</b>: <=50 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-50 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier one-price-both-networks}\">One price in and out of network</span></p><p><b>value</b>: <=50 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-room-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4a}\">Emergency Room Care</span></p><blockquote><p><b>benefit</b></p><blockquote><p><b>org/fhir/us/insurance-card/StructureDefinition/benefit-limitation</b></p><ul><li>limitText: Copay waived if admitted to the hospital within 24 hours</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-room-care}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 4a}\">Emergency Room Care</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier one-price-both-networks}\">One price in and out of network</span></p><p><b>value</b>: 130 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier one-price-both-networks}\">One price in and out of network</span></p><p><b>value</b>: 130 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-inpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 1a}\">Hospital Inpatient Care</span></p><blockquote><p><b>benefit</b></p><blockquote><p><b>org/fhir/us/insurance-card/StructureDefinition/benefit-limitation</b></p><ul><li>limitText: Benefit period (in network): Per Admission or Per Stay</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-inpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 1a}\">Hospital Inpatient Care</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Day Range</b>: 1-5 d</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>value</b>: 550 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>Plan Benefits Day Range</b>: 6-90 d</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>value</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-stay}\">Per stay</span></p><p><b>value</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-stay}\">Per stay</span></p><p><b>value</b>: 40 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9a1}\">Hospital Outpatient Care</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category hospital-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9a1}\">Hospital Outpatient Care</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-550 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: <=550 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 40 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category facility-fee}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9b}\">Facility Fee</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category facility-fee}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 9b}\">Facility Fee</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-500 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: <=500 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 40 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category imaging}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 8b1}\">Imaging (CT/PET/MRI)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category imaging}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 8b1}\">Imaging (CT/PET/MRI)</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-320 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: <=320 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay-percent}\">Coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 40 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category rehabilitation}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7i}\">Rehabilitation Services</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category rehabilitation}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7i}\">Rehabilitation Services</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: 65 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 100 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category mental-health-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7e1}\">Mental/Behavioral Health Outpatient Services</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category mental-health-outpatient}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 7e1}\">Mental/Behavioral Health Outpatient Services</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Cost Range</b>: 0-25 USD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: <=25 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 40 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-medical-transport}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 10a1}\">Emergency Medical Transportation</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category emergency-medical-transport}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 10a1}\">Emergency Medical Transportation</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>value</b>: 380 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>value</b>: 380 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category skilled-nursing}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 2}\">Skilled Nursing Care</span></p><blockquote><p><b>benefit</b></p><blockquote><p><b>org/fhir/us/insurance-card/StructureDefinition/benefit-limitation</b></p><ul><li>limitText: Benefit period (in network): Original Medicare</li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category skilled-nursing}, {https://haau3.com/fhir/CodeSystem/cms-pbp-service-category 2}\">Skilled Nursing Care</span></p><blockquote><p><b>cost</b></p><p><b>Plan Benefits Day Range</b>: 1-20 d</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>value</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>Plan Benefits Day Range</b>: 21-100 d</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">In Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>value</b>: 221 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>Plan Benefits Day Range</b>: 1-100 d</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-day}\">Per day</span></p><p><b>value</b>: 250 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">Copayment</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">Out of Network</span></p><p><b>qualifiers</b>: <span title=\"Codes:{https://haau3.com/fhir/CodeSystem/plan-benefits-cost-qualifier per-stay}\">Per stay</span></p><p><b>value</b>: 0 USD<span style=\"background: LightGoldenRodYellow\"> (Details: unknown codeUSD = 'United States dollar')</span></p></blockquote></blockquote></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #issuer</b></p><a name=\"H2406-013-000/issuer\"> </a><a name=\"hcH2406-013-000/issuer\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">UnitedHealthcare (CMS Contract ID: CMSMAContractId#H2406)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other names this is known by\">Alias:</td><td colspan=\"3\">CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Location #state-FL</b></p><a name=\"H2406-013-000/state-FL\"> </a><a name=\"hcH2406-013-000/state-FL\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Unnamed Location</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The physical form of the location (e.g. building, room, vehicle, road)\">Form:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type jdn}\">Jurisdiction</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Physical location\">Address:</td><td colspan=\"3\">FL </td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Organization",
"id" : "issuer",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs",
"code" : "cms-contract-id",
"display" : "CMS Contract ID"
}
]
},
"system" : "https://haau3.com/fhir/NamingSystem/cms-ma-contract-id",
"value" : "H2406"
}
],
"name" : "UnitedHealthcare",
"alias" : [
"CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO."
]
},
{
"resourceType" : "Location",
"id" : "state-FL",
"address" : {
"state" : "FL"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "jdn",
"display" : "Jurisdiction"
}
]
}
}
],
"extension" : [
{
"extension" : [
{
"url" : "release",
"valueString" : "ma-2027-2026-10-01"
},
{
"extension" : [
{
"url" : "downloadUrl",
"valueUri" : "https://www.cms.gov/files/zip/pbp-benefits-2027.zip"
},
{
"url" : "lastModified",
"valueDate" : "2026-10-01"
},
{
"url" : "sha256",
"valueString" : "6d8430e2ecb51acf3cc8547f12dd73506aa73f0dccf034cc3c3393868576ff47"
}
],
"url" : "file"
}
],
"url" : "https://haau3.com/fhir/StructureDefinition/plan-benefits-source-release"
},
{
"extension" : [
{
"url" : "specialNeeds",
"valueBoolean" : false
},
{
"url" : "employerOnly",
"valueBoolean" : false
},
{
"url" : "partBOnly",
"valueBoolean" : false
},
{
"url" : "filesCostData",
"valueBoolean" : true
},
{
"url" : "outOfNetworkBenefit",
"valueBoolean" : true
},
{
"url" : "pointOfService",
"valueBoolean" : false
}
],
"url" : "https://haau3.com/fhir/StructureDefinition/plan-benefits-plan-facts"
}
],
"identifier" : [
{
"system" : "http://cms.gov/medicare/ma-plan-id",
"value" : "H2406-013-000"
},
{
"system" : "https://haau3.com/fhir/NamingSystem/cms-ma-bid-id",
"value" : "H2406_013_0"
}
],
"status" : "active",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/insurance-product-type",
"code" : "mediadv",
"display" : "Medicare Advantage"
}
]
}
],
"name" : "AARP Medicare Advantage from UHC FL-0021 (PPO)",
"period" : {
"start" : "2027",
"end" : "2027"
},
"ownedBy" : {
"reference" : "#issuer",
"display" : "UnitedHealthcare"
},
"coverageArea" : [
{
"reference" : "#state-FL"
}
],
"contact" : [
{
"purpose" : {
"text" : "General Questions"
},
"telecom" : [
{
"system" : "phone",
"value" : "(866)627-7806"
},
{
"system" : "url",
"value" : "AARPMedicarePlans.com"
}
]
},
{
"purpose" : {
"text" : "Provider directory"
},
"telecom" : [
{
"system" : "url",
"value" : "AARPMedicarePlans.com"
}
]
}
],
"coverage" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "HIP",
"display" : "health insurance plan policy"
}
]
},
"benefit" : [
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category",
"code" : "primary-care-visit",
"display" : "Primary Care Visit"
},
{
"system" : "https://haau3.com/fhir/CodeSystem/cms-pbp-service-category",
"code" : "7a",
"display" : "Primary Care Physician Services"
}
]
}
},
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category",
"code" : "specialist-visit",
"display" : "Specialist Visit"
},
{
"system" : "https://haau3.com/fhir/CodeSystem/cms-pbp-service-category",
"code" : "7d",
"display" : "Physician Specialist Services"
}
]
}
},
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-benefit-category",
"code" : "urgent-care",
"display" : "Urgent Care"
},
{
"system" : "https://haau3.com/fhir/CodeSystem/cms-pbp-service-category",
"code" : "4b",
"display" : "Urgently Needed Services"
}
]
}
},
{
"type" : {
"coding" : [
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