Insurance Plan

Type Properties

Properties
Property	Value
id	9366440c-ec81-4b89-b231-308a4c4d70ed
name	Insurance Plan
uncreatable	false
immutable	false
singleton	false
transforms	form, mtt, stt

Type Details

payer Information about the person or organization that pays for health and medical related bills.
Name	Type	IsRequired	Description
plan-name	string	No	The display name for the plan. For example, 'Premera Blue Cross'.
coverage-type	t:codable-value	No	The type of coverage the plan provides. For example, 'medical', 'dental', etc.
carrier-id	string	No	The carrier identifier. For example, 'BCBS430'.
group-num	string	No	The group number in the plan.
plan-code	string	No	The plan code or prefix. For example, 'MSJ'.
subscriber-id	string	No	The identifier for the insurance subscriber.
person-code	string	No	The person's code in the plan or suffix. For example, 01 = subscriber, etc.
subscriber-name	string	No	The name of the subscriber.
subscriber-dob	d:date-time	No	The subscriber's date of birth.
is-primary	boolean	No	States whether this is the primary coverage for the person. If true, this is the primary coverage for the person. If false, the person may have other coverage.
expiration-date	d:date-time	No	The date the coverage expires.
contact	t:contact	No	Contact information for the plan.

Schema

Open schema as a file

Verify XML against this schema

<schema xmlns:payer="urn:com.microsoft.wc.thing.payer" xmlns:t="urn:com.microsoft.wc.thing.types" xmlns:d="urn:com.microsoft.wc.dates" xmlns="http://www.w3.org/2001/XMLSchema" targetNamespace="urn:com.microsoft.wc.thing.payer">
  <import namespace="urn:com.microsoft.wc.thing.types" schemaLocation="base.xsd" />
  <import namespace="urn:com.microsoft.wc.dates" schemaLocation="dates.xsd" />
  <annotation>
    <documentation>
      <type-id>9366440c-ec81-4b89-b231-308a4c4d70ed</type-id>
      <type-name>Insurance Plan</type-name>
      <wrapper-class-name>Payer</wrapper-class-name>
      <wrapper-class-fwlink>136173</wrapper-class-fwlink>
      <sample-xml-fwlink>136174</sample-xml-fwlink>
      <data-type-guide-fwlink>136172</data-type-guide-fwlink>
      <summary>Information about the person or organization that paysfor health and medical related bills.</summary>
    </documentation>
  </annotation>
  <element name="payer">
    <complexType>
      <annotation>
        <documentation>
          <summary>Information about the person or organization that paysfor health and medical related bills.</summary>
        </documentation>
      </annotation>
      <sequence>
        <element name="plan-name" type="string" minOccurs="1" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The display name for the plan.</summary>
              <remarks>For example, 'Premera Blue Cross'.</remarks>
            </documentation>
          </annotation>
        </element>
        <element name="coverage-type" type="t:codable-value" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The type of coverage the plan provides.</summary>
              <remarks>For example, 'medical', 'dental', etc.</remarks>
              <preferred-vocabulary>coverage-types</preferred-vocabulary>
            </documentation>
          </annotation>
        </element>
        <element name="carrier-id" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The carrier identifier.</summary>
              <remarks>For example, 'BCBS430'.</remarks>
            </documentation>
          </annotation>
        </element>
        <element name="group-num" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The group number in the plan.</summary>
            </documentation>
          </annotation>
        </element>
        <element name="plan-code" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The plan code or prefix.</summary>
              <remarks>For example, 'MSJ'.</remarks>
            </documentation>
          </annotation>
        </element>
        <element name="subscriber-id" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The identifier for the insurance subscriber.</summary>
            </documentation>
          </annotation>
        </element>
        <element name="person-code" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The person's code in the plan or suffix.</summary>
              <remarks>For example, 01 = subscriber, etc.</remarks>
            </documentation>
          </annotation>
        </element>
        <element name="subscriber-name" type="string" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The name of the subscriber.</summary>
            </documentation>
          </annotation>
        </element>
        <element name="subscriber-dob" type="d:date-time" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The subscriber's date of birth.</summary>
            </documentation>
          </annotation>
        </element>
        <element name="is-primary" type="boolean" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>States whether this is the primary coveragefor the person.</summary>
              <remarks>If true, this is the primary coverage for theperson. If false, the person may have othercoverage.</remarks>
            </documentation>
          </annotation>
        </element>
        <element name="expiration-date" type="d:date-time" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>The date the coverage expires.</summary>
            </documentation>
          </annotation>
        </element>
        <element name="contact" type="t:contact" minOccurs="0" maxOccurs="1">
          <annotation>
            <documentation>
              <summary>Contact information for the plan.</summary>
            </documentation>
          </annotation>
        </element>
      </sequence>
    </complexType>
  </element>
</schema>

Columns

Columns describe this type in the STT and MTT transformations.

Columns
Tag	Label	Type	Width
plan	Insurance Plan	String	100
type	Type	String	100
subscriber	Subscriber	String	100
group	Group Number	String	100
idnum	Subscriber ID	String	100
wc-note	Note	String	100
wc-id	ID	String	50
wc-version	Version Stamp	String	50
wc-tags	Tags	String	100
wc-date	Effective Date	DateTime	50
wc-type	Type Name	String	50
wc-typeid	Type ID	String	50
wc-source	Source	String	100
wc-brands	Brands	String	100
wc-relatedthings	Related Items	String	100
wc-ispersonal	Is Personal	Boolean	40
wc-audit-personname	Changed by	String	100
wc-audit-date	Date	DateTime	100
wc-audit-action	Action	String	100
wc-audit-appname	Program	String	100
wc-issigned	Signed	Boolean	50
wc-isdownversioned	Down Versioned	Boolean	50
wc-isupversioned	Up Versioned	Boolean	50
wc-state	Item State	String	50

Microsoft HealthVault

Insurance Plan

Type Properties

Type Details

Schema

Columns