{
  "resourceType" : "Bundle",
  "id" : "atrius-in-insuranceplan-bundle-example",
  "meta" : {
    "profile" : ["https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan-bundle"]
  },
  "language" : "en",
  "type" : "collection",
  "timestamp" : "2026-04-01T00:00:00+05:30",
  "entry" : [{
    "fullUrl" : "https://atrius.in/fhir/r4/atrius-in/InsurancePlan/atrius-in-insuranceplan-example",
    "resource" : {
      "resourceType" : "InsurancePlan",
      "id" : "atrius-in-insuranceplan-example",
      "meta" : {
        "profile" : ["https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan"]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"InsurancePlan_atrius-in-insuranceplan-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: InsurancePlan atrius-in-insuranceplan-example</b></p><a name=\"atrius-in-insuranceplan-example\"> </a><a name=\"hcatrius-in-insuranceplan-example\"> </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\">Profile: <a href=\"StructureDefinition-atrius-in-insuranceplan.html\">Atrius India Core InsurancePlan</a></p></div><blockquote><p><b>ClaimExclusion</b></p><ul><li>category: <span title=\"Codes:\">Cosmetic procedures</span></li><li>statement: Cosmetic and aesthetic procedures are excluded unless reconstructive after trauma.</li><li>item: <span title=\"Codes:\">Rhinoplasty (aesthetic)</span></li></ul></blockquote><blockquote><p><b>ClaimSupportingInfoRequirement</b></p><ul><li>category: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category FCF}\">Filled claim form</span></li><li>code: <span title=\"Codes:\">Discharge summary</span></li></ul></blockquote><p><b>identifier</b>: <a href=\"NamingSystem-atrius-in-irdai-product-uin-ns.html\" title=\"IRDAI Unique Identification Number (UIN) for a regulated insurance product. Used as InsurancePlan.identifier.system: the payer-issued product id that covers the combinations offered under that plan (NDHM InsurancePlan.identifier). Value is the UIN string (e.g. IRDAI product UIN or a PM-JAY product code in the same namespace). Do not use the bare website https://irdai.gov.in — that is not an identifier namespace.\">IRDAIProductUin</a>/PMJAY-HOSP-2026</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-insuranceplan-type 01}\">Hospitalization</span></p><p><b>name</b>: PM-JAY Hospitalization Cover</p><p><b>period</b>: 2026-04-01 --&gt; 2027-03-31</p><p><b>ownedBy</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><p><b>administeredBy</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><blockquote><p><b>coverage</b></p><blockquote><p><b>ClaimCondition</b></p><ul><li>claim-condition: Covered: dengue, malaria, and enteric fever requiring admission.</li></ul></blockquote><blockquote><p><b>ClaimSupportingInfoRequirement</b></p><ul><li>category: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category CER}\">Medical Certficate</span></li><li>code: <span title=\"Codes:\">Discharge summary</span></li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-coverage-type 00}\">Medical</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-benefit-type 00}\">Inpatient hospitalization</span></td></tr></table></blockquote><h3>Plans</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-plan-type 03}\">Standard</span></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "category",
          "valueCodeableConcept" : {
            "text" : "Cosmetic procedures"
          }
        },
        {
          "url" : "statement",
          "valueString" : "Cosmetic and aesthetic procedures are excluded unless reconstructive after trauma."
        },
        {
          "url" : "item",
          "valueCodeableConcept" : {
            "text" : "Rhinoplasty (aesthetic)"
          }
        }],
        "url" : "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Exclusion"
      },
      {
        "extension" : [{
          "url" : "category",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category",
              "code" : "FCF",
              "display" : "Filled claim form"
            }]
          }
        },
        {
          "url" : "code",
          "valueCodeableConcept" : {
            "text" : "Discharge summary"
          }
        }],
        "url" : "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"
      }],
      "identifier" : [{
        "system" : "https://irdai.gov.in/product-uin",
        "value" : "PMJAY-HOSP-2026"
      }],
      "status" : "active",
      "type" : [{
        "coding" : [{
          "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-insuranceplan-type",
          "code" : "01",
          "display" : "Hospitalisation Indemnity Policy"
        }],
        "text" : "Hospitalization"
      }],
      "name" : "PM-JAY Hospitalization Cover",
      "period" : {
        "start" : "2026-04-01",
        "end" : "2027-03-31"
      },
      "ownedBy" : {
        "reference" : "Organization/atrius-in-organization-example"
      },
      "administeredBy" : {
        "reference" : "Organization/atrius-in-organization-example"
      },
      "coverage" : [{
        "extension" : [{
          "extension" : [{
            "url" : "claim-condition",
            "valueString" : "Covered: dengue, malaria, and enteric fever requiring admission."
          }],
          "url" : "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"
        },
        {
          "extension" : [{
            "url" : "category",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category",
                "code" : "CER",
                "display" : "Medical Certficate"
              }]
            }
          },
          {
            "url" : "code",
            "valueCodeableConcept" : {
              "text" : "Discharge summary"
            }
          }],
          "url" : "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"
        }],
        "type" : {
          "coding" : [{
            "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-coverage-type",
            "code" : "00",
            "display" : "In Patient Hospitalization"
          }],
          "text" : "Medical"
        },
        "benefit" : [{
          "type" : {
            "coding" : [{
              "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-benefit-type",
              "code" : "00",
              "display" : "ICU"
            }],
            "text" : "Inpatient hospitalization"
          }
        }]
      }],
      "plan" : [{
        "extension" : [{
          "extension" : [{
            "url" : "claim-condition",
            "valueString" : "Pre-existing diabetes covered after 24 months."
          }],
          "url" : "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"
        }],
        "type" : {
          "coding" : [{
            "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-plan-type",
            "code" : "03",
            "display" : "Group"
          }],
          "text" : "Standard"
        }
      }]
    }
  }]
}