{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/amerihealth-caritas/refs/heads/main/json-schema/amerihealth-caritas-coverage-schema.json",
  "title": "AmeriHealthCaritasCoverage",
  "description": "JSON Schema mirroring the FHIR R4 Coverage resource exposed by AmeriHealth Caritas Patient Access. Coverage identifies an insurance plan that pays for healthcare for a beneficiary; here it identifies a Medicaid, CHIP, D-SNP, LTSS, or Marketplace coverage relationship with an AmeriHealth Caritas plan.",
  "type": "object",
  "required": ["resourceType", "status", "beneficiary", "payor"],
  "properties": {
    "resourceType": { "type": "string", "const": "Coverage" },
    "id": { "type": "string" },
    "meta": { "type": "object" },
    "identifier": { "type": "array", "items": { "type": "object" } },
    "status": { "type": "string", "enum": ["active", "cancelled", "draft", "entered-in-error"] },
    "type": { "type": "object" },
    "policyHolder": { "type": "object" },
    "subscriber": { "type": "object" },
    "subscriberId": { "type": "string" },
    "beneficiary": { "type": "object", "description": "Reference(Patient)" },
    "dependent": { "type": "string" },
    "relationship": { "type": "object" },
    "period": {
      "type": "object",
      "properties": {
        "start": { "type": "string", "format": "date-time" },
        "end": { "type": "string", "format": "date-time" }
      }
    },
    "payor": {
      "type": "array",
      "items": { "type": "object", "description": "Reference(Organization|Patient|RelatedPerson)" }
    },
    "class": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "type": { "type": "object" },
          "value": { "type": "string" },
          "name": { "type": "string" }
        }
      }
    },
    "order": { "type": "integer" },
    "network": { "type": "string" },
    "costToBeneficiary": { "type": "array", "items": { "type": "object" } },
    "subrogation": { "type": "boolean" },
    "contract": { "type": "array", "items": { "type": "object" } }
  }
}