{ "$schema": "https://json-schema.org/draft/2020-12/schema", "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealth/refs/heads/main/json-schema/optum-fhir-coverage-schema.json", "title": "UnitedHealth Group FHIR Coverage", "description": "FHIR R4 Coverage resource representing UnitedHealth Group insurance coverage including plan, group, and benefit period", "type": "object", "properties": { "resourceType": { "type": "string", "enum": [ "Coverage" ], "description": "FHIR resource type" }, "id": { "type": "string", "description": "Resource ID" }, "status": { "type": "string", "enum": [ "active", "cancelled", "draft", "entered-in-error" ], "description": "Coverage status" }, "type": { "type": "object", "description": "Coverage type coding" }, "subscriber": { "type": "object", "description": "Subscriber reference" }, "subscriberId": { "type": "string", "description": "Subscriber/member ID" }, "beneficiary": { "type": "object", "description": "Beneficiary patient reference" }, "relationship": { "type": "object", "description": "Relationship to subscriber" }, "period": { "type": "object", "description": "Coverage period", "properties": { "start": { "type": "string", "format": "date" }, "end": { "type": "string", "format": "date" } } }, "payor": { "type": "array", "description": "Payer references", "items": { "type": "object" } }, "class": { "type": "array", "description": "Plan classification", "items": { "type": "object", "properties": { "type": { "type": "object" }, "value": { "type": "string" }, "name": { "type": "string" } } } } } }