{
  "resourceType" : "Coverage",
  "meta" : {
    "security" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code" : "HTEST",
      "display" : "test health data"
    } ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Touchstone Test Data - Coverage: Preferred Provider Organization policy</p></div>"
  },
  "identifier" : [ {
    "system" : "http://benefitsinc.com/certificate",
    "value" : "02118670-65692"
  } ],
  "status" : "draft",
  "type" : {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "EHCPOL",
      "display" : "extended healthcare"
    } ]
  },
  "subscriber" : {
    "reference" : "Patient/C6AMWSQJROUZHA5L"
  },
  "beneficiary" : {
    "reference" : "Patient/C6AMWSQJROUZHA5L"
  },
  "relationship" : {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
      "code" : "self",
      "display" : "Self"
    } ]
  },
  "period" : {
    "start" : "2018-12-01",
    "end" : "2019-11-30"
  },
  "payor" : [ {
    "identifier" : {
      "system" : "http://benefitsinc.com/insurer",
      "value" : "k5IT2FU-c6yk00gOlZL"
    },
    "display" : "k5IT2FU-c6yk00gOlZL"
  } ]
}