Primary Coverage specifying Benefit Example

{
  "resourceType": "CoverageEligibilityRequest",
  "id": "52346",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityRequest</div>"

  "resourceType" : "CoverageEligibilityRequest",
  "id" : "52346",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityRequest</div>"

  },
  "identifier": [
    {
      "system": "http://happyvalley.com/coverageelegibilityrequest",
      "value": "52346"
    }
  ],
  "status": "active",
  "priority": {
    "coding": [
      {
        "code": "normal"
      }
    ]

  "identifier" : [{
    "system" : "http://happyvalley.com/coverageelegibilityrequest",
    "value" : "52346"
  }],
  "status" : "active",
  "priority" : {
    "coding" : [{
      "code" : "normal"
    }]

  },
  "purpose": [
    "validation",
    "benefits"
  ],
  "patient": {
    "reference": "Patient/pat1"

  "purpose" : ["validation",
  "benefits"],
  "patient" : {
    "reference" : "Patient/pat1"

  },
  "servicedDate": "2014-09-17",
  "created": "2014-08-16",
  "enterer": {
    "identifier": {
      "system": "http://happyvalleyclinic.com/staff",
      "value": "14"

  "servicedDate" : "2014-09-17",
  "created" : "2014-08-16",
  "enterer" : {
    "identifier" : {
      "system" : "http://happyvalleyclinic.com/staff",
      "value" : "14"

    }
  },
  "provider": {
    "reference": "Organization/1"

  "provider" : {
    "reference" : "Organization/1"

  },
  "insurer": {
    "reference": "Organization/2"

  "insurer" : {
    "reference" : "Organization/2"

  },
  "facility": {
    "identifier": {
      "system": "http://statecliniclicensor.com/clinicid",
      "value": "G35B9"

  "facility" : {
    "identifier" : {
      "system" : "http://statecliniclicensor.com/clinicid",
      "value" : "G35B9"

    }
  },
  "insurance": [
    {
      "coverage": {
        "reference": "Coverage/9876B1"
      },
      "businessArrangement": "NB8742"
    }
  ],
  "item": [
    {
      "category": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
            "code": "69",
            "display": "Maternity"
          }
        ]
      }

  "insurance" : [{
    "coverage" : {
      "reference" : "Coverage/9876B1"
    },
    "businessArrangement" : "NB8742"
  }],
  "item" : [{
    "category" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "code" : "69",
        "display" : "Maternity"
      }]

    }
  ]

  }]

}