<?xml version="1.0" encoding="UTF-8"?><Coverage xmlns="http://hl7.org/fhir">
	<id value="7546D"/>

	<meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the coverage</div>
	</text>

	<identifier>
		<system value="http://xyz.com/codes/identifier"/>
		<value value="AB98761"/>
	</identifier>

	<status value="active"/>
	
	<kind value="insurance"/>

	<type>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
			<code value="EHCPOL"/>
			<display value="extended healthcare"/>
		</coding>
	</type>

	<subscriber>
		<reference value="Patient/5"/>
	</subscriber>

	<subscriberId>
		<value value="AB9876"/>
	</subscriberId>

	<beneficiary>
		<reference value="Patient/5"/>
	</beneficiary>

	<dependent value="1"/>

	<relationship>
		<coding>
			<code value="self"/>
		</coding>	 
	</relationship>

	<period> 
		<start value="2011-03-17"/>
		<end value="2012-03-17"/>
	</period>

	<insurer>
		<reference value="Organization/2"/>
	</insurer>

	<class>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
				<code value="group"/>
			</coding>
		</type>
		<value>
			<value value="WESTAIR"/>
		</value>
		<name value="Western Airlines"/>
	</class>

	<class>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
				<code value="plan"/>
			</coding>
		</type>
		<value>
			<value value="BG4352"/>
		</value>
		<name value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
	</class>

	<class>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
				<code value="subplan"/>
			</coding>
		</type>
		<value>
			<value value="D15C9"/>
		</value>
		<name value="Platinum"/>
	</class>

	<order value="2"/>   <!--  Second after the national medical coverage  -->

	<network value="5"/>

	<costToBeneficiary>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
				<code value="gpvisit"/>   <!--  normally $40.00  -->
			</coding>
		</type>
		<valueMoney>
			<value value="20.00"/>
			<currency value="USD"/>
		</valueMoney>
		<exception>
			<type>
				<coding>
					<system value="http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"/>
					<code value="retired"/>
				</coding>
			</type>
			<period>
				<start value="2018-01-01"/>
				<end value="2018-12-31"/>
			</period>
		</exception>
	</costToBeneficiary>

	<contract>
		<reference value="Contract/INS-101"/>
	</contract>

</Coverage>