coverage

When used in the EVN mood, this concept means with respect to a covered party:

(1) A health care insurance policy or plan that is contractually binding between two or more parties; or

(2) A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program.

• When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party.
• The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.