BCDA V2 Medicare Parts Coverage Resource Medicare Parts

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Andrew Fei

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Sep 15, 2026, 2:24:28 PMSep 15
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Hi there,

I have some questions about how BCDA sends coverage dates as part of the coverage resource.

Will we receive the different Medicare Parts as different lines on the NDJSON file always?

For example, if a patient is on both Medicare Part A and Medicare Part B both starting on 1/1/2020, will the coverage resource say:
"type":{
    "coding":[{
        "system" : "Medicare",
        "code" : "Part A"
    }]

And a second line say
"type":{
    "coding":[{
        "system" : "Medicare",
        "code" : "Part B"
    }]

Or should we expect a single line to say
"type":{
    "coding":[{
        "system" : "Medicare",
        "code" : "Part A and B"
    }]

Beneficiary Claims Data API (BCDA) Community

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Sep 25, 2026, 1:29:34 PM (8 days ago) Sep 25
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Hello,

Sorry for the delayed response and thank you for the question about how Parts A and B data is represented in the Coverage resource.

The Coverage resource will include separate items. One for Part A and one for Part B.

Thanks,

The BCDA Team

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