CoverageEligibilityRequest

CoverageEligibilityRequest

draftFHIR Core package4.3.0resource8 key elements

The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest
ID
CoverageEligibilityRequest
Type
CoverageEligibilityRequest
Base Definition
DomainResource
Derivation
specialization
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
status1..1
code
1+
active | cancelled | draft | entered-in-error
purpose1..*
code
1+
auth-requirements | benefits | discovery | validation
patient1..1
Reference
1+
Intended recipient of products and services
created1..1
dateTime
1+
Creation date
insurer1..1
Reference
1+
Coverage issuer
supportingInfo.sequence1..1
positiveInt
1+
Information instance identifier
supportingInfo.information1..1
Reference
1+
Data to be provided
insurance.coverage1..1
Reference
1+
Insurance information