CoverageEligibilityResponse

CoverageEligibilityResponse

draftFHIR Core package4.3.0resource10 key elements

This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse
ID
CoverageEligibilityResponse
Type
CoverageEligibilityResponse
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+
Response creation date
request1..1
Reference
1+
Eligibility request reference
outcome1..1
code
1+
queued | complete | error | partial
insurer1..1
Reference
1+
Coverage issuer
insurance.coverage1..1
Reference
1+
Insurance information
insurance.item.benefit.type1..1
CodeableConcept
1+
Benefit classification
error.code1..1
CodeableConcept
1+
Error code detailing processing issues