EligibilityResponsePurpose

Eligibility Response Purpose

activeExtensions for Using Data Elements from FHIR R5 in FHIR R40.1.0complete4 concepts

A code specifying the types of information being requested.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/eligibilityresponse-purpose
ID
eligibilityresponse-purpose
Version
5.0.0
Publisher
Financial Management
Case Sensitive
Yes

Concepts (4)

CodeDisplayDefinition
auth-requirementsCoverage auth-requirementsThe prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.
benefitsCoverage benefitsThe plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.
discoveryCoverage DiscoveryThe insurer is requested to report on any coverages which they are aware of in addition to any specifed.
validationCoverage ValidationA check that the specified coverages are in-force is requested.