EligibilityResponsePurpose

EligibilityResponsePurpose

draftcomplete4 conceptsv4.0.1

A code specifying the types of information being requested.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/eligibilityresponse-purpose
All-Codes Value Set
http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose
ID
eligibilityresponse-purpose
Version
4.0.1
Publisher
HL7 (FHIR Project)
Case Sensitive
Yes
In the unified registry

Concepts (4)

auth-requirements
Coverage auth-requirements
The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.
benefits
Coverage benefits
The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.
discovery
Coverage Discovery
The insurer is requested to report on any coverages which they are aware of in addition to any specifed.
validation
Coverage Validation
A check that the specified coverages are in-force is requested.