CoverageEligibilityResponse

CoverageEligibilityResponse

draftResource58 elementsv4.0.1

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
Base Definition
Derivation
specialization
Publisher
Health Level Seven International (Financial Management)
Version
4.0.1
PathCard.TypeDescription
CoverageEligibilityResponse
0..*
CoverageEligibilityResponse resource
id
0..1
string
Logical id of this artifact
meta
0..1
Meta
Metadata about the resource
implicitRules
0..1
uri
A set of rules under which this content was created
language
0..1
code
Language of the resource contentpreferred: languages
text
0..1
Narrative
Text summary of the resource, for human interpretation
contained
0..*
Resource
Contained, inline Resources
extension
0..*
Extension
Additional content defined by implementations
modifierExtension
0..*
Extension
Extensions that cannot be ignored
identifier
0..*
Identifier
Business Identifier for coverage eligiblity request
status
1..1
code
active | cancelled | draft | entered-in-errorrequired: fm-status
purpose
1..*
code
auth-requirements | benefits | discovery | validationrequired: eligibilityresponse-purpose
patient
1..1
Reference
Intended recipient of products and services
serviced[x]
0..1
datePeriod
Estimated date or dates of service
created
1..1
dateTime
Response creation date
requestor
0..1
Reference
Party responsible for the request
request
1..1
Reference
Eligibility request reference
outcome
1..1
code
queued | complete | error | partialrequired: remittance-outcome
disposition
0..1
string
Disposition Message
insurer
1..1
Reference
Coverage issuer
insurance
0..*
BackboneElement
Patient insurance information
preAuthRef
0..1
string
Preauthorization reference
form
0..1
CodeableConcept
Printed form identifierexample: forms
error
0..*
BackboneElement
Processing errors