CoverageEligibilityRequest
CoverageEligibilityRequest
draftResource58 elementsv5.0.0
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
- Base Definition
- Derivation
- specialization
- Publisher
- Health Level Seven International (Financial Management)
- Version
- 5.0.0
| Path | Card. | Type | Description |
|---|---|---|---|
CoverageEligibilityRequest | 0..* | CoverageEligibilityRequest resource | |
id | 0..1 | string | Logical id of this artifact |
meta | 0..1 | 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 contentrequired: all-languages |
text | 0..1 | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources |
extension | 0..* | Additional content defined by implementations | |
modifierExtension | 0..* | Extensions that cannot be ignored | |
identifier | 0..* | Business Identifier for coverage eligiblity request | |
status | 1..1 | code | active | cancelled | draft | entered-in-errorrequired: fm-status |
priority | 0..1 | Desired processing priorityexample: process-priority | |
purpose | 1..* | code | auth-requirements | benefits | discovery | validationrequired: eligibilityrequest-purpose |
patient | 1..1 | Intended recipient of products and services | |
event | 0..* | BackboneElement | Event information |
serviced[x] | 0..1 | datePeriod | Estimated date or dates of service |
created | 1..1 | dateTime | Creation date |
enterer | 0..1 | Author | |
provider | 0..1 | Party responsible for the request | |
insurer | 1..1 | Coverage issuer | |
facility | 0..1 | Servicing facility | |
supportingInfo | 0..* | BackboneElement | Supporting information |
insurance | 0..* | BackboneElement | Patient insurance information |
item | 0..* | BackboneElement | Item to be evaluated for eligibiity |