Eligibility Request Purpose

• Official URL: http://hl7.org/fhir/eligibilityrequest-purpose
• Version: 6.0.0
• Status: active
• Name: EligibilityRequestPurpose
• Title: Eligibility Request Purpose
• Description: EligibilityRequestPurpose

Concepts

CodeSystem XML

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibilityrequest-purpose"/>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <url value="http://hl7.org/fhir/eligibilityrequest-purpose"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.4.1183"/>
  </identifier>
  <version value="6.0.0"/>
  <name value="EligibilityRequestPurpose"/>
  <title value="Eligibility Request Purpose"/>
  <status value="active"/>
  <experimental value="true"/>
  <description value="EligibilityRequestPurpose"/>
  <concept>
    <code value="auth-requirements"/>
    <display value="Coverage auth-requirements"/>
    <definition value="The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."/>
  </concept>
  <concept>
    <code value="benefits"/>
    <display value="Coverage benefits"/>
    <definition value="The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."/>
  </concept>
  <concept>
    <code value="discovery"/>
    <display value="Coverage Discovery"/>
    <definition value="The insurer is requested to report on any coverages which they are aware of in addition to any specifed."/>
  </concept>
  <concept>
    <code value="validation"/>
    <display value="Coverage Validation"/>
    <definition value="A check that the specified coverages are in-force is requested."/>
  </concept>
</CodeSystem>