Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

4.3.14.294 Code System http://hl7.org/fhir/eligibilityresponse-purpose

Financial Management Work Group Maturity Level: 2Trial Use Use Context: Any

This is a code system defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/eligibilityresponse-purpose
Version:4.3.0-snapshot1
Name:EligibilityResponsePurpose
Title:EligibilityResponsePurpose
Definition:

A code specifying the types of information being requested.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.4.1185 (for OID based terminology systems)
Source ResourceXML / JSON

This Code system is used in the following value sets:

4.3.14.294.1 Content

4.3.14.294.2 EligibilityResponsePurpose

A code specifying the types of information being requested.

This code system http://hl7.org/fhir/eligibilityresponse-purpose defines the following codes:

Code Display Definition
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.

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

LevelA few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code