R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

4.3.2.220 CodeSystem http://hl7.org/fhir/eligibilityresponse-purpose

Financial Management icon Work Group Maturity Level: 2Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/eligibilityresponse-purpose Version: 5.0.0-draft-final
active as of 2021-01-05 Computable Name: EligibilityResponsePurpose
Flags: CaseSensitive, Complete. All codes ValueSet: Eligibility Response Purpose OID: 2.16.840.1.113883.4.642.4.1185

This Code system is used in the following value sets:

4.3.2.220.1 Definition

A code specifying the types of information being requested.

4.3.2.220.2 Content

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

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

 

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