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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibilityrequest-purpose"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem eligibilityrequest-purpose</b></p><a name="eligibilityrequest-purpose"> </a><a name="hceligibilityrequest-purpose"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibilityrequest-purpose</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">auth-requirements<a name="eligibilityrequest-purpose-auth-requirements"> </a></td><td>Coverage auth-requirements</td><td>The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.</td></tr><tr><td style="white-space:nowrap">benefits<a name="eligibilityrequest-purpose-benefits"> </a></td><td>Coverage benefits</td><td>The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.</td></tr><tr><td style="white-space:nowrap">discovery<a name="eligibilityrequest-purpose-discovery"> </a></td><td>Coverage Discovery</td><td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td></tr><tr><td style="white-space:nowrap">validation<a name="eligibilityrequest-purpose-validation"> </a></td><td>Coverage Validation</td><td>A check that the specified coverages are in-force is requested.</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4.r3"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://hl7.org/fhir/eligibilityrequest-purpose"/>
  <version value="4.0.1"/>
  <name value="EligibilityRequestPurpose"/>
  <title value="EligibilityRequestPurpose"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2019-10-31T17:29:23-05:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description value="A code specifying the types of information being requested."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose"/>
  <content value="complete"/>
  <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>