{"resourceType":"CodeSystem","id":"eligibilityresponse-purpose","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem eligibilityresponse-purpose</b></p><a name=\"eligibilityresponse-purpose\"> </a><a name=\"hceligibilityresponse-purpose\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibilityresponse-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=\"eligibilityresponse-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=\"eligibilityresponse-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=\"eligibilityresponse-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=\"eligibilityresponse-purpose-validation\"> </a></td><td>Coverage Validation</td><td>A check that the specified coverages are in-force is requested.</td></tr></table></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":2},{"extension":[{"url":"packageId","valueId":"hl7.fhir.uv.xver-r4.r5"},{"url":"version","valueString":"0.1.0"},{"url":"uri","valueUri":"http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"}],"url":"http://hl7.org/fhir/StructureDefinition/package-source"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fm"}],"url":"http://hl7.org/fhir/eligibilityresponse-purpose","version":"4.0.1","name":"EligibilityResponsePurpose","title":"EligibilityResponsePurpose","status":"draft","experimental":false,"date":"2019-10-31T17:29:23-05:00","publisher":"Financial Management","contact":[{"name":"Financial Management","telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fm"}]}],"description":"A code specifying the types of information being requested.","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"caseSensitive":true,"valueSet":"http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|5.0.0","content":"complete","concept":[{"code":"auth-requirements","display":"Coverage auth-requirements","definition":"The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."},{"code":"benefits","display":"Coverage benefits","definition":"The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."},{"code":"discovery","display":"Coverage Discovery","definition":"The insurer is requested to report on any coverages which they are aware of in addition to any specifed."},{"code":"validation","display":"Coverage Validation","definition":"A check that the specified coverages are in-force is requested."}]}