Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

CodeSystem: EligibilityRequestPurpose

Official URL: http://hl7.org/fhir/eligibilityrequest-purpose Version: 5.0.0
Standards status: Trial-use Maturity Level: 2 Responsible: Financial Management Computable Name: EligibilityRequestPurpose

A code specifying the types of information being requested.

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

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

CodeDisplayDefinition
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.