Financial Management Work Group Maturity Level: 0 Trial Use Security Category: Patient Compartments: Patient

EnrollmentRequest

Element Id EnrollmentRequest

Definition

This resource provides the insurance enrollment details to the insurer regarding a specified coverage.

Cardinality 0..*

Type DomainResource

Summary false

EnrollmentRequest.identifier

Element Id EnrollmentRequest.identifier

Definition

The Response business identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Cardinality 0..*

Type Identifier

Summary false

EnrollmentRequest.status

Element Id EnrollmentRequest.status

Definition

The status of the resource instance.

Cardinality 0..1

Terminology Binding Financial Resource Status Codes (Required)

Type code

Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)

Summary true

Comments

This element is labeled as a modifier because the status contains codes that mark the request as not currently valid.

EnrollmentRequest.created

Element Id EnrollmentRequest.created

Definition

The date when this resource was created.

Cardinality 0..1

Type dateTime

Summary false

EnrollmentRequest.insurer

Element Id EnrollmentRequest.insurer

Definition

The Insurer who is target of the request.

Cardinality 0..1

Type Reference(Organization)

Summary false

EnrollmentRequest.provider

Element Id EnrollmentRequest.provider

Definition

The practitioner who is responsible for the services rendered to the patient.

Cardinality 0..1

Type Reference(Practitioner | PractitionerRole | Organization)

Summary false

EnrollmentRequest.candidate

Element Id EnrollmentRequest.candidate

Definition

Patient Resource.

Cardinality 0..1

Type Reference(Patient)

Summary false

EnrollmentRequest.coverage

Element Id EnrollmentRequest.coverage

Definition

Reference to the program or plan identification, underwriter or payor.

Cardinality 0..1

Type Reference(Coverage)

Requirements

Need to identify the issuer to target for processing and for coordination of benefit processing.

Summary false