Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

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

Financial Management icon Work Group Maturity Level: 2 Trial Use Use Context: Country: World

Official URL: http://hl7.org/fhir/eligibilityresponse-purpose Version: 5.0.0

active as of 2021年01月05日 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:

ValueSet: Eligibility Response Purpose (A code specifying the types of information being requested.)

4.3.2.221.1 Definition

A code specifying the types of information being requested.

4.3.2.221.2 Content

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

Code Display Definition Copy

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. btn btn

benefits Coverage benefits The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested. btn btn

discovery Coverage Discovery The insurer is requested to report on any coverages which they are aware of in addition to any specifed. btn btn

validation Coverage Validation A 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:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.

Source The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display The 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

Definition An explanation of the meaning of the concept

Comments Additional notes about how to use the code