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TX: CodeSystem eligibilityrequest-purpose

Properties

Profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem
Last updated: March 26, 2023 at 04:21:02 AM UTC
Defining URL http://hl7.org/fhir/eligibilityrequest-purpose
Version 5.0.0
Name EligibilityRequestPurpose
Title Eligibility Request Purpose
Status active
Definition

A code specifying the types of information being requested.
Publisher HL7 (FHIR Project)
Committee fm
EXT_FMM_LEVEL 2
Source hl7.fhir.r5.core#5.0.0
Value Set Eligibility Request Purpose

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

Code Display Definition
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.