|
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. |