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TX: CodeSystem eligibilityresponse-purpose

Properties

Defining URL http://hl7.org/fhir/eligibilityresponse-purpose
Version 4.0.1
Name EligibilityResponsePurpose
Title EligibilityResponsePurpose
Status draft
Definition

A code specifying the types of information being requested.

Publisher HL7 (FHIR Project)
Committee fm
EXT_FMM_LEVEL 2
Value Set EligibilityResponsePurpose

This case-sensitive code system http://hl7.org/fhir/eligibilityresponse-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.