<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibilityrequest-purpose"/>
  <meta>
    <lastUpdated value="2026-03-16T22:59:53.445+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b>Generated Narrative: CodeSystem eligibilityrequest-purpose</b>
      </p>
      <a name="eligibilityrequest-purpose"> </a>
      <a name="hceligibilityrequest-purpose"> </a>
      <p>This case-sensitive code system 
        <code>http://hl7.org/fhir/eligibilityrequest-purpose</code> defines the following codes:
      </p>
      <table class="codes">
        <tr>
          <td style="white-space:nowrap">
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
        </tr>
        <tr>
          <td style="white-space:nowrap">auth-requirements
            <a name="eligibilityrequest-purpose-auth-requirements"> </a>
          </td>
          <td>Coverage auth-requirements</td>
          <td>The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">benefits
            <a name="eligibilityrequest-purpose-benefits"> </a>
          </td>
          <td>Coverage benefits</td>
          <td>The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">discovery
            <a name="eligibilityrequest-purpose-discovery"> </a>
          </td>
          <td>Coverage Discovery</td>
          <td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">validation
            <a name="eligibilityrequest-purpose-validation"> </a>
          </td>
          <td>Coverage Validation</td>
          <td>A check that the specified coverages are in-force is requested.</td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="4"/>
  </extension>
  <url value="http://hl7.org/fhir/eligibilityrequest-purpose"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.4.1183"/>
  </identifier>
  <version value="6.0.0-ballot4"/>
  <name value="EligibilityRequestPurpose"/>
  <title value="Eligibility Request Purpose"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-01-05T10:01:24+11:00"/>
  <publisher value="HL7 (FHIR Project)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fhir@lists.hl7.org"/>
    </telecom>
  </contact>
  <description value="A code specifying the types of information being requested."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose"/>
  <content value="complete"/>
  <concept>
    <code value="auth-requirements"/>
    <display value="Coverage auth-requirements"/>
    <definition value="The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."/>
  </concept>
  <concept>
    <code value="benefits"/>
    <display value="Coverage benefits"/>
    <definition value="The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."/>
  </concept>
  <concept>
    <code value="discovery"/>
    <display value="Coverage Discovery"/>
    <definition value="The insurer is requested to report on any coverages which they are aware of in addition to any specifed."/>
  </concept>
  <concept>
    <code value="validation"/>
    <display value="Coverage Validation"/>
    <definition value="A check that the specified coverages are in-force is requested."/>
  </concept>
</CodeSystem>