{"caseSensitive":true,"concept":[{"code":"auth-requirements","definition":"The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.","display":"Coverage auth-requirements"},{"code":"benefits","definition":"The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.","display":"Coverage benefits"},{"code":"discovery","definition":"The insurer is requested to report on any coverages which they are aware of in addition to any specifed.","display":"Coverage Discovery"},{"code":"validation","definition":"A check that the specified coverages are in-force is requested.","display":"Coverage Validation"}],"contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"content":"complete","date":"2021-01-05T10:01:24+11:00","description":"A code specifying the types of information being requested.","experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fm"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":4}],"id":"eligibilityrequest-purpose","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.4.1183"}],"jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"meta":{"lastUpdated":"2026-03-31T18:55:04.283+00:00"},"name":"EligibilityRequestPurpose","publisher":"HL7 (FHIR Project)","resourceType":"CodeSystem","status":"active","text":{"div":"<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>","status":"generated"},"title":"Eligibility Request Purpose","url":"http://hl7.org/fhir/eligibilityrequest-purpose","valueSet":"http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose","version":"6.0.0-ballot4"}