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4.4.1.742 ValueSet http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose

Financial Management icon Work Group  Maturity Level: 4 Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose Version: 6.0.0-ballot2
draft as of 2020-12-28 Computable Name: EligibilityResponsePurpose
Flags: Immutable OID: 2.16.840.1.113883.4.642.3.1184

This value set is used in the following places:

4.4.1.742.1 Definition

A code specifying the types of information being requested.

4.4.1.742.2 Content Logical Definition

Generated Narrative: ValueSet eligibilityresponse-purpose

Last updated: 2024-11-12T02:57:08.856Z

Profile: Shareable ValueSet

 

4.4.1.742.3 Expansion

This expansion generated 12 Nov 2024

Generated Narrative: ValueSet

Last updated: 2024-11-12T02:57:08.856Z

Profile: Shareable ValueSet

Expansion based on codesystem Eligibility Response Purpose v6.0.0-ballot2 (CodeSystem)

This value set contains 4 concepts

CodeSystemDisplayDefinition
  auth-requirements http://hl7.org/fhir/eligibilityresponse-purpose 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 http://hl7.org/fhir/eligibilityresponse-purpose Coverage benefits

The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.

  discovery http://hl7.org/fhir/eligibilityresponse-purpose Coverage Discovery

The insurer is requested to report on any coverages which they are aware of in addition to any specifed.

  validation http://hl7.org/fhir/eligibilityresponse-purpose Coverage Validation

A check that the specified coverages are in-force is requested.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code