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4.3.2.229 CodeSystem http://hl7.org/fhir/eligibilityresponse-purpose

Financial Management icon Work Group  Maturity Level: 2 Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/eligibilityresponse-purpose Version: 6.0.0-ballot2
active as of 2021-01-04 Computable Name: EligibilityResponsePurpose
Flags: CaseSensitive, Complete. All codes ValueSet: Eligibility Response Purpose OID: 2.16.840.1.113883.4.642.4.1185

This Code system is used in the following value sets:

4.3.2.229.1 Definition

A code specifying the types of information being requested.

4.3.2.229.2 Content

Generated Narrative: CodeSystem eligibilityresponse-purpose

Last updated: 2024-12-12T18:56:29.677Z

Profile: Shareable CodeSystem

This case-sensitive code system http://hl7.org/fhir/eligibilityresponse-purpose defines the following codes:

CodeDisplayDefinitionCopy
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. btn btn
benefits Coverage benefits The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested. btn btn
discovery Coverage Discovery The insurer is requested to report on any coverages which they are aware of in addition to any specifed. btn btn
validation Coverage Validation A check that the specified coverages are in-force is requested. btn btn

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. 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