{
"description": "A code specifying the types of information being requested.",
"_filename": "CodeSystem-eligibilityresponse-purpose.json",
"package_name": "hl7.fhir.uv.xver-r4.r5",
"date": "2019-10-31T17:29:23-05:00",
"publisher": "Financial Management",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"content": "complete",
"name": "EligibilityResponsePurpose",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "EligibilityResponsePurpose",
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r5"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
} ],
"status": "draft",
"id": "b96f1ebd-103c-4dee-b827-9c27c4c267e4",
"valueSet": "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|5.0.0",
"kind": null,
"url": "http://hl7.org/fhir/eligibilityresponse-purpose",
"concept": [ {
"code": "auth-requirements",
"display": "Coverage 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."
}, {
"code": "benefits",
"display": "Coverage benefits",
"definition": "The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested."
}, {
"code": "discovery",
"display": "Coverage Discovery",
"definition": "The insurer is requested to report on any coverages which they are aware of in addition to any specifed."
}, {
"code": "validation",
"display": "Coverage Validation",
"definition": "A check that the specified coverages are in-force is requested."
} ],
"caseSensitive": true,
"version": "4.0.1",
"contact": [ {
"name": "Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ]
}