CoverageEligibilityRequest

The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

Properties

Name	Card	Type	Description
id	0..1	string	Logical id of this artifact
meta	0..1	Meta	Metadata about the resource
implicitRules	0..1	uri	A set of rules under which this content was created
language	0..1	code	Language of the resource content
text	0..1	Narrative	Text summary of the resource, for human interpretation
contained	0..*	Resource	Contained, inline Resources
extension	0..*	Extension	Additional content defined by implementations
modifierExtension	0..*	Extension	Extensions that cannot be ignored
identifier	0..*	Identifier	Business Identifier for coverage eligiblity request
status	1..1	code	active | cancelled | draft | entered-in-error
priority	0..1	CodeableConcept	Desired processing priority
purpose	1..*	code	auth-requirements | benefits | discovery | validation
patient	1..1	Reference	Intended recipient of products and services
serviced[x]	0..1	date	Estimated date or dates of service
created	1..1	dateTime	Creation date
enterer	0..1	Reference	Author
provider	0..1	Reference	Party responsible for the request
insurer	1..1	Reference	Coverage issuer
facility	0..1	Reference	Servicing facility
supportingInfo	0..*	BackboneElement	Supporting information
insurance	0..*	BackboneElement	Patient insurance information
item	0..*	BackboneElement	Item to be evaluated for eligibiity

Search Parameters

Name	Type	Description	Expression
created	date	The creation date for the EOB	CoverageEligibilityRequest.created
enterer	reference	The party who is responsible for the request	CoverageEligibilityRequest.enterer
facility	reference	Facility responsible for the goods and services	CoverageEligibilityRequest.facility
identifier	token	The business identifier of the Eligibility	CoverageEligibilityRequest.identifier
patient	reference	The reference to the patient	CoverageEligibilityRequest.patient
provider	reference	The reference to the provider	CoverageEligibilityRequest.provider
status	token	The status of the EligibilityRequest	CoverageEligibilityRequest.status