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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

NameCardTypeDescription
id0..1stringLogical id of this artifact
meta0..1MetaMetadata about the resource
implicitRules0..1uriA set of rules under which this content was created
language0..1codeLanguage of the resource content
text0..1NarrativeText summary of the resource, for human interpretation
contained0..*ResourceContained, inline Resources
extension0..*ExtensionAdditional content defined by implementations
modifierExtension0..*ExtensionExtensions that cannot be ignored
identifier0..*IdentifierBusiness Identifier for coverage eligiblity request
status1..1codeactive | cancelled | draft | entered-in-error
priority0..1CodeableConceptDesired processing priority
purpose1..*codeauth-requirements | benefits | discovery | validation
patient1..1ReferenceIntended recipient of products and services
serviced[x]0..1dateEstimated date or dates of service
created1..1dateTimeCreation date
enterer0..1ReferenceAuthor
provider0..1ReferenceParty responsible for the request
insurer1..1ReferenceCoverage issuer
facility0..1ReferenceServicing facility
supportingInfo0..*BackboneElementSupporting information
insurance0..*BackboneElementPatient insurance information
item0..*BackboneElementItem to be evaluated for eligibiity

Search Parameters

NameTypeDescriptionExpression
createddateThe creation date for the EOBCoverageEligibilityRequest.created
entererreferenceThe party who is responsible for the requestCoverageEligibilityRequest.enterer
facilityreferenceFacility responsible for the goods and servicesCoverageEligibilityRequest.facility
identifiertokenThe business identifier of the EligibilityCoverageEligibilityRequest.identifier
patientreferenceThe reference to the patientCoverageEligibilityRequest.patient
providerreferenceThe reference to the providerCoverageEligibilityRequest.provider
statustokenThe status of the EligibilityRequestCoverageEligibilityRequest.status