CoverageEligibilityResponse
This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
Endpoints
alpha
https://api.dev.ovok.com/fhir/R4/CoverageEligibilityResponse| Interaction | Method | Path |
|---|---|---|
| Read | GET | /fhir/R4/CoverageEligibilityResponse/[id] |
| Vread | GET | /fhir/R4/CoverageEligibilityResponse/[id]/_history/[vid] |
| Update | PUT | /fhir/R4/CoverageEligibilityResponse/[id] |
| Patch | PATCH | /fhir/R4/CoverageEligibilityResponse/[id] |
| Delete | DELETE | /fhir/R4/CoverageEligibilityResponse/[id] |
| Create | POST | /fhir/R4/CoverageEligibilityResponse |
| Search | GET | /fhir/R4/CoverageEligibilityResponse |
| History | GET | /fhir/R4/CoverageEligibilityResponse/[id]/_history |
Top-level elements
| Element | Type(s) | Cardinality | Description |
|---|---|---|---|
identifier | Identifier | 0..* | Business Identifier for coverage eligiblity request |
status | code | 1..1 | active | cancelled | draft | entered-in-error modifier |
purpose | code | 1..* | auth-requirements | benefits | discovery | validation |
patient | Reference | 1..1 | Intended recipient of products and services |
serviced[x] | date / Period | 0..1 | Estimated date or dates of service |
created | dateTime | 1..1 | Response creation date |
requestor | Reference | 0..1 | Party responsible for the request |
request | Reference | 1..1 | Eligibility request reference |
outcome | code | 1..1 | queued | complete | error | partial |
disposition | string | 0..1 | Disposition Message |
insurer | Reference | 1..1 | Coverage issuer |
insurance | BackboneElement | 0..* | Patient insurance information |
preAuthRef | string | 0..1 | Preauthorization reference |
form | CodeableConcept | 0..1 | Printed form identifier |
error | BackboneElement | 0..* | Processing errors |
Resource-specific search parameters
Reference
- Official FHIR R4 spec:
CoverageEligibilityResponse - Maturity: Trial Use 2 (FMM 2).