CoverageEligibilityResponse

This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.

These interaction paths describe standard FHIR R4 patterns. Availability can depend on the API capabilities enabled for your Ovok project.

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	Cardinality	Description
id	string	0..1	Logical id of this artifact
meta	Meta	0..1	Metadata about the resource
implicitRules	uri	0..1	A set of rules under which this content was created
language	code	0..1	Language of the resource content
text	Narrative	0..1	Text summary of the resource, for human interpretation
contained	Resource	0..*	Contained, inline Resources
extension	Extension	0..*	Additional content defined by implementations
modifierExtension	Extension	0..*	Extensions that cannot be ignored
identifier	Identifier	0..*	Business Identifier for coverage eligiblity request
status	code	1..1	active | cancelled | draft | entered-in-error
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

Parameter	Type	Description
created	date	The creation date
disposition	string	The contents of the disposition message
identifier	token	The business identifier
insurer	reference	The organization which generated this resource
outcome	token	The processing outcome
patient	reference	The reference to the patient
request	reference	The EligibilityRequest reference
requestor	reference	The EligibilityRequest provider
status	token	The EligibilityRequest status

Reference

Official FHIR R4 spec: CoverageEligibilityResponse.
Maturity: Trial Use 2 (FMM 2).