CoverageEligibilityResponse
This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
Endpoints
dev
https://api.sandbox.ovok.com/fhir/R5/CoverageEligibilityResponse| Interaction | Method | Path |
|---|---|---|
| Read | GET | /fhir/R5/CoverageEligibilityResponse/[id] |
| Vread | GET | /fhir/R5/CoverageEligibilityResponse/[id]/_history/[vid] |
| Update | PUT | /fhir/R5/CoverageEligibilityResponse/[id] |
| Patch | PATCH | /fhir/R5/CoverageEligibilityResponse/[id] |
| Delete | DELETE | /fhir/R5/CoverageEligibilityResponse/[id] |
| Create | POST | /fhir/R5/CoverageEligibilityResponse |
| Search | GET | /fhir/R5/CoverageEligibilityResponse?... |
| History | GET | /fhir/R5/CoverageEligibilityResponse/[id]/_history |
| Type-history | GET | /fhir/R5/CoverageEligibilityResponse/_history |
Top-level elements
| Element | Type(s) | Cardinality | Description |
|---|---|---|---|
identifier | Identifier | 0..* | Business Identifier for coverage eligiblity request |
status | code | 1..1 | active |
purpose | code | 1..* | auth-requirements |
patient | Reference | 1..1 | Intended recipient of products and services |
event | BackboneElement | 0..* | Event information |
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 |
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 | Account number |
insurer | reference | The organization which generated this resource |
outcome | token | The processing outcome |
patient | reference | The entity that caused the expenses |
request | reference | The EligibilityRequest reference |
requestor | reference | The EligibilityRequest provider |
status | token | The EligibilityRequest status |
Reference
- Official FHIR R5 spec:
CoverageEligibilityResponse - Maturity: Trial Use 4 (FMM 4).