http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest|5.0.0
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.
| type | destination |
|---|---|
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DomainResource |
| type | http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest |
| CoverageEligibilityRequest.identifier.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| CoverageEligibilityRequest.status.type | http://hl7.org/fhir/StructureDefinition/code |
| CoverageEligibilityRequest.status.binding.valueSet | http://hl7.org/fhir/ValueSet/fm-status | 5.0.0 |
| CoverageEligibilityRequest.priority.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.priority.binding.valueSet | http://hl7.org/fhir/ValueSet/process-priority |
| CoverageEligibilityRequest.purpose.type | http://hl7.org/fhir/StructureDefinition/code |
| CoverageEligibilityRequest.purpose.binding.valueSet | http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose | 5.0.0 |
| CoverageEligibilityRequest.patient.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.patient.targetProfile | http://hl7.org/fhir/StructureDefinition/Patient |
| CoverageEligibilityRequest.event.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| CoverageEligibilityRequest.event.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.event.type.binding.valueSet | http://hl7.org/fhir/ValueSet/datestype |
| CoverageEligibilityRequest.event.when[x].type | http://hl7.org/fhir/StructureDefinition/dateTime |
| CoverageEligibilityRequest.event.when[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| CoverageEligibilityRequest.serviced[x].type | http://hl7.org/fhir/StructureDefinition/date |
| CoverageEligibilityRequest.serviced[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| CoverageEligibilityRequest.created.type | http://hl7.org/fhir/StructureDefinition/dateTime |
| CoverageEligibilityRequest.enterer.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| CoverageEligibilityRequest.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| CoverageEligibilityRequest.provider.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| CoverageEligibilityRequest.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| CoverageEligibilityRequest.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| CoverageEligibilityRequest.insurer.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.insurer.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| CoverageEligibilityRequest.facility.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.facility.targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| CoverageEligibilityRequest.supportingInfo.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| CoverageEligibilityRequest.supportingInfo.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| CoverageEligibilityRequest.supportingInfo.information.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.supportingInfo.information.targetProfile | http://hl7.org/fhir/StructureDefinition/Resource |
| CoverageEligibilityRequest.supportingInfo.appliesToAll.type | http://hl7.org/fhir/StructureDefinition/boolean |
| CoverageEligibilityRequest.insurance.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| CoverageEligibilityRequest.insurance.focal.type | http://hl7.org/fhir/StructureDefinition/boolean |
| CoverageEligibilityRequest.insurance.coverage.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.insurance.coverage.targetProfile | http://hl7.org/fhir/StructureDefinition/Coverage |
| CoverageEligibilityRequest.insurance.businessArrangement.type | http://hl7.org/fhir/StructureDefinition/string |
| CoverageEligibilityRequest.item.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| CoverageEligibilityRequest.item.supportingInfoSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| CoverageEligibilityRequest.item.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.item.category.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-benefitcategory |
| CoverageEligibilityRequest.item.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.item.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| CoverageEligibilityRequest.item.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.item.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| CoverageEligibilityRequest.item.provider.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.item.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| CoverageEligibilityRequest.item.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| CoverageEligibilityRequest.item.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| CoverageEligibilityRequest.item.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| CoverageEligibilityRequest.item.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| CoverageEligibilityRequest.item.facility.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.item.facility.targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| CoverageEligibilityRequest.item.facility.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| CoverageEligibilityRequest.item.diagnosis.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| CoverageEligibilityRequest.item.diagnosis.diagnosis[x].type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| CoverageEligibilityRequest.item.diagnosis.diagnosis[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.item.diagnosis.diagnosis[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Condition |
| CoverageEligibilityRequest.item.diagnosis.diagnosis[x].binding.valueSet | http://hl7.org/fhir/ValueSet/icd-10 |
| CoverageEligibilityRequest.item.detail.type | http://hl7.org/fhir/StructureDefinition/Reference |
| CoverageEligibilityRequest.item.detail.targetProfile | http://hl7.org/fhir/StructureDefinition/Resource |