Class EligibilityResponsePurpose

  • All Implemented Interfaces:
    Visitable

    @Generated("com.ibm.fhir.tools.CodeGenerator")
    public class EligibilityResponsePurpose
    extends Code
    • Field Detail

      • AUTH_REQUIREMENTS

        public static final EligibilityResponsePurpose AUTH_REQUIREMENTS
        Coverage auth-requirements

        The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.

      • BENEFITS

        public static final EligibilityResponsePurpose BENEFITS
        Coverage benefits

        The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.

      • DISCOVERY

        public static final EligibilityResponsePurpose DISCOVERY
        Coverage Discovery

        The insurer is requested to report on any coverages which they are aware of in addition to any specifed.

      • VALIDATION

        public static final EligibilityResponsePurpose VALIDATION
        Coverage Validation

        A check that the specified coverages are in-force is requested.