This resource The EligibilityRequest provides the patient and insurance eligibility details from the coverage information to an insurer for them to respond, in the form of an EligibilityResponse, with information regarding a specified whether the stated coverage is valid and in-force and optionally some class to provide the insurance details of service. the policy.

The Response business identifier.

The version status of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources. instance.

This element is labeled as a modifier because the status contains codes that mark the request as not currently valid.

The style (standard) and version of the original material which was converted into this resource. Immediate (STAT), best effort (NORMAL), deferred (DEFER).

Knowledge of the original version can inform Patient Resource.

1..1.

The date or dates when the processing enclosed suite of this instance so that information which is processable by the originating system may be generated. services were performed or completed.

The date when this resource was created.

Person who created the invoice/claim/pre-determination or pre-authorization.

The Insurer practitioner who is target of responsible for the request. services rendered to the patient.

The organization which is responsible for the services rendered to the patient.

The practitioner Insurer who is responsible for the services rendered to target of the patient. request.

Facility where the services were provided.

The organization Financial instrument by which is responsible payment information for health care.

Need to identify the services rendered issuer to target for processing and for coordination of benefit processing.

1..1.

The contract number of a business agreement which describes the patient. terms and conditions.

Dental, Vision, Medical, Pharmacy, Rehab etc.

Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.