NameFlagsCard.TypeDescription & Constraintsdoco
.. EligibilityResponse ΣDomainResourceEligibilityResponse resource
... identifier Σ0..*IdentifierBusiness Identifier
... request Σ0..1Reference(EligibilityRequest)Claim reference
... outcome Σ0..1codecomplete | error
RemittanceOutcome (Required)
... disposition Σ0..1stringDisposition Message
... ruleset Σ0..1CodingResource version
Ruleset Codes (Example)
... originalRuleset Σ0..1CodingOriginal version
Ruleset Codes (Example)
... created Σ0..1dateTimeCreation date
... organization Σ0..1Reference(Organization)Insurer
... requestProvider Σ0..1Reference(Practitioner)Responsible practitioner
... requestOrganization Σ0..1Reference(Organization)Responsible organization
... inforce Σ0..1booleanCoverage inforce
... contract Σ0..1Reference(Contract)Contract details
... form Σ0..1CodingPrinted Form Identifier
Form Codes (Required)
... benefitBalance Σ0..*BackboneElementBenefits by Category
.... category Σ1..1CodingBenefit Category
Benefit Category Codes (Example)
.... subCategory Σ0..1CodingBenefit SubCategory
Benefit SubCategory Codes (Example)
.... network Σ0..1CodingIn or out of network
Network Type Codes (Example)
.... unit Σ0..1CodingIndividual or family
Unit Type Codes (Example)
.... term Σ0..1CodingAnnual or lifetime
Benefit Term Codes (Example)
.... financial Σ0..*BackboneElementBenefit Summary
..... type Σ1..1CodingDeductable, visits, benefit amount
Benefit Type Codes (Example)
..... benefit[x] Σ0..1Benefits allowed
...... benefitUnsignedIntunsignedInt
...... benefitQuantityMoney
..... benefitUsed[x] Σ0..1Benefits used
...... benefitUsedUnsignedIntunsignedInt
...... benefitUsedQuantityMoney
... error Σ0..*BackboneElementProcessing errors
.... code Σ1..1CodingError code detailing processing issues
Adjudication Error Codes (Required)

doco Documentation for this format