Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
Σ | DomainResource | EligibilityResponse resource | ||
Σ | 0..* | Identifier | Business Identifier | |
Σ | 0..1 | Reference(EligibilityRequest) | Claim reference | |
Σ | 0..1 | code | complete | error RemittanceOutcome (Required) | |
Σ | 0..1 | string | Disposition Message | |
Σ | 0..1 | Coding | Resource version Ruleset Codes (Example) | |
Σ | 0..1 | Coding | Original version Ruleset Codes (Example) | |
Σ | 0..1 | dateTime | Creation date | |
Σ | 0..1 | Reference(Organization) | Insurer | |
Σ | 0..1 | Reference(Practitioner) | Responsible practitioner | |
Σ | 0..1 | Reference(Organization) | Responsible organization | |
Σ | 0..1 | boolean | Coverage inforce | |
Σ | 0..1 | Reference(Contract) | Contract details | |
Σ | 0..1 | Coding | Printed Form Identifier Form Codes (Required) | |
Σ | 0..* | BackboneElement | Benefits by Category | |
Σ | 1..1 | Coding | Benefit Category Benefit Category Codes (Example) | |
Σ | 0..1 | Coding | Benefit SubCategory Benefit SubCategory Codes (Example) | |
Σ | 0..1 | Coding | In or out of network Network Type Codes (Example) | |
Σ | 0..1 | Coding | Individual or family Unit Type Codes (Example) | |
Σ | 0..1 | Coding | Annual or lifetime Benefit Term Codes (Example) | |
Σ | 0..* | BackboneElement | Benefit Summary | |
Σ | 1..1 | Coding | Deductable, visits, benefit amount Benefit Type Codes (Example) | |
Σ | 0..1 | Benefits allowed | ||
unsignedInt | ||||
Money | ||||
Σ | 0..1 | Benefits used | ||
unsignedInt | ||||
Money | ||||
Σ | 0..* | BackboneElement | Processing errors | |
Σ | 1..1 | Coding | Error code detailing processing issues Adjudication Error Codes (Required) | |
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