NameFlagsCard.TypeDescription & Constraintsdoco
.. EligibilityResponse DomainResourceEligibilityResponse resource
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created 0..1dateTimeCreation date
... requestProvider 0..1Reference(Practitioner)Responsible practitioner
... requestOrganization 0..1Reference(Organization)Responsible organization
... request 0..1Reference(EligibilityRequest)Eligibility reference
... outcome 0..1CodeableConceptcomplete | error | partial
RemittanceOutcome (Required)
... disposition 0..1stringDisposition Message
... insurer 0..1Reference(Organization)Insurer
... inforce 0..1booleanCoverage inforce
... insurance 0..*BackboneElementDetails by insurance coverage
.... coverage 0..1Reference(Coverage)Updated Coverage details
.... contract 0..1Reference(Contract)Contract details
.... benefitBalance 0..*BackboneElementBenefits by Category
..... category 1..1CodeableConceptBenefit Category
Benefit Category Codes (Example)
..... subCategory 0..1CodeableConceptBenefit SubCategory
Benefit SubCategory Codes (Example)
..... excluded 0..1booleanExcluded from the plan
..... name 0..1stringShort name for the benefit
..... description 0..1stringDescription of the benefit
..... network 0..1CodeableConceptIn or out of network
Network Type Codes (Example)
..... unit 0..1CodeableConceptIndividual or family
Unit Type Codes (Example)
..... term 0..1CodeableConceptAnnual or lifetime
Benefit Term Codes (Example)
..... financial 0..*BackboneElementBenefit Summary
...... type 1..1CodeableConceptDeductable, visits, benefit amount
Benefit Type Codes (Example)
...... benefit[x] 0..1Benefits allowed
....... benefitUnsignedIntunsignedInt
....... benefitStringstring
....... benefitMoneyMoney
...... benefitUsed[x] 0..1Benefits used
....... benefitUsedUnsignedIntunsignedInt
....... benefitUsedMoneyMoney
... form 0..1CodeableConceptPrinted Form Identifier
Form Codes (Required)
... error 0..*BackboneElementProcessing errors
.... code 1..1CodeableConceptError code detailing processing issues
Adjudication Error Codes (Required)

doco Documentation for this format