EligibilityRequest

open class EligibilityRequest: DomainResource

Determine insurance validity and scope of coverage.

The EligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an EligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

  • Determine insurance validity and scope of coverage.

    The EligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an EligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

    Declaration

    Swift

    override open class var resourceType: String

  • Type of services covered.

    Declaration

    Swift

    public var benefitCategory: CodeableConcept?

  • Detailed services covered within the type.

    Declaration

    Swift

    public var benefitSubCategory: CodeableConcept?

  • Business agreement.

    Declaration

    Swift

    public var businessArrangement: FHIRString?

  • Insurance or medical plan.

    Declaration

    Swift

    public var coverage: Reference?

  • Creation date.

    Declaration

    Swift

    public var created: DateTime?

  • Author.

    Declaration

    Swift

    public var enterer: Reference?

  • Servicing Facility.

    Declaration

    Swift

    public var facility: Reference?

  • Business Identifier.

    Declaration

    Swift

    public var identifier: [Identifier]?

  • Target.

    Declaration

    Swift

    public var insurer: Reference?

  • Responsible organization.

    Declaration

    Swift

    public var organization: Reference?

  • The subject of the Products and Services.

    Declaration

    Swift

    public var patient: Reference?

  • Desired processing priority.

    Declaration

    Swift

    public var priority: CodeableConcept?

  • Responsible practitioner.

    Declaration

    Swift

    public var provider: Reference?

  • Estimated date or dates of Service.

    Declaration

    Swift

    public var servicedDate: FHIRDate?

  • Estimated date or dates of Service.

    Declaration

    Swift

    public var servicedPeriod: Period?

  • active | cancelled | draft | entered-in-error.

    Declaration

    Swift

    public var status: FHIRString?

  • active | cancelled | draft | entered-in-error.

    Declaration

    Swift

    override open func populate(from json: FHIRJSON, context instCtx: inout FHIRInstantiationContext)

  • Undocumented

    Declaration

    Swift

    open class EligibilityRequest: DomainResource