Level/ Type | Code | Display Name | Code System | Code System Version | Designations | Description |
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0‑L | auth-requirements | Coverage auth-requirements | EligibilityRequestPurpose | 2019-11-01T09:29:23 | Preferred: Coverage auth-requirements | The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested. |
0‑L | benefits | Coverage benefits | EligibilityRequestPurpose | 2019-11-01T09:29:23 | Preferred: Coverage benefits | The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested. |
0‑L | discovery | Coverage Discovery | EligibilityRequestPurpose | 2019-11-01T09:29:23 | Preferred: Coverage Discovery | The insurer is requested to report on any coverages which they are aware of in addition to any specifed. |
0‑L | validation | Coverage Validation | EligibilityRequestPurpose | 2019-11-01T09:29:23 | Preferred: Coverage Validation | A check that the specified coverages are in-force is requested. |
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