R4 CoverageEligibilityRequest
The CoverageEligibilityResponse resource provides "patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy." (HL7 FHIR R4 CoverageEligibilityRequest)
Supported Profiles
This API supports the following FHIR profiles:
Operations
Support for the different types of Conditions may vary by CareRecord. Please consult your target solution's documentation for more information.
The General Purpose FHIR R4 CoverageEligibilityRequest resource supports the following standard operations. However, support varies by the targeted CareRecord or solution.
| CareRecord / Solution | Create | Read | Update | Search |
|---|---|---|---|---|
| GEHRIMED | - | - | - | - |
| myAvatar | Yes | Yes | Yes | Yes |
| myEvolv | - | - | - | - |
| myUnity | - | - | - | - |
| Referral Manager | - | - | - | - |
Search
This resource supports a combination of standard and custom search parameters in addition to the common parameters.
Standard Parameters
| Name | Type | Description |
|---|---|---|
| patient | reference | REQUIRED Unique identifier of the patient. |
Custom Parameters
| Name | Type | Description |
|---|---|---|
| encounter | reference | Unique identifier of the Practitioner. |
Search Examples
The POST method is recommended as it keeps health information out of the URL.
- Production
- Preview
curl -X POST https://fhir.netsmartcloud.com/v4/CoverageEligibilityRequest/_search \
-H "Authorization: {Bearer Token}" \
-H "Accept: application/fhir+json" \
-H "Content-Type: application/x-form-urlencoded" \
-d "patient=Patient/234"
curl -X POST https://fhirtest.netsmartcloud.com/v4/CoverageEligibilityRequest/_search \
-H "Authorization: {Bearer Token}" \
-H "Accept: application/fhir+json" \
-H "Content-Type: application/x-form-urlencoded" \
-d "patient=Patient/234"