> ## Documentation Index
> Fetch the complete documentation index at: https://docs.metriport.com/llms.txt
> Use this file to discover all available pages before exploring further.

# CoverageEligibilityResponse

> This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.

## Properties

| Name | Required | Type | Description |
| - | - | - | - |
| identifier | No | [Identifier](https://docs.metriport.com/medical-api/fhir/data-types/identifier.md)\[] | Business Identifier for coverage eligiblity request |
| status | Yes | code | active / cancelled / draft / entered-in-error |
| purpose | Yes | code\[] | auth-requirements / benefits / discovery / validation |
| patient | Yes | Reference\<[Patient](https://docs.metriport.com/medical-api/fhir/resources/patient.md)> | Intended recipient of products and services |
| serviced\[x] | No | date, [Period](https://docs.metriport.com/medical-api/fhir/data-types/period.md) | Estimated date or dates of service |
| created | Yes | dateTime | Response creation date |
| requestor | No | Reference\<[Practitioner](https://docs.metriport.com/medical-api/fhir/resources/practitioner.md) / [PractitionerRole](https://docs.metriport.com/medical-api/fhir/resources/practitionerrole.md) / [Organization](https://docs.metriport.com/medical-api/fhir/resources/organization.md)> | Party responsible for the request |
| request | Yes | Reference\<[CoverageEligibilityRequest](https://docs.metriport.com/medical-api/fhir/resources/coverageeligibilityrequest)> | Eligibility request reference |
| outcome | Yes | code | queued / complete / error / partial |
| disposition | No | string | Disposition Message |
| insurer | Yes | Reference\<[Organization](https://docs.metriport.com/medical-api/fhir/resources/organization.md)> | Coverage issuer |
| insurance | No | CoverageEligibilityResponseInsurance | Patient insurance information |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - coverage | Yes | Reference\<[Coverage](https://docs.metriport.com/medical-api/fhir/resources/coverage.md)> | Insurance information |
| - inforce | No | boolean | Coverage inforce indicator |
| - benefitPeriod | No | [Period](https://docs.metriport.com/medical-api/fhir/data-types/period.md) | When the benefits are applicable |
| - item | No | CoverageEligibilityResponseInsuranceItem | Benefits and authorization details |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - category | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Benefit classification |
| - productOrService | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Billing, service, product, or drug code |
| - modifier | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md)\[] | Product or service billing modifiers |
| - provider | No | Reference\<[Practitioner](https://docs.metriport.com/medical-api/fhir/resources/practitioner.md) / [PractitionerRole](https://docs.metriport.com/medical-api/fhir/resources/practitionerrole.md)> | Performing practitioner |
| - excluded | No | boolean | Excluded from the plan |
| - name | No | string | Short name for the benefit |
| - description | No | string | Description of the benefit or services covered |
| - network | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | In or out of network |
| - unit | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Individual or family |
| - term | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Annual or lifetime |
| - benefit | No | CoverageEligibilityResponseInsuranceItemBenefit | Benefit Summary |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - type | Yes | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Benefit classification |
| - allowed\[x] | No | unsignedInt, string, [Money](https://docs.metriport.com/medical-api/fhir/data-types/money.md) | Benefits allowed |
| - used\[x] | No | unsignedInt, string, [Money](https://docs.metriport.com/medical-api/fhir/data-types/money.md) | Benefits used |
| - authorizationRequired | No | boolean | Authorization required flag |
| - authorizationSupporting | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md)\[] | Type of required supporting materials |
| - authorizationUrl | No | uri | Preauthorization requirements endpoint |
| preAuthRef | No | string | Preauthorization reference |
| form | No | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Printed form identifier |
| error | No | CoverageEligibilityResponseError | Processing errors |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - code | Yes | [CodeableConcept](https://docs.metriport.com/medical-api/fhir/data-types/codeableconcept.md) | Error code detailing processing issues |

## Search Parameters

| Name | Type | Description | Expression |
| - | - | - | - |
| created | date | The creation date | CoverageEligibilityResponse.created |
| disposition | string | The contents of the disposition message | CoverageEligibilityResponse.disposition |
| identifier | token | The business identifier | CoverageEligibilityResponse.identifier |
| insurer | reference | The organization which generated this resource | CoverageEligibilityResponse.insurer |
| outcome | token | The processing outcome | CoverageEligibilityResponse.outcome |
| patient | reference | The reference to the patient | CoverageEligibilityResponse.patient |
| request | reference | The EligibilityRequest reference | CoverageEligibilityResponse.request |
| requestor | reference | The EligibilityRequest provider | CoverageEligibilityResponse.requestor |
| status | token | The EligibilityRequest status | CoverageEligibilityResponse.status |

## Inherited Properties

| Name | Required | Type | Description |
| - | - | - | - |
| id | No | string | Logical id of this artifact |
| meta | No | [Meta](https://docs.metriport.com/medical-api/fhir/data-types/meta.md) | Metadata about the resource |
| implicitRules | No | uri | A set of rules under which this content was created |
| language | No | code | Language of the resource content |
| text | No | [Narrative](https://docs.metriport.com/medical-api/fhir/data-types/narrative.md) | Text summary of the resource, for human interpretation |
| contained | No | Resource\[] | Contained, inline Resources |
| extension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| modifierExtension | No | [Extension](https://docs.metriport.com/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored |

To view the FHIR specification for this resource, see [CoverageEligibilityResponse](https://www.hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse).


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