Difference between revisions of "Enrollment Response FHIR Resource Proposa"
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| + | Initial, periodic, and yearly enrollment in public health programs (e.g., Medicaid/Medicare) or private health insurance in the individual or group insurance markets. | ||
==Resource Relationships== | ==Resource Relationships== | ||
Revision as of 01:28, 29 September 2014
This page documents a Pending FHIR Resource Proposal
Contents
- 1 Enrollment Response
- 1.1 Owning committee name
- 1.2 Contributing or Reviewing Work Groups
- 1.3 FHIR Resource Development Project Insight ID
- 1.4 Scope of coverage
- 1.5 RIM scope
- 1.6 Resource appropriateness
- 1.7 Expected implementations
- 1.8 Content sources
- 1.9 Example Scenarios
- 1.10 Resource Relationships
- 1.11 Timelines
- 1.12 gForge Users
Enrollment Response
Owning committee name
Contributing or Reviewing Work Groups
FHIR Resource Development Project Insight ID
994
Scope of coverage
Enrollment Response is a determination by a public or private healthcare insurer that initial enrollment in or maintenance of coverage is approved, and the premium payment required to procure a specified period of that coverage.
RIM scope
- v2 IN1, IN2, IN3 segments
- v3 Eligibility and Coverage models
- X12 270, 271, 834, 820
- NCPDP
Resource appropriateness
Enrollment Response is a determination by a public or private healthcare insurer that initial enrollment in or maintenance of coverage is approved, and the premium payment required to procure a specified period of that coverage.
Expected implementations
Referenced by CCDA in situations where coverage has is not yet effective, is effective, or has lapsed.
Content sources
- v2 IN1, IN2, IN3 segments
- v3 Eligibility and Coverage models
- X12 270, 271, 834, 820
- NCPDP
Example Scenarios
Initial, periodic, and yearly enrollment in public health programs (e.g., Medicaid/Medicare) or private health insurance in the individual or group insurance markets.
