HL7 FHIR® Implementation Guide: Coverage Requirements Discovery, Release 1.1
This specification provides a mechanism for healthcare providers to discover guidelines, pre-authorization requirements and other expectations from payor organizations related to a proposed medication, procedure or other service associated with a patient's insurance coverage. It supports both patient-specific and patient-independent information retrieval.
This specification is listed by the U.S. Centers for Medicare and Medicaid Services as a “supported IG”.
HL7 Project Insight ID: 1428