| CoverageEligibilityRequest | 0..* | — | CoverageEligibilityRequest resource |
| .idΣ | 0..1 | String | Logical id of this artifact |
| .metaΣ | 0..1 | Meta | Metadata about the resource |
| .implicitRules?!Σ | 0..1 | uri | A set of rules under which this content was created |
| .language | 0..1 | code | Language of the resource content |
| .text | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| .contained | 0..* | Resource | Contained, inline Resources |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?! | 0..* | Extension | Extensions that cannot be ignored |
| .identifier | 0..* | Identifier | Business Identifier for coverage eligiblity request |
| .status?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error |
| .priority | 0..1 | CodeableConcept | Desired processing priority |
| .purposeΣ | 1..* | code | auth-requirements | benefits | discovery | validation |
| .patientΣ | 1..1 | Reference(Patient) | Intended recipient of products and services |
| .serviced[x] | 0..1 | date | Period | Estimated date or dates of service |
| .createdΣ | 1..1 | dateTime | Creation date |
| .enterer | 0..1 | Reference(Practitioner | PractitionerRole) | Author |
| .provider | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the request |
| .insurerΣ | 1..1 | Reference(Organization) | Coverage issuer |
| .facility | 0..1 | Reference(Location) | Servicing facility |
| .supportingInfo | 0..* | BackboneElement | Supporting information |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .sequence | 1..1 | positiveInt | Information instance identifier |
| .information | 1..1 | Reference(Resource) | Data to be provided |
| .appliesToAll | 0..1 | boolean | Applies to all items |
| .insurance | 0..* | BackboneElement | Patient insurance information |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .focal | 0..1 | boolean | Applicable coverage |
| .coverage | 1..1 | Reference(Coverage) | Insurance information |
| .businessArrangement | 0..1 | string | Additional provider contract number |
| .item | 0..* | BackboneElement | Item to be evaluated for eligibiity |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .supportingInfoSequence | 0..* | positiveInt | Applicable exception or supporting information |
| .category | 0..1 | CodeableConcept | Benefit classification |
| .productOrService | 0..1 | CodeableConcept | Billing, service, product, or drug code |
| .modifier | 0..* | CodeableConcept | Product or service billing modifiers |
| .provider | 0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner |
| .quantity | 0..1 | Quantity | Count of products or services |
| .unitPrice | 0..1 | Money | Fee, charge or cost per item |
| .facility | 0..1 | Reference(Location | Organization) | Servicing facility |
| .diagnosis | 0..* | BackboneElement | Applicable diagnosis |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .diagnosis[x] | 0..1 | CodeableConcept | Reference(Condition) | Nature of illness or problem |
| .detail | 0..* | Reference(Resource) | Product or service details |