LOINC Code 53247-3: Eligibility acknowledgement

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Eligibility acknowledgement attachment. It is commonly used with the system or sample type ^Patient.

When is it used?

• Used in lab systems, EHRs, and clinical data exchange.
• May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
• Status: ACTIVE
• Order vs observation: Both

What it does not mean

• The code identifies the observation or test, not the actual result.

Key facts

• Eligibility acknowledgement
• Eligibility acknowledgement attachment
• This attachment type is a scanned or other representation of the information that the Provider may cite to prove that s/he had first checked that the patient was eligible for coverage of services to be provided, or can otherwise presume ("presumptive eligibility") that the patient is covered for such services. Sometimes such eligibility is applied retroactively after services were provided ("retroactive eligibility"). For example, a scanned image copy of the piece of paper from the County Eligibility Office for Medicaid coverage, or a form containing questions/answers to determine whether a patient is presumed eligible for pregnancy services under Medicaid or other insurance plans.
• ADMIN; DOC.ADMIN; Document; Finding; Findings; Point in time; Random

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Frequently asked questions