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ClaimResponse

ID: 204687
Payload:
{

    "resourceType": "ClaimResponse",

    "meta": {

        "versionId": "1",

        "lastUpdated": "2019-10-03T07:55:35.966+00:00"

    },

    "text": {

        "status": "generated",

        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ahuman-readablerenderingofthe

ClaimResponse</div>"

    },

    "identifier": [

        {

            "system": "http://www.BenefitsInc.com/fhir/remittance",

            "value": "R3500"

        }

    ],

    "created": "2014-08-16",

    "outcome": "complete",

    "disposition": "Claimsettledaspercontract.",

    "item": [

        {

            "adjudication": [

                {

                    "amount": {

                        "value": 135.57

                    }

                },

                {

                    "amount": {

                        "value": 10

                    }

                },

                {

                    "value": 80

                },

                {

                    "amount": {

                        "value": 90.47

                    }

                }

            ]

        }

    ]
ID: 2588201
Payload:
{

    "resourceType": "ClaimResponse",

    "meta": {

        "versionId": "1",

        "lastUpdated": "2019-09-18T09:00:55.689+00:00"

    },

    "text": {

        "status": "generated",

        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the

ClaimResponse</div>"

    },

    "identifier": [

        {

            "system": "http://www.BenefitsInc.com/fhir/remittance",

            "value": "R3500"

        }

    ],

    "created": "2014-08-16",

    "outcome": "complete",

    "disposition": "Claim settled as per contract.",

    "item": [

        {

            "adjudication": [

                {

                    "amount": {

                        "value": 135.57

                    }

                },

                {

                    "amount": {

                        "value": 10

                    }

                },

                {

                    "value": 80

                },

                {

                    "amount": {

                        "value": 90.47

                    }

                }

            ]

        }

    ]

}
ID: 5e2a97c6-cbd2-4ac3-b048-3d1f40f3dfc9
Payload:
{

    "resourceType": "ClaimResponse",

    "id": "R3500",

    "text": {

        "status": "generated",

        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the

ClaimResponse</div>"

    },

    "identifier": [

        {

            "system": "http://www.BenefitsInc.com/fhir/remittance",

            "value": "R3500"

        }

    ],

    "status": "active",

    "patient": {

        "reference": "Patient/0ca5428a-b129-4042-90d4-ccc588f75789"

    },

    "created": "2014-08-16",

    "insurer": {

        "identifier": {

            "system": "http://www.jurisdiction.org/insurers",

            "value": "555123"

        }

    },

    "requestProvider": {

        "reference": "Practitioner/ffc200e1-5721-4c70-8496-62ca8e9ce754"

    },

    "requestOrganization": {

        "reference": "Organization/b0e04623-b02c-3f8b-92ea-943fc4db60da"

    },

    "request": {

        "reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"

    },

    "outcome": {

        "coding": [

            {

                "system": "http://hl7.org/fhir/remittance-outcome",

                "code": "complete"

            }

        ]

    },

    "disposition": "Claim settled as per contract.",

    "payeeType": {

        "coding": [

            {

                "system": "http://hl7.org/fhir/payeetype",

                "code": "provider"

            }

        ]

    },

    "item": [

        {

            "sequenceLinkId": 1,

            "adjudication": [

                {

 "category": {

                        "coding": [

                            {

                                "code": "eligible"

                            }

                        ]

                    },

                    "amount": {

                        "value": 135.57,

                        "system": "urn:iso:std:iso:4217",

                        "code": "USD"

                    }

                },

                {

                    "category": {

                        "coding": [

                            {

                                "code": "copay"

                            }

                        ]

                    },

                    "amount": {

                        "value": 10,

                        "system": "urn:iso:std:iso:4217",

                        "code": "USD"

                    }

                },

                {

                    "category": {

                        "coding": [

                            {

                                "code": "eligpercent"

                            }

                        ]

                    },

                    "value": 80

                },

                {

                    "category": {

                        "coding": [

                            {

                                "code": "benefit"

                            }

                        ]

                    },

                    "amount": {

                        "value": 100.47,

                        "system": "urn:iso:std:iso:4217",

                        "code": "USD"

                    }

                }

            ]

        }

    ],

    "totalCost": {

        "value": 135.57,

        "system": "urn:iso:std:iso:4217",

        "code": "USD"

    },

    "totalBenefit": {

        "value": 100.47,

        "system": "urn:iso:std:iso:4217",

        "code": "USD"

    },

    "payment": {

        "type": {

            "coding": [

                {

                    "system": "http://hl7.org/fhir/ex-paymenttype",

                    "code": "complete"

                }

            ]

        },

        "date": "2014-08-31",

        "amount": {

            "value": 100.47,

            "system": "urn:iso:std:iso:4217",

            "code": "USD"

        },

 "identifier": {

            "system": "http://www.BenefitsInc.com/fhir/paymentidentifier",

            "value": "201408-2-1569478"

        }

    }

}