Sha256: 507823969f277891b576988323aacd6583a23946f865b575935ba6e0d2d570b7
Contents?: true
Size: 1.09 KB
Versions: 10
Compression:
Stored size: 1.09 KB
Contents
{
"resourceType": "PaymentNotice",
"id": "77654",
"identifier": [
{
"system": "http://benefitsinc.com/paymentnotice",
"value": "776543"
}
],
"status": "active",
"request": {
"reference": "http://benefitsinc.com/fhir/claim/12345"
},
"response": {
"reference": "http://benefitsinc.com/fhir/claimresponse/CR12345"
},
"created": "2014-08-16",
"provider": {
"reference": "Organization/1"
},
"payment": {
"reference": "PaymentReconciliation/ER2500"
},
"paymentDate": "2014-08-15",
"payee": {
"reference": "Organization/1"
},
"recipient": {
"identifier": {
"system": "http://regulators.gov",
"value": "AB123"
}
},
"amount": {
"value": 12500.0,
"currency": "USD"
},
"paymentStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/paymentstatus",
"code": "paid"
}
]
},
"meta": {
"tag": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "HTEST",
"display": "test health data"
}
]
}
}
Version data entries
10 entries across 10 versions & 1 rubygems