Sha256: d42d8d1c0a4dece501923c4d497d256ae96515275303173981efa56b7fd5c53e
Contents?: true
Size: 1.76 KB
Versions: 7
Compression:
Stored size: 1.76 KB
Contents
{
"resourceType": "PaymentReconciliation",
"id": "ER2500",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the PaymentReconciliation</div>"
},
"identifier": [
{
"system": "http://www.BenefitsInc.com/fhir/enrollmentresponse",
"value": "781234"
}
],
"status": "active",
"requestReference": {
"reference": "http://www.BenefitsInc.com/fhir/ProcessRequest/225476332402"
},
"outcome": "complete",
"disposition": "2014 August mid-month settlement.",
"created": "2014-08-16",
"organizationReference": {
"reference": "Organization/2"
},
"detail": [
{
"type": {
"system": "http://hl7.org/fhir/paymenttype",
"code": "payment"
},
"requestReference": {
"reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402"
},
"date": "2014-08-16",
"amount": {
"value": 1000.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
},
{
"type": {
"system": "http://hl7.org/fhir/paymenttype",
"code": "payment"
},
"requestReference": {
"reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699"
},
"date": "2014-08-12",
"amount": {
"value": 4000.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
},
{
"type": {
"system": "http://hl7.org/fhir/paymenttype",
"code": "advance"
},
"date": "2014-08-16",
"amount": {
"value": -1500.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
],
"total": {
"value": 3500.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
Version data entries
7 entries across 7 versions & 1 rubygems