Sha256: fa243e275ba39d6fc1297918221b5709c57e433b7d7ef2c493451cae955ac136
Contents?: true
Size: 1.47 KB
Versions: 10
Compression:
Stored size: 1.47 KB
Contents
{
"resourceType": "ProcessResponse",
"id": "SR2349",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ProcessResponse</div>"
},
"identifier": [
{
"system": "http://www.BenefitsInc.com/fhir/processresponse",
"value": "ER987634"
}
],
"status": "active",
"created": "2014-07-14",
"organization": {
"reference": "Organization/2"
},
"request": {
"reference": "http://happyvalley.com/fhir/claim/12204"
},
"outcome": {
"coding": [
{
"system": "http://hl7.org/fhir/processoutcomecodes",
"code": "error"
}
]
},
"disposition": "Referred to claim not found on system.",
"requestProvider": {
"identifier": {
"system": "http://npid.org/providerid",
"value": "AZ43258"
}
},
"requestOrganization": {
"reference": "Organization/1"
},
"form": {
"coding": [
{
"system": "http://ncforms.org/formid",
"code": "PRRESP/2016/01"
}
]
},
"processNote": [
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/note-type",
"code": "print"
}
]
},
"text": "Please check the submitted payor identification and local claim number."
}
],
"error": [
{
"coding": [
{
"system": "http://hl7.org/fhir/adjudication-error",
"code": "a001"
}
]
}
]
}
Version data entries
10 entries across 10 versions & 2 rubygems