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ExplanationOfBenefit "R3500" Version "2"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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A human-readable rendering of the ExplanationOfBenefit

<?xml version="1.0" encoding="UTF-8"?>
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
  <id value="R3500"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2020-07-27T19:16:28.484Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the ExplanationOfBenefit</div>
  </text>
  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/eob"/>
    <value value="987654321"/>
  </identifier>
  <request>
    <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"/>
  </request>
  <outcome value="complete"/>
  <disposition value="Claim settled as per contract."/>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/2"/>
  </organization>
  <requestOrganization>
    <reference value="Organization/1"/>
  </requestOrganization>
</ExplanationOfBenefit>

ExplanationOfBenefit "R3500" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

A human-readable rendering of the ExplanationOfBenefit

<?xml version="1.0" encoding="UTF-8"?>
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
  <id value="R3500"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-05-25T19:23:28.140Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the ExplanationOfBenefit</div>
  </text>
  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/eob"/>
    <value value="987654321"/>
  </identifier>
  <request>
    <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"/>
  </request>
  <outcome value="complete"/>
  <disposition value="Claim settled as per contract."/>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/2"/>
  </organization>
  <requestOrganization>
    <reference value="Organization/1"/>
  </requestOrganization>
</ExplanationOfBenefit>