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PaymentReconciliation "ER2500" 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 PaymentReconciliation

<?xml version="1.0" encoding="UTF-8"?>
<PaymentReconciliation xmlns="http://hl7.org/fhir">
  <id value="ER2500"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2020-07-27T19:17:55.578Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the PaymentReconciliation</div>
  </text>
  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/enrollmentresponse"/>
    <value value="781234"/>
  </identifier>
  <request>
    <reference value="http://www.BenefitsInc.com/fhir/eligibility/225476332402"/>
  </request>
  <outcome value="complete"/>
  <disposition value="2014 August mid-month settlement."/>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/2"/>
  </organization>
  <requestOrganization>
    <reference value="Organization/1"/>
  </requestOrganization>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="payment"/>
    </type>
    <request>
      <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402"/>
    </request>
    <date value="2014-08-16"/>
    <amount>
      <value value="1000.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="payment"/>
    </type>
    <request>
      <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699"/>
    </request>
    <date value="2014-08-12"/>
    <amount>
      <value value="4000.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="advance"/>
    </type>
    <date value="2014-08-16"/>
    <amount>
      <value value="-1500.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <total>
    <value value="3500.00"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</PaymentReconciliation>

PaymentReconciliation "ER2500" Version "1"

Tags: (no tags)  +

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

A human-readable rendering of the PaymentReconciliation

<?xml version="1.0" encoding="UTF-8"?>
<PaymentReconciliation xmlns="http://hl7.org/fhir">
  <id value="ER2500"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-05-25T19:24:20.812Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the PaymentReconciliation</div>
  </text>
  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/enrollmentresponse"/>
    <value value="781234"/>
  </identifier>
  <request>
    <reference value="http://www.BenefitsInc.com/fhir/eligibility/225476332402"/>
  </request>
  <outcome value="complete"/>
  <disposition value="2014 August mid-month settlement."/>
  <created value="2014-08-16"/>
  <organization>
    <reference value="Organization/2"/>
  </organization>
  <requestOrganization>
    <reference value="Organization/1"/>
  </requestOrganization>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="payment"/>
    </type>
    <request>
      <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402"/>
    </request>
    <date value="2014-08-16"/>
    <amount>
      <value value="1000.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="payment"/>
    </type>
    <request>
      <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699"/>
    </request>
    <date value="2014-08-12"/>
    <amount>
      <value value="4000.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <detail>
    <type>
      <system value="http://hl7.org/fhir/paymenttype"/>
      <code value="advance"/>
    </type>
    <date value="2014-08-16"/>
    <amount>
      <value value="-1500.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </amount>
  </detail>
  <total>
    <value value="3500.00"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</PaymentReconciliation>