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Packageihe.iti.fais
Resource TypeClaimResponse
IdClaimResponse-ex-claim-response-den-3.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ClaimResponse ex-claim-response-den-3

status: Active

type: Institutional

use: Claim

patient: Purity Atieno Female, DoB: 2000-05-04

created: 2024-07-16 03:00:00+0000

insurer: Organization National Health Insurance Scheme

request: Claim: status = active; type = Institutional; use = claim; created = 2024-07-15 03:00:00+0000; priority = Normal

outcome: Processing Complete

disposition: Denied

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --> 2024-12-31

Source1

{
  "resourceType": "ClaimResponse",
  "id": "ex-claim-response-den-3",
  "meta": {
    "profile": [
      "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "institutional"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/ex-beneficiary-1"
  },
  "created": "2024-07-16T03:00:00Z",
  "insurer": {
    "reference": "Organization/ex-insurer-1"
  },
  "request": {
    "reference": "Claim/ex-claim-3"
  },
  "outcome": "complete",
  "disposition": "Denied",
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/ex-coverage-1"
      }
    }
  ]
}