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Packagendhm.in
Resource TypePaymentReconciliation
IdPaymentReconciliation-example-01.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Generated Narrative: PaymentReconciliation example-01

identifier: http://www.BenefitsInc.com/fhir/enrollmentresponse/781234

status: Active

period: 2024-03-01 11:01:00+0500 --> 2024-03-31 11:01:00+0500

created: 2024-03-31

paymentIssuer: Organization XYZ Insurance Co. Ltd.

requestor: Organization XYZ Hospital Co. Ltd.

outcome: Processing Complete

disposition: 2024 march month settlement.

paymentDate: 2024-03-31

PaymentAmounts

-ValueCurrency
*180000Indian rupee

paymentIdentifier: UTRNUMBER2920287229

detail

identifier: CLAIMREFNUM7612345

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*90000Indian rupee

detail

identifier: CLAIMREFNUM7612345

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*9000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*110000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*11000Indian rupee

Source1

{
  "resourceType": "PaymentReconciliation",
  "id": "example-01",
  "meta": {
    "profile": [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://www.BenefitsInc.com/fhir/enrollmentresponse",
      "value": "781234"
    }
  ],
  "status": "active",
  "period": {
    "start": "2024-03-01T11:01:00+05:00",
    "end": "2024-03-31T11:01:00+05:00"
  },
  "created": "2024-03-31",
  "paymentIssuer": {
    "reference": "Organization/example-02"
  },
  "requestor": {
    "reference": "Organization/example-03"
  },
  "outcome": "complete",
  "disposition": "2024 march month settlement.",
  "paymentDate": "2024-03-31",
  "paymentAmount": {
    "value": 180000,
    "currency": "INR"
  },
  "paymentIdentifier": {
    "value": "UTRNUMBER2920287229"
  },
  "detail": [
    {
      "identifier": {
        "value": "CLAIMREFNUM7612345"
      },
      "type": {
        "coding": [
          {
            "system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type",
            "code": "approvedAmount",
            "display": "Approved Amount"
          }
        ]
      },
      "date": "2024-03-31",
      "amount": {
        "value": 90000,
        "currency": "INR"
      }
    },
    {
      "identifier": {
        "value": "CLAIMREFNUM7612345"
      },
      "type": {
        "coding": [
          {
            "system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type",
            "code": "tds",
            "display": "TDS Deduction"
          }
        ]
      },
      "date": "2024-03-31",
      "amount": {
        "value": 9000,
        "currency": "INR"
      }
    },
    {
      "identifier": {
        "value": "CLAIMREFNUM6789054"
      },
      "type": {
        "coding": [
          {
            "system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type",
            "code": "approvedAmount",
            "display": "Approved Amount"
          }
        ]
      },
      "date": "2024-03-31",
      "amount": {
        "value": 110000,
        "currency": "INR"
      }
    },
    {
      "identifier": {
        "value": "CLAIMREFNUM6789054"
      },
      "type": {
        "coding": [
          {
            "system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type",
            "code": "tds",
            "display": "TDS Deduction"
          }
        ]
      },
      "date": "2024-03-31",
      "amount": {
        "value": 11000,
        "currency": "INR"
      }
    }
  ]
}