PaymentReconciliation.request
FHIR attribute (stu3)
In the PaymentReconciliation resource for FHIR stu3 , the request attribute identifies the Claim reference
request (PaymentReconciliation) description
Resource Type: PaymentReconciliation
Attribute Name: request
Description: Claim reference
FHIR Version: stu3
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
PaymentReconciliation.request Example
"request": {
"reference": "http://www.BenefitsInc.com/fhir/eligibility/225476332402"
}PaymentReconciliation attributes
AttributeField is listTypeDescription
Description: active | cancelled | draft | entered-in-error
FHIR Version: stu3
Attribute Type : code
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"status": "active"Learn more about the (PaymentReconciliation) status FHIR attribute
Description: Responsible organization
FHIR Version: stu3
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"requestOrganization": {
"reference": "Organization/1"
}Learn more about the (PaymentReconciliation) requestOrganization FHIR attribute
Description: Total amount of Payment
FHIR Version: stu3
Attribute Type : Money
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"total": {
"code": "USD",
"system": "urn:iso:std:iso:4217",
"value": 3500
}Learn more about the (PaymentReconciliation) total FHIR attribute
Description: Printed Form Identifier
FHIR Version: stu3
Attribute Type : CodeableConcept
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"form": {
"coding": [
{
"code": "PAYREC/2016/01B",
"system": "http://ncforms.org/formid"
}
]
}Learn more about the (PaymentReconciliation) form FHIR attribute
Description: Creation date
FHIR Version: stu3
Attribute Type : dateTime
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"created": "2014-08-16"Learn more about the (PaymentReconciliation) created FHIR attribute
Description: Claim reference
FHIR Version: stu3
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"request": {
"reference": "http://www.BenefitsInc.com/fhir/eligibility/225476332402"
}Learn more about the (PaymentReconciliation) request FHIR attribute
Description: Period covered
FHIR Version: stu3
Attribute Type : Period
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"period": {
"start": "2014-08-16",
"end": "2014-08-31"
}Learn more about the (PaymentReconciliation) period FHIR attribute
Description: List of settlements
FHIR Version: stu3
Attribute Type : Data Type
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"detail": [
{
"payee": {
"reference": "Organization/1"
},
"request": {
"identifier": {
"system": "http://happyvalleyclinic.com/claim",
"value": "AB12345"
}
},
"date": "2014-08-16",
"amount": {
"code": "USD",
"system": "urn:iso:std:iso:4217",
"value": 1000
},
"submitter": {
"reference": "Organization/1"
},
"type": {
"coding": [
{
"code": "payment",
"system": "http://hl7.org/fhir/payment-type"
}
]
},
"response": {
"identifier": {
"system": "http://www.BenefitsInc.com/fhir/claimresponse",
"value": "CR20140815-AB12345"
}
}
},
{
"date": "2014-08-12",
"request": {
"reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699"
},
"amount": {
"code": "USD",
"system": "urn:iso:std:iso:4217",
"value": 4000
},
"type": {
"coding": [
{
"code": "payment",
"system": "http://hl7.org/fhir/payment-type"
}
]
}
},
{
"date": "2014-08-16",
"amount": {
"code": "USD",
"system": "urn:iso:std:iso:4217",
"value": -1500
},
"type": {
"coding": [
{
"code": "advance",
"system": "http://hl7.org/fhir/payment-type"
}
]
}
}
]Learn more about the (PaymentReconciliation) detail FHIR attribute
Description: Business Identifier
FHIR Version: stu3
Attribute Type : Identifier
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"identifier": [
{
"system": "http://www.BenefitsInc.com/fhir/enrollmentresponse",
"value": "781234"
}
]Learn more about the (PaymentReconciliation) identifier FHIR attribute
Description: Disposition Message
FHIR Version: stu3
Attribute Type : string
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"disposition": "2014 August mid-month settlement."Learn more about the (PaymentReconciliation) disposition FHIR attribute
Description: Responsible practitioner
FHIR Version: stu3
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"requestProvider": {
"reference": "Practitioner/example"
}Learn more about the (PaymentReconciliation) requestProvider FHIR attribute
Description: Insurer
FHIR Version: stu3
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"organization": {
"reference": "Organization/2"
}Learn more about the (PaymentReconciliation) organization FHIR attribute
Description: complete | error | partial
FHIR Version: stu3
Attribute Type : CodeableConcept
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"outcome": {
"coding": [
{
"code": "complete",
"system": "http://hl7.org/fhir/remittance-outcome"
}
]
}Learn more about the (PaymentReconciliation) outcome FHIR attribute
Description: Processing comments
FHIR Version: stu3
Attribute Type : Data Type
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"processNote": [
{
"text": "Due to the year end holiday the cutoff for submissions for December will be the 28th.",
"type": {
"coding": [
{
"code": "display",
"system": "http://hl7.org/fhir/note-type"
}
]
}
}
]Learn more about the (PaymentReconciliation) processNote FHIR attribute
