ExplanationOfBenefit

POST {{host}}/fhir/ExplanationOfBenefit

Request Body

{"resourceType"=>"ExplanationOfBenefit", "id"=>"EB3500", "text"=>{"status"=>"generated", "div"=>"<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ExplanationOfBenefit</div>"}, "identifier"=>[{"system"=>"http://www.BenefitsInc.com/fhir/explanationofbenefit", "value"=>"987654321"}], "status"=>"active", "type"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/claim-type", "code"=>"oral"}]}, "use"=>"claim", "patient"=>{"reference"=>"Patient/pat1"}, "created"=>"2014-08-16", "enterer"=>{"reference"=>"Practitioner/1"}, "insurer"=>{"reference"=>"Organization/3"}, "provider"=>{"reference"=>"Practitioner/1"}, "payee"=>{"type"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/payeetype", "code"=>"provider"}]}, "party"=>{"reference"=>"Organization/2"}}, "facility"=>{"reference"=>"Location/1"}, "claim"=>{"reference"=>"Claim/100150"}, "claimResponse"=>{"reference"=>"ClaimResponse/R3500"}, "outcome"=>"complete", "disposition"=>"Claim settled as per contract.", "careTeam"=>[{"sequence"=>1, "provider"=>{"reference"=>"Practitioner/example"}}], "insurance"=>[{"focal"=>true, "coverage"=>{"reference"=>"Coverage/9876B1"}}], "item"=>[{"sequence"=>1, "careTeamSequence"=>[1], "productOrService"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/ex-USCLS", "code"=>"1205"}]}, "servicedDate"=>"2014-08-16", "unitPrice"=>{"value"=>135.57, "currency"=>"USD"}, "net"=>{"value"=>135.57, "currency"=>"USD"}, "udi"=>[{"reference"=>"Device/example"}], "encounter"=>[{"reference"=>"Encounter/example"}], "adjudication"=>[{"category"=>{"coding"=>[{"code"=>"eligible"}]}, "amount"=>{"value"=>120.0, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"eligpercent"}]}, "value"=>0.8}, {"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>96.0, "currency"=>"USD"}}]}, {"sequence"=>2, "careTeamSequence"=>[1], "productOrService"=>{"coding"=>[{"code"=>"group"}]}, "servicedDate"=>"2014-08-16", "net"=>{"value"=>200.0, "currency"=>"USD"}, "adjudication"=>[{"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>180.0, "currency"=>"USD"}}], "detail"=>[{"sequence"=>1, "productOrService"=>{"coding"=>[{"code"=>"group"}]}, "net"=>{"value"=>200.0, "currency"=>"USD"}, "udi"=>[{"reference"=>"Device/example"}], "adjudication"=>[{"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>180.0, "currency"=>"USD"}}], "subDetail"=>[{"sequence"=>1, "productOrService"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/ex-USCLS", "code"=>"1205"}]}, "unitPrice"=>{"value"=>200.0, "currency"=>"USD"}, "net"=>{"value"=>200.0, "currency"=>"USD"}, "udi"=>[{"reference"=>"Device/example"}], "adjudication"=>[{"category"=>{"coding"=>[{"code"=>"eligible"}]}, "amount"=>{"value"=>200.0, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"eligpercent"}]}, "value"=>0.9}, {"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>180.0, "currency"=>"USD"}}]}]}]}], "total"=>[{"category"=>{"coding"=>[{"code"=>"submitted"}]}, "amount"=>{"value"=>135.57, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>96.0, "currency"=>"USD"}}]}