ExplanationOfBenefit

POST {{host}}/fhir/ExplanationOfBenefit

Request Body

{"resourceType"=>"ExplanationOfBenefit", "id"=>"{{fhir_explanation_of_benefit_id}}", "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"=>"{{fhir_explanation_of_benefit_id}}"}], "enterer"=>{"reference"=>"Practitioner/{{fhir_practitioner_id}}"}, "payee"=>{"party"=>{"reference"=>"Patient/{{fhir_patient_id}}"}}, "careTeam"=>[{"sequence"=>1, "provider"=>{"reference"=>"Practitioner/{{fhir_practitioner_id}}"}}], "provider"=>{"reference"=>"Practitioner/{{fhir_practitioner_id}}"}, "status"=>"active", "type"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/claim-type", "code"=>"oral"}]}, "use"=>"claim", "patient"=>{"reference"=>"Patient/{{fhir_patient_id}}"}, "created"=>"2014-08-16", "insurer"=>{"reference"=>"Organization/{{fhir_organization_id}}"}, "facility"=>{"reference"=>"Location/{{fhir_location_id}}"}, "claim"=>{"reference"=>"Claim/{{fhir_claim_id}}"}, "claimResponse"=>{"reference"=>"ClaimResponse/{{fhir_claim_response_id}}"}, "outcome"=>"complete", "disposition"=>"Claim settled as per contract.", "insurance"=>[{"focal"=>true, "coverage"=>{"reference"=>"Coverage/{{fhir_coverage_id}}"}}], "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/{{fhir_device_id}}"}], "encounter"=>[{"reference"=>"Encounter/{{fhir_encounter_id}}"}], "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/{{fhir_device_id}}"}], "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"}, "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"}}]}

HEADERS