ClaimResponse

POST {{host}}/fhir/ClaimResponse

Request Body

{"resourceType"=>"ClaimResponse", "id"=>"{{fhir_claim_response_id}}", "text"=>{"status"=>"generated", "div"=>"<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ClaimResponse</div>"}, "identifier"=>[{"system"=>"http://www.BenefitsInc.com/fhir/remittance", "value"=>"{{fhir_claim_response_id}}"}], "status"=>"active", "type"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/claim-type", "code"=>"oral"}]}, "subType"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/ex-claimsubtype", "code"=>"emergency"}]}, "use"=>"claim", "patient"=>{"reference"=>"Patient/{{fhir_patient_id}}"}, "created"=>"2014-08-16", "insurer"=>{"identifier"=>{"system"=>"http://www.jurisdiction.org/insurers", "value"=>"555123"}}, "requestor"=>{"reference"=>"PractitionerRole/{{fhir_practitioner_role_id}}"}, "request"=>{"reference"=>"Claim/{{fhir_claim_id}}"}, "outcome"=>"complete", "disposition"=>"Claim settled as per contract.", "payeeType"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/payeetype", "code"=>"provider"}]}, "item"=>[{"itemSequence"=>1, "adjudication"=>[{"category"=>{"coding"=>[{"code"=>"eligible"}]}, "amount"=>{"value"=>135.57, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"copay"}]}, "amount"=>{"value"=>10.0, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"eligpercent"}]}, "value"=>80.0}, {"category"=>{"coding"=>[{"code"=>"benefit"}]}, "reason"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/adjudication-reason", "code"=>"ar002", "display"=>"Plan Limit Reached"}]}, "amount"=>{"value"=>90.47, "currency"=>"USD"}}]}], "total"=>[{"category"=>{"coding"=>[{"code"=>"submitted"}]}, "amount"=>{"value"=>135.57, "currency"=>"USD"}}, {"category"=>{"coding"=>[{"code"=>"benefit"}]}, "amount"=>{"value"=>90.47, "currency"=>"USD"}}], "payment"=>{"type"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/ex-paymenttype", "code"=>"complete"}]}, "date"=>"2014-08-31", "amount"=>{"value"=>100.47, "currency"=>"USD"}, "identifier"=>{"system"=>"http://www.BenefitsInc.com/fhir/paymentidentifier", "value"=>"201408-2-1569478"}}}

HEADERS