0.1.0 - ci-build
kenyaClaimsIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: ClaimResponse ClaimResponseProfileExample
identifier: http://example.org/fhir/identifier-type
/KMFL12345 (use: official, )
status: Active
type: Professional
subType: Orthodontic Claim
use: Claim
patient: Eliud Kipchoge Kiptun Male, DoB: 1984-11-05 ( Unique Patient Identifier: 123456 (use: official, ))
created: 2020-06-15
insurer: Organization Kenyatta National Hospital
requestor: SHAPractitionerExample
request: Claim: status = active; type = Professional; use = claim; created = 2020-06-15; priority = Normal
outcome: Processing Complete
disposition: Claim settled as per policy.
payeeType: Provider
item
itemSequence: 1
noteNumber: 1
adjudication
category: Tax
reason: Not covered
Amounts
Value Currency 100 Kenyan shilling value: 100
detail
detailSequence: 1
noteNumber: 1
adjudication
subDetail
subDetailSequence: 1
noteNumber: 1
adjudication
Number | Type | Text | Language |
1 | Display | Claim settled as per policy. | English |
communicationRequest: CommunicationRequest: status = active
Sequence | Focal | Coverage | ClaimResponse |
1 | true | CoverageExample | ClaimResponse: status = active; type = Professional; use = claim; created = 2020-06-15; outcome = complete |
DetailSequence | SubDetailSequence | Code |
1 | 1 | Missing Creation Date |