Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
PaymentReconciliation | Σ | DomainResource | PaymentReconciliation resource | |
identifier | Σ | 0..* | Identifier | Business Identifier |
request | Σ | 0..1 | Reference( ProcessRequest) | Claim reference |
outcome | Σ | 0..1 | code | complete | error
RemittanceOutcome ( Required) |
disposition | Σ | 0..1 | string | Disposition Message |
ruleset | Σ | 0..1 | Coding | Resource version
Ruleset Codes ( Example) |
originalRuleset | Σ | 0..1 | Coding | Original version
Ruleset Codes ( Example) |
created | Σ | 0..1 | dateTime | Creation date |
period | Σ | 0..1 | Period | Period covered |
organization | Σ | 0..1 | Reference( Organization) | Insurer |
requestProvider | Σ | 0..1 | Reference( Practitioner) | Responsible practitioner |
requestOrganization | Σ | 0..1 | Reference( Organization) | Responsible organization |
detail | Σ | 0..* | BackboneElement | Details |
type | Σ | 1..1 | Coding | Type code
Payment Type Codes ( Example) |
request | Σ | 0..1 | Reference( Any) | Claim |
responce | Σ | 0..1 | Reference( Any) | Claim Response |
submitter | Σ | 0..1 | Reference( Organization) | Submitter |
payee | Σ | 0..1 | Reference( Organization) | Payee |
date | Σ | 0..1 | date | Invoice date |
amount | Σ | 0..1 | Money | Detail amount |
form | Σ | 0..1 | Coding | Printed Form Identifier
Form Codes ( Required) |
total | Σ | 1..1 | Money | Total amount of Payment |
note | Σ | 0..* | BackboneElement | Note text |
type | Σ | 0..1 | Coding | display | print | printoper
NoteType ( Required) |
text | Σ | 0..1 | string | Notes text |
Documentation for this format |