<ExplanationOfBenefit xmlns="http://hl7.org/fhir"> <id value="EOBInpatient1" /> <meta> <lastUpdated value="2019-12-12T09:14:11+00:00" /> <profile value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional" /> </meta> <language value="en-US" /> <text> <status value="generated" /> --- We have skipped the narrative for better readability of the resource --- </text> <identifier> <type> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType" /> <code value="uc" /> </coding> </type> <system value="https://www.xxxplan.com/fhir/EOBIdentifier" /> <value value="AW123412341234123412341234123412" /> </identifier> <status value="active" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/claim-type" /> <code value="institutional" /> </coding> <text value="Inpatient Institution" /> </type> <use value="claim" /> <patient> <reference value="Patient/Patient1" /> </patient> <billablePeriod> <start value="2019-01-01" /> <end value="2019-10-31" /> </billablePeriod> <created value="2019-11-02T00:00:00+00:00" /> <insurer> <reference value="Organization/Payer1" /> <display value="XXX Health Plan" /> </insurer> <provider> <reference value="Organization/OrganizationProvider1" /> <display value="XXX Health Plan" /> </provider> <outcome value="partial" /> <supportingInfo> <sequence value="2" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="admissionperiod" /> </coding> </category> <timingPeriod> <start value="2011-05-23" /> <end value="2011-05-25" /> </timingPeriod> </supportingInfo> <supportingInfo> <sequence value="1" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="billingnetworkcontractingstatus" /> </coding> </category> <code> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus" /> <code value="contracted" /> </coding> </code> </supportingInfo> <supportingInfo> <sequence value="3" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="clmrecvddate" /> </coding> </category> <timingDate value="2011-05-30" /> </supportingInfo> <supportingInfo> <sequence value="4" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="typeofbill" /> </coding> </category> <code> <coding> <system value="https://www.nubc.org/CodeSystem/TypeOfBill" /> <code value="Dummy" /> </coding> </code> </supportingInfo> <supportingInfo> <sequence value="5" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="pointoforigin" /> </coding> </category> <code> <coding> <system value="https://www.nubc.org/CodeSystem/PointOfOrigin" /> <code value="Dummy" /> </coding> </code> </supportingInfo> <supportingInfo> <sequence value="6" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="admtype" /> </coding> </category> <code> <coding> <system value="https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit" /> <code value="Dummy" /> </coding> </code> </supportingInfo> <supportingInfo> <sequence value="7" /> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" /> <code value="discharge-status" /> </coding> </category> <code> <coding> <system value="https://www.nubc.org/CodeSystem/PatDischargeStatus" /> <code value="11" /> </coding> </code> </supportingInfo> <diagnosis> <sequence value="1" /> <diagnosisCodeableConcept> <coding> <system value="http://hl7.org/fhir/sid/icd-10-cm" /> <code value="S06.0x1A" /> </coding> </diagnosisCodeableConcept> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype" /> <code value="principal" /> </coding> </type> </diagnosis> <insurance> <focal value="true" /> <coverage> <reference value="Coverage/Coverage1" /> </coverage> </insurance> <adjudication> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication" /> <code value="paidtoprovider" /> </coding> <text value="Payment Amount" /> </category> <amount> <value value="620" /> <currency value="USD" /> </amount> </adjudication> <adjudication> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/adjudication" /> <code value="submitted" /> </coding> <text value="Submitted Amount" /> </category> <amount> <value value="2650" /> <currency value="USD" /> </amount> </adjudication> <adjudication> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication" /> <code value="paidbypatient" /> </coding> <text value="Patient Pay Amount" /> </category> <amount> <value value="0" /> <currency value="USD" /> </amount> </adjudication> <total> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication" /> <code value="paidtoprovider" /> </coding> <text value="Payment Amount" /> </category> <amount> <value value="620" /> <currency value="USD" /> </amount> </total> <total> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/adjudication" /> <code value="submitted" /> </coding> <text value="Submitted Amount" /> </category> <amount> <value value="2650" /> <currency value="USD" /> </amount> </total> <total> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication" /> <code value="paidbypatient" /> </coding> <text value="Patient Pay Amount" /> </category> <amount> <value value="0" /> <currency value="USD" /> </amount> </total> <total> <category> <coding> <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus" /> <code value="innetwork" /> </coding> </category> <amount> <value value="0" /> <currency value="USD" /> </amount> </total> </ExplanationOfBenefit>