This resource provides payment the details and claim references supporting including amount of a bulk payment. payment and allocates the payment items being paid.

The Response business identifier. A unique identifier assigned to this payment reconciliation.

Allows payment reconciliations to be distinguished and referenced.

Code to indicate the nature of the payment such as payment, adjustment.

The status of the resource instance.

Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Used to indicate why the status has changed.

This is used to implement conformance on other elements.

Implementation guides may consider adding invariants such that if status = cancelled, statusReason SHALL be supplied.

The workflow or activity which gave rise to or during which the payment ocurred such as a kiosk, deposit on account, periodic payment etc.

The period of time for which payments have been gathered into this bulk payment for settlement.

Needed to allow receivers to monitor and reconcile payment issuer schedules.

The date when the enclosed suite of services were performed or completed. resource was created.

Need to record a timestamp for use by both the recipient and the issuer.

Payment enterer if not the actual payment issuer.

The type of the source such as patient or insurance.

Providers may need to identify the source to know to which sub-ledger to apply the payment.

The Insurer party who produced this adjudicated response. generated the payment.

Need to identify the party resonsible for the payment and this resource.

This party is also responsible for the reconciliation.

Original request resource reference.

Needed to allow the response to be linked to the request.

The practitioner who is responsible for the services rendered to the patient.

Need to identify the party responsible for the request.

Transaction status: error, complete. The outcome of a request for a reconciliation.

To advise the requestor of an overall processing outcome.

The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).

A human readable description of the status of the adjudication. request for the reconciliation.

Provided for user display.

The practitioner who is responsible for date of payment as indicated on the services rendered to financial instrument.

To advise the patient. payee when payment can be expected.

The location of the site or device for electronic transfers or physical location for cash payments.

The means of payment such as check, card cash, or electronic funds transfer.

The organization card brand such as debit, Visa, Amex etc. used if a card is the method of payment.

A portion of the account number, often the last 4 digits, used for verification not charging purposes.

The year and month (YYYY-MM) when the instrument, typically card, expires.

The name of the card processor, etf processor, bank for checks.

The check number, eft reference, car processor reference.

An alphanumeric issued by the processor to confirm the successful issuance of payment.

The amount offered by the issuer, typically applies to cash when the issuer provides an amount in bank note denominations equal to or excess of the amount actually being paid.

The amount returned by the receiver which is responsible excess to the amount payable, often referred to as 'change'.

For profiles where the intention is to support actual payment advice then the cardinality must be set to 1..1.

Total payment amount as indicated on the financial instrument.

Needed to provide the actual payment amount.

Issuer's unique identifier for the services rendered payment instrument.

Enable the receiver to reconcile when payment is received.

For example: EFT number or check number.

Distribution of the patient. payment amount for a previously acknowledged payable.

Needed to show how the payment amount is distributed across the payables.

Unique identifier for the current payment item for the referenced payable.

Needed for reconciliation of payments.

Unique identifier for the prior payment item for the referenced payable.

Needed for reconciliation of payments.

Specific resource to which the payment/adjustment/advance applies.

List Identifies the claim line item, encounter or other sub-element being paid. Note payment may be partial, that is not match the then outstanding balance or amount incurred.

The Encounter to which this payment applies, may be completed by the receiver, used for search.

The Account to which this payment applies, may be completed by the receiver, used for search.

Code to indicate the nature of the payment, adjustment, funds advance, etc. payment.

Needed to provide context for the amount.

For example: payment, adjustment, funds advance, etc.

The party which submitted the claim or financial resource. transaction.

Needed for audit and validation.

The claim response resource. A resource, such as a ClaimResponse, which contains a commitment to payment.

Needed to provide a linkage to the payment commitment.

The Organization which submitted date from the claim or financial transaction. response resource containing a commitment to pay.

Needed for audit and validation.

A reference to the individual who is responsible for inquiries regarding the response and its payment.

To provide contact information.

The organization party which is receiving the payment.

Needed for audit and validation.

The date of monetary amount allocated from the invoice or financial resource. total payment to the payable.

Needed to explain the distribution of the payment to the payables.

Amount paid for The numbers associated with notes below which apply to the adjudication of this detail. item.

Provides a condensed manner for associating human readable descriptive explanations on the allocation item.

The A code for the form to be used for printing the content.

Needed to specify the specific form used for producing output for this response.

May be needed to identify specific jurisdictional forms.

A note that describes or explains the processing in a human readable form.

Total payment amount. Provides the specific textual explanations associated with the processing.

A code to indicate the business purpose of the note.

Process Notes may encompass a significant number of kinds of notes. These could be disclaimers (particularly useful for predetermination), a statement about adjudication, a conditional statement, or others.

Suite of notes. A number to uniquely identify a note entry.

Necessary to provide a mechanism to link from allocations.

The business purpose of the note purpose: Print/Display. text.

To convey the expectation for when the text is used.

The note text. explanation or description associated with the processing.

Required to provide human readable explanation.