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Detailed Descriptions for the elements in the PaymentReconciliation resource.
| PaymentReconciliation | |
| Definition |
This resource provides payment details and claim references supporting a bulk payment. |
| Control | 1..1 |
| PaymentReconciliation.identifier | |
| Definition |
The Response Business Identifier. |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| PaymentReconciliation.request | |
| Definition |
Original request resource reference. |
| Control | 0..1 |
| Type | Reference ( ProcessRequest ) |
| PaymentReconciliation.outcome | |
| Definition |
Transaction status: error, complete. |
| Control | 0..1 |
| Binding | RemittanceOutcome: Required : http://hl7.org/fhir/RS-link (The outcome of the processing.) |
| Type | code |
| PaymentReconciliation.disposition | |
| Definition |
A description of the status of the adjudication. |
| Control | 0..1 |
| Type | string |
| PaymentReconciliation.ruleset | |
| Definition |
The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources. |
| Control | 0..1 |
| Binding | Ruleset: Example : See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.) |
| Type | Coding |
| PaymentReconciliation.originalRuleset | |
| Definition |
The style (standard) and version of the original material which was converted into this resource. |
| Control | 0..1 |
| Binding | Ruleset: Example : See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.) |
| Type | Coding |
| Requirements |
Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated. |
| PaymentReconciliation.created | |
| Definition |
The date when the enclosed suite of services were performed or completed. |
| Control | 0..1 |
| Type | dateTime |
| PaymentReconciliation.period | |
| Definition |
The period of time for which payments have been gathered into this bulk payment for settlement. |
| Control | 0..1 |
| Type | Period |
| PaymentReconciliation.organization | |
| Definition |
The Insurer who produced this adjudicated response. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.requestProvider | |
| Definition |
The practitioner who is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference ( Practitioner ) |
| PaymentReconciliation.requestOrganization | |
| Definition |
The organization which is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.detail | |
| Definition |
List of individual settlement amounts and the corresponding transaction. |
| Control | 0..* |
| PaymentReconciliation.detail.type | |
| Definition |
Code to indicate the nature of the payment, adjustment, funds advance, etc. |
| Control | 1..1 |
| Binding | PaymentType: Example : See http://hl7.org/fhir/vs/payment-type (The reason for the amount: payment, adjustment, advance.) |
| Type | Coding |
| PaymentReconciliation.detail.request | |
| Definition |
The claim or financial resource. |
| Control | 0..1 |
| Type | Reference ( Any ) |
| PaymentReconciliation.detail.responce | |
| Definition |
The claim response resource. |
| Control | 0..1 |
| Type | Reference ( Any ) |
| PaymentReconciliation.detail.submitter | |
| Definition |
The Organization which submitted the invoice or financial transaction. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.detail.payee | |
| Definition |
The organization which is receiving the payment. |
| Control | 0..1 |
| Type | Reference ( Organization ) |
| PaymentReconciliation.detail.date | |
| Definition |
The date of the invoice or financial resource. |
| Control | 0..1 |
| Type | date |
| PaymentReconciliation.detail.amount | |
| Definition |
Amount paid for this detail. |
| Control | 0..1 |
| Type | Money |
| PaymentReconciliation.form | |
| Definition |
The form to be used for printing the content. |
| Control | 0..1 |
| Binding | Forms: Required : See http://hl7.org/fhir/vs/forms (The forms codes) |
| Type | Coding |
| PaymentReconciliation.total | |
| Definition |
Total payment amount. |
| Control | 1..1 |
| Type | Money |
| PaymentReconciliation.note | |
| Definition |
Suite of notes. |
| Control | 0..* |
| PaymentReconciliation.note.type | |
| Definition |
The note purpose: Print/Display. |
| Control | 0..1 |
| Binding | NoteType: Required : http://hl7.org/fhir/NT-link (The presentation types of notes) |
| Type | Coding |
| PaymentReconciliation.note.text | |
| Definition |
The note text. |
| Control | 0..1 |
| Type | string |