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.

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.

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.

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 the services rendered to date of payment as indicated on the patient. financial instrument.

To advise the payee when payment can be expected.

The organization which is responsible for Total payment amount as indicated on the services rendered financial instrument.

Needed to provide the patient. actual payment amount.

Issuer's unique identifier for the payment instrument.

Enable the receiver to reconcile when payment is received.

For example: EFT number or check number.

List Distribution of individual settlement amounts and the corresponding transaction. 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.

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 claim or financial resource. A resource, such as a Claim, the evaluation of which could lead to payment.

Needed to provide a linkage to the original request.

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

Needed for audit and validation.

The Organization A resource, such as a ClaimResponse, which submitted the claim or financial transaction. contains a commitment to payment.

Needed to provide a linkage to the payment commitment.

The organization which date from the response resource containing a commitment to pay.

Needed for audit and validation.

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

To provide contact information.

The date of party which is receiving the invoice or financial resource. payment.

Needed for audit and validation.

Amount paid for this detail. The monetary amount allocated from the total payment to the payable.

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

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.

Total payment amount. May be needed to identify specific jurisdictional forms.

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

Provides the specific textual explanations associated with the processing.

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.