{"created":"2014-08-16","id":"77654","identifier":[{"system":"http://benefitsinc.com/paymentnotice","value":"776543"}],"organization":{"reference":"Organization/1"},"paymentStatus":{"code":"paid","system":"http://hl7.org/fhir/paymentstatus"},"request":{"reference":"http://benefitsinc.com/fhir/oralhealthclaim/12345"},"resourceType":"PaymentNotice","text":{"div":"<div>A human-readable rendering of the PaymentNotice</div>","status":"generated"}}