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13.2.6 Resource ClaimResponse - Mappings 
Mappings for the claimresponse resource.
13.2.6.1 Mappings for RIM Mapping (http://hl7.org/v3)
| ClaimResponse | |
| identifier | |
| status | |
| request[x] | |
| ruleset | |
| originalRuleset | |
| created | |
| organization[x] | |
| requestProvider[x] | |
| requestOrganization[x] | |
| outcome | |
| disposition | |
| payeeType | |
| item | |
| sequenceLinkId | |
| noteNumber | |
| adjudication | |
| category | |
| reason | |
| amount | |
| value | |
| detail | |
| sequenceLinkId | |
| noteNumber | |
| adjudication | |
| subDetail | |
| sequenceLinkId | |
| noteNumber | |
| adjudication | |
| addItem | |
| sequenceLinkId | |
| revenue | |
| category | |
| service | |
| modifier | 24.C, 24.D mods |
| fee | |
| noteNumber | |
| adjudication | |
| detail | |
| revenue | |
| category | |
| service | |
| modifier | 24.C, 24.D mods |
| fee | |
| noteNumber | |
| adjudication | |
| error | |
| sequenceLinkId | |
| detailSequenceLinkId | |
| subdetailSequenceLinkId | |
| code | |
| totalCost | |
| unallocDeductable | |
| totalBenefit | |
| payment | |
| type | |
| adjustment | |
| adjustmentReason | |
| date | |
| amount | |
| identifier | |
| reserved | |
| form | |
| note | |
| number | |
| type | |
| text | |
| language | |
| coverage | Coverage |
| sequence | |
| focal | |
| coverage[x] | |
| businessArrangement | |
| preAuthRef | |
| claimResponse | |
13.2.6.2 Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)
| ClaimResponse | |
| identifier | |
| status | |
| request[x] | A02|G01 |
| ruleset | |
| originalRuleset | |
| created | |
| organization[x] | |
| requestProvider[x] | B01 |
| requestOrganization[x] | |
| outcome | |
| disposition | |
| payeeType | |
| item | |
| sequenceLinkId | F07 |
| noteNumber | |
| adjudication | |
| category | |
| reason | |
| amount | |
| value | |
| detail | |
| sequenceLinkId | F07 |
| noteNumber | |
| adjudication | |
| subDetail | |
| sequenceLinkId | F07 |
| noteNumber | |
| adjudication | |
| addItem | |
| sequenceLinkId | |
| revenue | |
| category | |
| service | |
| modifier | |
| fee | |
| noteNumber | |
| adjudication | |
| detail | |
| revenue | |
| category | |
| service | |
| modifier | |
| fee | |
| noteNumber | |
| adjudication | |
| error | |
| sequenceLinkId | |
| detailSequenceLinkId | |
| subdetailSequenceLinkId | |
| code | |
| totalCost | |
| unallocDeductable | |
| totalBenefit | |
| payment | |
| type | |
| adjustment | |
| adjustmentReason | |
| date | |
| amount | |
| identifier | |
| reserved | |
| form | G42 |
| note | |
| number | |
| type | |
| text | G32 |
| language | |
| coverage | |
| sequence | |
| focal | |
| coverage[x] | |
| businessArrangement | |
| preAuthRef | F03 |
| claimResponse | EOB |
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