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Financial Management Work Group | Maturity Level: 2 | Trial Use | Compartments: Practitioner |
Detailed Descriptions for the elements in the PaymentReconciliation resource.
| PaymentReconciliation | |
| Element Id | PaymentReconciliation |
| Definition | This resource provides payment details and claim references supporting a bulk payment. |
| Control | 1..1 |
| Type | DomainResource |
| PaymentReconciliation.identifier | |
| Element Id | PaymentReconciliation.identifier |
| Definition | The Response business identifier. |
| Note | This is a business identifer, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| PaymentReconciliation.status | |
| Element Id | PaymentReconciliation.status |
| Definition | The status of the resource instance. |
| Control | 0..1 |
| Terminology Binding | Financial Resource Status Codes (Required) |
| Type | code |
| Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
| Summary | true |
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| PaymentReconciliation.period | |
| Element Id | 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.created | |
| Element Id | PaymentReconciliation.created |
| Definition | The date when the resource was created. |
| Control | 0..1 |
| Type | dateTime |
| PaymentReconciliation.organization | |
| Element Id | PaymentReconciliation.organization |
| Definition | The Insurer who produced this adjudicated response. |
| Control | 0..1 |
| Type | Reference(Organization) |
| PaymentReconciliation.request | |
| Element Id | PaymentReconciliation.request |
| Definition | Original request resource reference. |
| Control | 0..1 |
| Type | Reference(ProcessRequest) |
| PaymentReconciliation.outcome | |
| Element Id | PaymentReconciliation.outcome |
| Definition | Transaction status: error, complete. |
| Control | 0..1 |
| Terminology Binding | RemittanceOutcome (Required) |
| Type | code |
| PaymentReconciliation.disposition | |
| Element Id | PaymentReconciliation.disposition |
| Definition | A description of the status of the adjudication. |
| Control | 0..1 |
| Type | string |
| PaymentReconciliation.requestProvider | |
| Element Id | PaymentReconciliation.requestProvider |
| Definition | The practitioner who is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference(Practitioner | PractitionerRole | Organization) |
| PaymentReconciliation.detail | |
| Element Id | PaymentReconciliation.detail |
| Definition | List of individual settlement amounts and the corresponding transaction. |
| Control | 0..* |
| PaymentReconciliation.detail.type | |
| Element Id | PaymentReconciliation.detail.type |
| Definition | Code to indicate the nature of the payment, adjustment, funds advance, etc. |
| Control | 1..1 |
| Terminology Binding | Payment Type Codes (Example) |
| Type | CodeableConcept |
| PaymentReconciliation.detail.request | |
| Element Id | PaymentReconciliation.detail.request |
| Definition | The claim or financial resource. |
| Control | 0..1 |
| Type | Reference(Any) |
| PaymentReconciliation.detail.response | |
| Element Id | PaymentReconciliation.detail.response |
| Definition | The claim response resource. |
| Control | 0..1 |
| Type | Reference(Any) |
| PaymentReconciliation.detail.submitter | |
| Element Id | PaymentReconciliation.detail.submitter |
| Definition | The Organization which submitted the claim or financial transaction. |
| Control | 0..1 |
| Type | Reference(Organization) |
| PaymentReconciliation.detail.payee | |
| Element Id | PaymentReconciliation.detail.payee |
| Definition | The organization which is receiving the payment. |
| Control | 0..1 |
| Type | Reference(Organization) |
| PaymentReconciliation.detail.date | |
| Element Id | PaymentReconciliation.detail.date |
| Definition | The date of the invoice or financial resource. |
| Control | 0..1 |
| Type | date |
| PaymentReconciliation.detail.amount | |
| Element Id | PaymentReconciliation.detail.amount |
| Definition | Amount paid for this detail. |
| Control | 0..1 |
| Type | Money |
| PaymentReconciliation.form | |
| Element Id | PaymentReconciliation.form |
| Definition | The form to be used for printing the content. |
| Control | 0..1 |
| Terminology Binding | Forms (Example) |
| Type | CodeableConcept |
| PaymentReconciliation.total | |
| Element Id | PaymentReconciliation.total |
| Definition | Total payment amount. |
| Control | 0..1 |
| Type | Money |
| PaymentReconciliation.processNote | |
| Element Id | PaymentReconciliation.processNote |
| Definition | Suite of notes. |
| Control | 0..* |
| PaymentReconciliation.processNote.type | |
| Element Id | PaymentReconciliation.processNote.type |
| Definition | The note purpose: Print/Display. |
| Control | 0..1 |
| Terminology Binding | NoteType (Required) |
| Type | code |
| PaymentReconciliation.processNote.text | |
| Element Id | PaymentReconciliation.processNote.text |
| Definition | The note text. |
| Control | 0..1 |
| Type | string |