This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
. Page versions: R5 R4B R4 R3 R2

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 |
| Summary | true |
| PaymentReconciliation.identifier | |
| Definition | The Response business identifier. |
| Note | This is a business identifer, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| Summary | true |
| PaymentReconciliation.request | |
| Definition | Original request resource reference. |
| Control | 0..1 |
| Type | Reference(ProcessRequest) |
| Summary | true |
| PaymentReconciliation.outcome | |
| Definition | Transaction status: error, complete. |
| Control | 0..1 |
| Binding | RemittanceOutcome: The outcome of the processing. (Required) |
| Type | code |
| Summary | true |
| PaymentReconciliation.disposition | |
| Definition | A description of the status of the adjudication. |
| Control | 0..1 |
| Type | string |
| Summary | true |
| 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 Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example) |
| Type | Coding |
| Summary | true |
| PaymentReconciliation.originalRuleset | |
| Definition | The style (standard) and version of the original material which was converted into this resource. |
| Control | 0..1 |
| Binding | Ruleset Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example) |
| 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. |
| Summary | true |
| PaymentReconciliation.created | |
| Definition | The date when the enclosed suite of services were performed or completed. |
| Control | 0..1 |
| Type | dateTime |
| Summary | true |
| PaymentReconciliation.period | |
| Definition | The period of time for which payments have been gathered into this bulk payment for settlement. |
| Control | 0..1 |
| Type | Period |
| Summary | true |
| PaymentReconciliation.organization | |
| Definition | The Insurer who produced this adjudicated response. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Summary | true |
| PaymentReconciliation.requestProvider | |
| Definition | The practitioner who is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference(Practitioner) |
| Summary | true |
| PaymentReconciliation.requestOrganization | |
| Definition | The organization which is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Summary | true |
| PaymentReconciliation.detail | |
| Definition | List of individual settlement amounts and the corresponding transaction. |
| Control | 0..* |
| Summary | true |
| PaymentReconciliation.detail.type | |
| Definition | Code to indicate the nature of the payment, adjustment, funds advance, etc. |
| Control | 1..1 |
| Binding | Payment Type Codes: The reason for the amount: payment, adjustment, advance. (Example) |
| Type | Coding |
| Summary | true |
| PaymentReconciliation.detail.request | |
| Definition | The claim or financial resource. |
| Control | 0..1 |
| Type | Reference(Any) |
| Summary | true |
| PaymentReconciliation.detail.responce | |
| Definition | The claim response resource. |
| Control | 0..1 |
| Type | Reference(Any) |
| Summary | true |
| PaymentReconciliation.detail.submitter | |
| Definition | The Organization which submitted the invoice or financial transaction. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Summary | true |
| PaymentReconciliation.detail.payee | |
| Definition | The organization which is receiving the payment. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Summary | true |
| PaymentReconciliation.detail.date | |
| Definition | The date of the invoice or financial resource. |
| Control | 0..1 |
| Type | date |
| Summary | true |
| PaymentReconciliation.detail.amount | |
| Definition | Amount paid for this detail. |
| Control | 0..1 |
| Type | Money |
| Summary | true |
| PaymentReconciliation.form | |
| Definition | The form to be used for printing the content. |
| Control | 0..1 |
| Binding | Form Codes: The forms codes. (Required) |
| Type | Coding |
| Summary | true |
| PaymentReconciliation.total | |
| Definition | Total payment amount. |
| Control | 1..1 |
| Type | Money |
| Summary | true |
| PaymentReconciliation.note | |
| Definition | Suite of notes. |
| Control | 0..* |
| Summary | true |
| PaymentReconciliation.note.type | |
| Definition | The note purpose: Print/Display. |
| Control | 0..1 |
| Binding | NoteType: The presentation types of notes. (Required) |
| Type | Coding |
| Summary | true |
| PaymentReconciliation.note.text | |
| Definition | The note text. |
| Control | 0..1 |
| Type | string |
| Summary | true |