Da Vinci Postable Remittance
1.0.0-ballot - STU 1 Ballot United States of America flag

This page is part of the DaVinci Postable Remittance FHIR Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Parameters: ExampleSearchResult

Generated Narrative: Parameters ExampleSearchResult

Parameters

TIN123456
Payer
 PayerID54321
 PayerNameAcme Payment Inc
Claim
 ProviderClaimID12345
 ClaimReceivedDate2024-06-01
 ProviderID23456
 PayerClaimID34567
 PaymentInfo
  PaymentDate2024-06-07
  PaymentNumber11111
  PaymentAmountCA$123.45 (CAD)
  Remittance
   RemittanceAdviceIdentifier99999
   RemittanceAdviceType835
   RemittanceAdviceDate2024-06-07
   RemittanceAdviceFileSize123456
Patient
 DateOfBirth1970-11-27
 PatientID23456
 PatientFirstNameAdam
 PatientLastNamePatient