- Remittance resource Base StructureDefinition for ClaimResponse Resource
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Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
addItem 0..*List<AddItem>The first tier service adjudications for payor added services.coverage 0..*List<Coverage>Financial instrument by which payment information for health care.created 0..1DateTimeThe date when the enclosed suite of services were performed or completed.disposition 0..1StringA description of the status of the adjudication.error 0..*List<Error>Mutually exclusive with Services Provided (Item).form 0..1CodeThe form to be used for printing the content.Binding: Form Codes (Required)
identifier 0..*List<Identifier>The Response business identifier.item 0..*List<Item>The first tier service adjudications for submitted services.note 0..*List<Note>Note text.organization[x] 0..1Identifier | OrganizationThe Insurer who produced this adjudicated response.originalRuleset 0..1CodeThe style (standard) and version of the original material which was converted into this resource.Binding: Ruleset Codes (Example)
outcome 0..1CodeProcessing outcome errror, partial or complete processing.Binding: Claim Processing Codes (Example)
payeeType 0..1CodeParty to be reimbursed: Subscriber, provider, other.Binding: Payee Type Codes (Example)
payment 0..1PaymentPayment details for the claim if the claim has been paid.requestOrganization[x] 0..1Identifier | OrganizationThe organization which is responsible for the services rendered to the patient.requestProvider[x] 0..1Identifier | PractitionerThe practitioner who is responsible for the services rendered to the patient.request[x] 0..1Identifier | ClaimOriginal request resource referrence.reserved 0..1CodeStatus of funds reservation (For provider, for Patient, None).Binding: Funds Reservation Codes (Example)
ruleset 0..1CodeThe version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.Binding: Ruleset Codes (Example)
status 1..1codeThe status of the resource instance.Binding: ClaimResponseStatus (Required)
totalBenefit 0..1MoneyTotal amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible).totalCost 0..1MoneyThe total cost of the services reported.unallocDeductable 0..1MoneyThe amount of deductible applied which was not allocated to any particular service line.Key: = Must support, = QICore-defined extension, = Is-Modifier
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