{"created":"2014-09-16","disposition":"Eligibiliy request could not be processed, please address errors before submitting.","error":[{"code":{"coding":[{"code":"a001","system":"http://terminology.hl7.org/CodeSystem/adjudication-error"}]}}],"form":{"coding":[{"code":"ELRSP/2017/01","system":"http://national.org/form"}]},"id":"E2503","identifier":[{"system":"http://www.BenefitsInc.com/fhir/coverageeligibilityresponse","value":"8812343"}],"insurer":{"reference":"Organization/2"},"outcome":"error","patient":{"reference":"Patient/f201"},"purpose":["validation"],"request":{"reference":"http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332406"},"requestor":{"identifier":{"system":"http://national.org/clinic","value":"OR1234"}},"resourceType":"CoverageEligibilityResponse","status":"active","text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityResponse.</div>","status":"generated"}}