Da Vinci Postable Remittance, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pr/ and changes regularly. See the Directory of published versions
Generated Narrative: Parameters ExampleSearchResult
TIN | 123456 |
Payer | |
PayerID | 54321 |
PayerName | Acme Payment Inc |
Claim | |
ProviderClaimID | 12345 |
ClaimReceivedDate | 2024-06-01 |
ProviderID | 23456 |
PayerClaimID | 34567 |
PaymentInfo | |
PaymentDate | 2024-06-07 |
PaymentNumber | 11111 |
PaymentAmount | CA$123.45 (CAD) |
Remittance | |
RemittanceAdviceIdentifier | 99999 |
RemittanceAdviceType | 835 |
RemittanceAdviceDate | 2024-06-07 |
RemittanceAdviceFileSize | 123456 |
Patient | |
DateOfBirth | 1970-11-27 |
PatientID | 23456 |
PatientFirstName | Adam |
PatientLastName | Patient |