Da Vinci Postable Remittance
1.0.0 - STU 1

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 1.0.0 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

## Example Parameters: ExampleSearchResult

Generated Narrative: Parameters ExampleSearchResult

Profile: Search Result Outgoing Parameters

## Parameters

TIN | 123485858
Payer |
PayerID | 52415
PayerName | Acme Payment Inc
Claim |
ProviderClaimID | 12345V54321
ClaimReceivedDate | 2023-10-05
ProviderID | 52415
PayerClaimID | TYU7894562
PaymentInfo |
PaymentDate | 2023-11-02
PaymentNumber | A12385858
PaymentAmount | $30.00 (USD)
Remittance |
RemittanceAdviceIdentifier | A123456BCDEF
RemittanceAdviceType | application/EDI-X12
RemittanceAdviceDate | 2023-11-02
RemittanceAdviceFileSize | 1536
Claim |
ProviderClaimID | 12345V54321
ClaimReceivedDate | 2023-10-04
ProviderID | 52415
PayerClaimID | TYU7894566
PaymentInfo |
PaymentDate | 2023-11-03
PaymentNumber | A12385859
PaymentAmount | $30.00 (USD)
Remittance |
RemittanceAdviceIdentifier | A123456BCDXY
RemittanceAdviceType | application/EDI-X12
RemittanceAdviceDate | 2023-11-04
RemittanceAdviceFileSize | 2048
Patient |
DateOfBirth | 1970-11-27
PatientID | M12345513215
PatientFirstName | Adam
PatientLastName | Patient