{
  "resourceType" : "ExplanationOfBenefit",
  "id" : "NgExplanationOfBenefit-001",
  "meta" : {
    "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-explanation-of-benefit"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit NgExplanationOfBenefit-001</b></p><a name=\"NgExplanationOfBenefit-001\"> </a><a name=\"hcNgExplanationOfBenefit-001\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ng-explanation-of-benefit.html\">NG ExplanationOfBenefit</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-NgPatient-002.html\">Musa Abdullahi  Male, DoB: 1987-07-06 ( nin)</a></p><p><b>created</b>: 2025-11-04 12:46:00+0000</p><p><b>insurer</b>: <a href=\"Organization-Organization-Truth-HMO.html\">Organization Truth Health Maintenance Organization</a></p><p><b>provider</b>: <a href=\"Organization-Organization-PortHarcourt-Hospital.html\">Organization Port Harcourt Emergency Hospital</a></p><p><b>claim</b>: <a href=\"Claim-NgClaim-001.html\">Claim: identifier = https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry#CLM-2025-0001; status = active; type = Pharmacy; use = claim; created = 2025-11-04 12:30:00+0000; priority = Normal</a></p><p><b>claimResponse</b>: <a href=\"ClaimResponse-NgClaimResponse-001.html\">ClaimResponse: status = active; type = Pharmacy; use = claim; created = 2025-11-04 12:45:00+0000; outcome = complete; disposition = Approved in full.; preAuthRef = 1234</a></p><p><b>outcome</b>: Processing Complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Coverage-Coverage-Chika-TruthHMO.html\">Coverage: status = active; type = extended healthcare; subscriberId = TRUTH-HMO-CHIKA-2025; dependent = 00; relationship = Self; period = 2025-01-01 --&gt; 2025-12-31; order = 1</a></td><td>PA-2025-8847</td></tr></table><p><b>benefitPeriod</b>: 2025-01-01 --&gt; 2025-12-31</p></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "pharmacy"
    }]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/NgPatient-002"
  },
  "created" : "2025-11-04T12:46:00Z",
  "insurer" : {
    "reference" : "Organization/Organization-Truth-HMO"
  },
  "provider" : {
    "reference" : "Organization/Organization-PortHarcourt-Hospital"
  },
  "claim" : {
    "reference" : "Claim/NgClaim-001"
  },
  "claimResponse" : {
    "reference" : "ClaimResponse/NgClaimResponse-001"
  },
  "outcome" : "complete",
  "insurance" : [{
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/Coverage-Chika-TruthHMO"
    },
    "preAuthRef" : ["PA-2025-8847"]
  }],
  "benefitPeriod" : {
    "start" : "2025-01-01",
    "end" : "2025-12-31"
  }
}