Universal API Implementation Guide
1.1.20 - ci-build

Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: External - UAPI Copay claim upsert - bundle of claim bundles - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="uapi-bundle-copay-claim-upsert"/>
  <identifier>
    <use value="usual"/>
    <system value="http://risrx.com/claimbundleid"/>
    <value value="2f057cf1-19d5-425e-bae7-0612026b69cd"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2024-06-07T08:10:17-05:00"/>
  <entry>
    <fullUrl value="urn:uuid:d1e49065-2e38-45b0-af50-92e225868140"/>
    <resource>
      <Bundle>
        <id value="uapi-bundle-copay-claim-1"/>
        <identifier>
          <use value="usual"/>
          <system value="http://risrx.com/claimid"/>
          <value value="123456"/>
        </identifier>
        <type value="collection"/>
        <timestamp value="2024-06-07T08:10:17-05:00"/>
        <entry>
          <fullUrl value="urn:uuid:61b950a7-e518-4f69-b8dd-a1729c8f4bd5"/>
          <resource>
            <ExplanationOfBenefit>
              <id value="uapi-eob-copay-claim-1"/>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
                  </coding>
                  <coding>
                    <code value="uc"/>
                  </coding>
                </type>
                <system value="http://risrx.com/claimid"/>
                <value value="123456"/>
              </identifier>
              <status value="active"/>
              <type>
                <coding>
                  <code value="institutional"/>
                </coding>
              </type>
              <use value="claim"/>
              <patient>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
              </patient>
              <created value="2024-06-06T21:01:11.230Z"/>
              <insurer>
                <reference
                           value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
              </insurer>
              <provider>
                <reference
                           value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
              </provider>
              <payee>
                <party>
                  <reference
                             value="urn:uuid:081d9568-2f85-4211-a84e-224d675b18ef"/>
                </party>
              </payee>
              <outcome value="complete"/>
              <supportingInfo>
                <sequence value="1"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="eobdate"/>
                  </coding>
                </category>
                <valueString value="2024-06-07"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="2"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="ndc"/>
                  </coding>
                </category>
                <valueString value="50242021501"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="3"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="claimrequesteddate"/>
                  </coding>
                </category>
                <valueString value="2024-06-01"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="4"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="claimapproveddate"/>
                  </coding>
                </category>
                <valueString value="2024-06-03"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="5"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="jcode"/>
                  </coding>
                </category>
                <valueString value="J2357"/>
              </supportingInfo>
              <insurance>
                <focal value="true"/>
                <coverage>
                  <reference
                             value="urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3"/>
                </coverage>
              </insurance>
              <item>
                <sequence value="1"/>
                <productOrService>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes"/>
                    <code value="96401"/>
                  </coding>
                </productOrService>
                <servicedDate value="2024-06-01"/>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="submitted"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="250"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="eligible"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="104.16"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="paidtoprovider"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="78.12"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="copay"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="0"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="deductible"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="25"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="coinsurance"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="26.04"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="patienttotalresponsibility"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="51.04"/>
                  </amount>
                </adjudication>
              </item>
              <adjudication>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/ValueSet/uapi-copay-adjudication-category-discriminator"/>
                    <code value="claimstatus"/>
                  </coding>
                </category>
                <reason>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-status"/>
                    <code value="approved"/>
                  </coding>
                </reason>
              </adjudication>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-payment-type"/>
                    <code value="check"/>
                  </coding>
                </category>
                <amount>
                  <value value="5.01"/>
                </amount>
              </total>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication"/>
                    <code value="paidbypatient"/>
                  </coding>
                </category>
                <amount>
                  <value value="5"/>
                </amount>
              </total>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication"/>
                    <code value="submitted"/>
                  </coding>
                </category>
                <amount>
                  <value value="13.11"/>
                </amount>
              </total>
              <payment>
                <type>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode"/>
                    <code value="paid"/>
                  </coding>
                </type>
                <date value="2024-06-06"/>
                <identifier>
                  <system value="http://risrx.com/checknum"/>
                  <value value="123456"/>
                </identifier>
              </payment>
            </ExplanationOfBenefit>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
          <resource>
            <Patient>
              <id value="3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-patient"/>
              </meta>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="PI"/>
                    <display value="Patient internal identifier"/>
                  </coding>
                </type>
                <system value="http://risrx.com/masterpatientcardid"/>
                <value value="12220c4c-b03b-4ebc-9bb7-1c5ddafbb30c"/>
                <assigner>
                  <display value="RisRx"/>
                </assigner>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Michaelson"/>
                <given value="Ryan"/>
                <given value="Tom"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="1231231234"/>
                <use value="home"/>
                <rank value="1"/>
              </telecom>
              <telecom>
                <system value="phone"/>
                <value value="1234561234"/>
                <use value="mobile"/>
                <rank value="2"/>
              </telecom>
              <telecom>
                <system value="email"/>
                <value value="bobster83@example.com"/>
                <use value="home"/>
                <rank value="3"/>
              </telecom>
              <gender value="male"/>
              <birthDate value="1972-10-29"/>
              <address>
                <line value="1234 Main St"/>
                <city value="San Francisco"/>
                <state value="CA"/>
                <postalCode value="94105"/>
                <country value="US"/>
              </address>
              <communication>
                <language>
                  <coding>
                    <system value="urn:ietf:bcp:47"/>
                    <code value="en"/>
                    <display value="English"/>
                  </coding>
                </language>
                <preferred value="true"/>
              </communication>
              <managingOrganization>
                <reference
                           value="urn:uuid:cf3f3cea-f679-4e30-891b-457e4dd46468"/>
              </managingOrganization>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
          <resource>
            <Practitioner>
              <id value="695d0991-5e03-46df-934a-85a28acd95c1"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"/>
              </meta>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="PRN"/>
                    <display value="Provider number"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="1922071448"/>
                <assigner>
                  <display
                           value="Centers for Medicare &amp; Medicaid Services"/>
                </assigner>
              </identifier>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="TAX"/>
                    <display value="Tax ID number"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="00000000"/>
              </identifier>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="NPI"/>
                    <display value="National provider identifier"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="1639285034"/>
              </identifier>
              <name>
                <use value="official"/>
                <family value="CRUZ"/>
                <given value="MARISSA"/>
              </name>
            </Practitioner>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
          <resource>
            <RelatedPerson>
              <id value="4db51d32-65c3-4f8c-959e-0155c6d14545"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"/>
              </meta>
              <patient>
                <reference
                           value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
                <type value="Patient"/>
              </patient>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="SIGOTHR"/>
                  <display value="significant other"/>
                </coding>
              </relationship>
              <name>
                <use value="official"/>
                <family value="Smith"/>
                <given value="Bob Paul"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="1234567890"/>
                <use value="mobile"/>
              </telecom>
              <birthDate value="1972-10-29"/>
            </RelatedPerson>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e"/>
          <resource>
            <Coverage>
              <id value="b0574bf9-d016-4af7-a895-269abd739db3"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
              </meta>
              <extension
                         url="https://fhir.developer.gene.com/StructureDefinition/IssuedDate">
                <valueDate value="2023-02-26"/>
              </extension>
              <status value="active"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                  <code value="pay"/>
                  <display value="Pay"/>
                </coding>
              </type>
              <subscriber>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
                <type value="Patient"/>
              </subscriber>
              <subscriberId value="EYE00044137"/>
              <beneficiary>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
                <type value="Patient"/>
              </beneficiary>
              <period>
                <start value="2023-02-08"/>
                <end value="2199-12-31"/>
              </period>
              <payor>
                <reference
                           value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
                <type value="Organization"/>
              </payor>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="rxbin"/>
                    <display value="RX BIN"/>
                  </coding>
                </type>
                <value value="600426"/>
                <name value="BIN"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="rxpcn"/>
                    <display value="RX PCN"/>
                  </coding>
                </type>
                <value value="54"/>
                <name value="PCN"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="group"/>
                    <display value="Group"/>
                  </coding>
                </type>
                <value value="EC38532005"/>
                <name value="Group Number"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="plan"/>
                    <display value="Plan"/>
                  </coding>
                </type>
                <value value="Xolair-Admin"/>
                <name value="Xolair Co Pay program"/>
              </class>
              <order value="1"/>
              <network value="Genentech"/>
            </Coverage>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:45597178-f243-419e-8af3-462359f89e91"/>
    <resource>
      <Bundle>
        <id value="uapi-bundle-copay-claim-2"/>
        <identifier>
          <use value="usual"/>
          <system value="http://risrx.com/claimid"/>
          <value value="953f66c2-383c-4d8b-a306-2938b1b92f6b"/>
        </identifier>
        <type value="collection"/>
        <timestamp value="2024-06-07T08:10:17-05:00"/>
        <entry>
          <fullUrl value="urn:uuid:61b950a7-e518-4f69-b8dd-a1729c8f4bd5"/>
          <resource>
            <ExplanationOfBenefit>
              <id value="uapi-eob-copay-claim-1"/>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
                  </coding>
                  <coding>
                    <code value="uc"/>
                  </coding>
                </type>
                <system value="http://risrx.com/claimid"/>
                <value value="123456"/>
              </identifier>
              <status value="active"/>
              <type>
                <coding>
                  <code value="institutional"/>
                </coding>
              </type>
              <use value="claim"/>
              <patient>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
              </patient>
              <created value="2024-06-06T21:01:11.230Z"/>
              <insurer>
                <reference
                           value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
              </insurer>
              <provider>
                <reference
                           value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
              </provider>
              <payee>
                <party>
                  <reference
                             value="urn:uuid:081d9568-2f85-4211-a84e-224d675b18ef"/>
                </party>
              </payee>
              <outcome value="complete"/>
              <supportingInfo>
                <sequence value="1"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="eobdate"/>
                  </coding>
                </category>
                <valueString value="2024-06-07"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="2"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="ndc"/>
                  </coding>
                </category>
                <valueString value="50242021501"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="3"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="claimrequesteddate"/>
                  </coding>
                </category>
                <valueString value="2024-06-01"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="4"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="claimapproveddate"/>
                  </coding>
                </category>
                <valueString value="2024-06-03"/>
              </supportingInfo>
              <supportingInfo>
                <sequence value="5"/>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-supporting-info-category"/>
                    <code value="jcode"/>
                  </coding>
                </category>
                <valueString value="J2357"/>
              </supportingInfo>
              <insurance>
                <focal value="true"/>
                <coverage>
                  <reference
                             value="urn:uuid:b0574bf9-d016-4af7-a895-269abd739db3"/>
                </coverage>
              </insurance>
              <item>
                <sequence value="1"/>
                <productOrService>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes"/>
                    <code value="96401"/>
                  </coding>
                </productOrService>
                <servicedDate value="2024-06-01"/>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="submitted"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="250"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="eligible"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="104.16"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="paidtoprovider"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="78.12"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="copay"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="0"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="deductible"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="25"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="coinsurance"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="26.04"/>
                  </amount>
                </adjudication>
                <adjudication>
                  <category>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationCategory"/>
                      <code value="patienttotalresponsibility"/>
                    </coding>
                  </category>
                  <amount>
                    <value value="51.04"/>
                  </amount>
                </adjudication>
              </item>
              <adjudication>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/ValueSet/uapi-copay-adjudication-category-discriminator"/>
                    <code value="claimstatus"/>
                  </coding>
                </category>
                <reason>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-claim-status"/>
                    <code value="approved"/>
                  </coding>
                </reason>
              </adjudication>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-copay-payment-type"/>
                    <code value="check"/>
                  </coding>
                </category>
                <amount>
                  <value value="5.01"/>
                </amount>
              </total>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication"/>
                    <code value="paidbypatient"/>
                  </coding>
                </category>
                <amount>
                  <value value="5"/>
                </amount>
              </total>
              <total>
                <category>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication"/>
                    <code value="submitted"/>
                  </coding>
                </category>
                <amount>
                  <value value="13.11"/>
                </amount>
              </total>
              <payment>
                <type>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode"/>
                    <code value="paid"/>
                  </coding>
                </type>
                <date value="2024-06-06"/>
                <identifier>
                  <system value="http://risrx.com/checknum"/>
                  <value value="123456"/>
                </identifier>
              </payment>
            </ExplanationOfBenefit>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
          <resource>
            <Patient>
              <id value="3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-patient"/>
              </meta>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="PI"/>
                    <display value="Patient internal identifier"/>
                  </coding>
                </type>
                <system value="http://risrx.com/masterpatientcardid"/>
                <value value="12220c4c-b03b-4ebc-9bb7-1c5ddafbb30c"/>
                <assigner>
                  <display value="RisRx"/>
                </assigner>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Michaelson"/>
                <given value="Ryan"/>
                <given value="Tom"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="1231231234"/>
                <use value="home"/>
                <rank value="1"/>
              </telecom>
              <telecom>
                <system value="phone"/>
                <value value="1234561234"/>
                <use value="mobile"/>
                <rank value="2"/>
              </telecom>
              <telecom>
                <system value="email"/>
                <value value="bobster83@example.com"/>
                <use value="home"/>
                <rank value="3"/>
              </telecom>
              <gender value="male"/>
              <birthDate value="1972-10-29"/>
              <address>
                <line value="1234 Main St"/>
                <city value="San Francisco"/>
                <state value="CA"/>
                <postalCode value="94105"/>
                <country value="US"/>
              </address>
              <communication>
                <language>
                  <coding>
                    <system value="urn:ietf:bcp:47"/>
                    <code value="en"/>
                    <display value="English"/>
                  </coding>
                </language>
                <preferred value="true"/>
              </communication>
              <managingOrganization>
                <reference
                           value="urn:uuid:cf3f3cea-f679-4e30-891b-457e4dd46468"/>
              </managingOrganization>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
          <resource>
            <Practitioner>
              <id value="695d0991-5e03-46df-934a-85a28acd95c1"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner"/>
              </meta>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="PRN"/>
                    <display value="Provider number"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="1922071448"/>
                <assigner>
                  <display
                           value="Centers for Medicare &amp; Medicaid Services"/>
                </assigner>
              </identifier>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="TAX"/>
                    <display value="Tax ID number"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="00000000"/>
              </identifier>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="NPI"/>
                    <display value="National provider identifier"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="1639285034"/>
              </identifier>
              <name>
                <use value="official"/>
                <family value="CRUZ"/>
                <given value="MARISSA"/>
              </name>
            </Practitioner>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:4db51d32-65c3-4f8c-959e-0155c6d14545"/>
          <resource>
            <RelatedPerson>
              <id value="4db51d32-65c3-4f8c-959e-0155c6d14545"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-relatedPerson"/>
              </meta>
              <patient>
                <reference
                           value="urn:uuid:fc2e5a72-c363-4616-ae00-4ad25cbcb45c"/>
                <type value="Patient"/>
              </patient>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="SIGOTHR"/>
                  <display value="significant other"/>
                </coding>
              </relationship>
              <name>
                <use value="official"/>
                <family value="Smith"/>
                <given value="Bob Paul"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="1234567890"/>
                <use value="mobile"/>
              </telecom>
              <birthDate value="1972-10-29"/>
            </RelatedPerson>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e"/>
          <resource>
            <Coverage>
              <id value="b0574bf9-d016-4af7-a895-269abd739db3"/>
              <meta>
                <profile
                         value="https://fhir.developer.gene.com/StructureDefinition/uapi-coverage"/>
              </meta>
              <extension
                         url="https://fhir.developer.gene.com/StructureDefinition/IssuedDate">
                <valueDate value="2023-02-26"/>
              </extension>
              <status value="active"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                  <code value="pay"/>
                  <display value="Pay"/>
                </coding>
              </type>
              <subscriber>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
                <type value="Patient"/>
              </subscriber>
              <subscriberId value="EYE00044137"/>
              <beneficiary>
                <reference
                           value="urn:uuid:3fd08ef2-34a2-4191-ad04-44353c2f133a"/>
                <type value="Patient"/>
              </beneficiary>
              <period>
                <start value="2023-02-08"/>
                <end value="2199-12-31"/>
              </period>
              <payor>
                <reference
                           value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
                <type value="Organization"/>
              </payor>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="rxbin"/>
                    <display value="RX BIN"/>
                  </coding>
                </type>
                <value value="600426"/>
                <name value="BIN"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="rxpcn"/>
                    <display value="RX PCN"/>
                  </coding>
                </type>
                <value value="54"/>
                <name value="PCN"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="group"/>
                    <display value="Group"/>
                  </coding>
                </type>
                <value value="EC38532005"/>
                <name value="Group Number"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="plan"/>
                    <display value="Plan"/>
                  </coding>
                </type>
                <value value="Xolair-Admin"/>
                <name value="Xolair Co Pay program"/>
              </class>
              <order value="1"/>
              <network value="Genentech"/>
            </Coverage>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </entry>
</Bundle>