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
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit 4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d</b></p><a name="4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"> </a><a name="hc4822ddcc-2ce7-4b43-b6af-4f3435ce5a6d"> </a><p><b>identifier</b>: <code>http://connectiverx.com/enrollmentId</code>/45d1b98c-587c-ed11-8279-d6b6a2da4722 (use: usual, )</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:">pharmacy</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href="Bundle-uapi-copay-request-response-with-error.html#urn-uuid-2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9">Bundle: identifier = http://connectiverx.com/requestId#86a42a99-663b-48b8-8fd9-c1afdbca5b98 (use: usual, ); type = message; timestamp = 2023-01-11 08:10:17-0500</a></p><p><b>created</b>: 2023-02-07 08:10:13-0500</p><p><b>insurer</b>: <a href="Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>provider</b>: <a href="Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>outcome</b>: Complete</p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><a href="Bundle-uapi-copay-request-response.html#urn-uuid-597540c9-6248-466e-81e0-58e78f15454e">Bundle: identifier = http://connectiverx.com/requestId#86a42a99-663b-48b8-8fd9-c1afdbca5b98 (use: usual, ); type = message; timestamp = 2023-01-11 08:10:17-0500</a></td></tr></table></div>
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<identifier>
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<status value="active"/>
<type>
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<code value="pharmacy"/>
</coding>
</type>
<use value="predetermination"/>
<patient>
<reference value="urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9"/>
</patient>
<created value="2023-02-07T08:10:13-05:00"/>
<insurer>
<reference value="urn:uuid:d02db104-a75c-433f-8764-9778c2e20626"/>
</insurer>
<provider>
<reference value="urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1"/>
</provider>
<outcome value="complete"/>
<insurance>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:597540c9-6248-466e-81e0-58e78f15454e"/>
</coverage>
</insurance>
</ExplanationOfBenefit>