Response

Operationvread Claim
StatusHTTP/1.1 200 OK
ResourceClaimIdd722aeefc4dd434bad56de705b3dc406Vid181
Headers
access-control-allow-origin
*
content-length
1717
content-type
application/fhir+json;charset=utf-8
date
Sun, 07 Mar 2021 12:37:10 GMT
etag
W/"181"
last-modified
Sun, 7 Mar 2021 12:37:06 GMT
server
nginx
strict-transport-security
max-age=15768000
Content
{"patient":{"reference":"Patient/31d8f97d084c42d7806927396d234766"},"insurance":[{"focal":true,"coverage":{"reference":"Coverage/271505a3840248ed9d2250a8164070f8"},"sequence":1}],"diagnosis":[{"diagnosisCodeableConcept":{"coding":[{"code":"65692"}]},"sequence":1}],"meta":{"versionId":"181","lastUpdated":"2021-03-07T12:37:06.895Z","security":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"HTEST","display":"test health data"}]},"use":"preauthorization","item":[{"net":{"value":80.0,"currency":"USD"},"productOrService":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/ex-USCLS","code":"1101","display":"Exam, comp, primary"}]},"servicedDate":"2018-12-10","sequence":1,"unitPrice":{"value":80.0,"currency":"USD"}}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/claim-type","code":"vision"}]},"created":"2018-12-10","resourceType":"Claim","insurer":{"identifier":{"system":"http://benefitsinc.com/insurer","value":"k5IT2FU-c6yk00gOlZL"},"display":"k5IT2FU-c6yk00gOlZL"},"priority":{"coding":[{"code":"normal"}]},"status":"draft","payee":{"type":{"coding":[{"code":"Subscriber"}]}},"id":"d722aeefc4dd434bad56de705b3dc406","identifier":[{"system":"http://happysight.com/claim","value":"131188874-310"}],"provider":{"identifier":{"system":"http://benefitsinc.com/responsible","value":"k5IT2FU-N1I2kTTcyJCL"},"display":"k5IT2FU-N1I2kTTcyJCL"},"careTeam":[{"sequence":1,"provider":{"identifier":{"system":"http://benefitsinc.com/responsible","value":"k5IT2FU-N1I2kTTcyJCL"},"display":"k5IT2FU-N1I2kTTcyJCL"}}],"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Touchstone Test Data - Claim: Pre-Authorization Vision Claim</p></div>","status":"generated"}}