<?xml version="1.0" encoding="UTF-8"?><Claim xmlns="http://hl7.org/fhir"><id value="0994f4b939f245119a60668c45249855"/><meta><versionId value="2807"/><lastUpdated value="2022-02-28T14:13:48.153Z"/><security><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><code value="HTEST"/><display value="test health data"/></security></meta><text><status value="generated"/><h:div xmlns:h="http://www.w3.org/1999/xhtml">  
            <h:p>Touchstone Test Data - Touchstone Test Data - Claim: Pre-Authorization Vision Claim</h:p> 
        </h:div></text><identifier><system value="http://happysight.com/claim"/><value value="131188874-6986"/></identifier><status value="draft"/><type><coding><system value="http://terminology.hl7.org/CodeSystem/claim-type"/><code value="vision"/></coding></type><use value="preauthorization"/><patient><reference value="Patient/aeef425cedb7478bb341ff91c2323160"/></patient><created value="2018-12-11"/><insurer><identifier><system value="http://benefitsinc.com/insurer"/><value value="Pm1Yvlg7-N1I2kTTcyJCL"/></identifier><display value="Pm1Yvlg7-N1I2kTTcyJCL"/></insurer><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider><priority><coding><system value="http://terminology.hl7.org/CodeSystem/processpriority"/><code value="normal"/></coding></priority><payee><type><coding><system value="http://terminology.hl7.org/CodeSystem/payeetype"/><code value="subscriber"/></coding></type></payee><careTeam><sequence value="1"/><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider></careTeam><diagnosis><sequence value="1"/><diagnosisCodeableConcept><coding><system value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/><code value="admitting"/></coding></diagnosisCodeableConcept></diagnosis><insurance><sequence value="1"/><focal value="true"/><coverage><reference value="Coverage/5381af4edae3460bafa8de84c338b146"/></coverage></insurance><item><sequence value="1"/><productOrService><coding><system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/><code value="1101"/><display value="Exam, comp, primary"/></coding></productOrService><servicedDate value="2018-12-11"/><unitPrice><value value="80.00"/><currency value="USD"/></unitPrice><net><value value="80.00"/><currency value="USD"/></net></item></Claim>