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1 |
2 |
3 |
| ClaimResponse |
I |
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| ClaimResponse.id |
C |
C |
C |
| ClaimResponse.meta |
C |
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| ClaimResponse.meta.profile |
C |
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| ClaimResponse.implicitRules |
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| ClaimResponse.language |
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| ClaimResponse.text |
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| ClaimResponse.contained |
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| ClaimResponse.extension |
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| ClaimResponse.modifierExtension |
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| ClaimResponse.identifier |
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S C (2) |
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| ClaimResponse.identifier.value |
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C |
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| ClaimResponse.identifier.system |
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C F |
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| ClaimResponse.traceNumber |
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| ClaimResponse.status |
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| ClaimResponse.type |
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| ClaimResponse.type.coding |
C |
C |
C |
| ClaimResponse.type.coding.code |
C |
C |
C |
| ClaimResponse.type.coding.system |
C |
C |
C |
| ClaimResponse.subType |
C |
C B M |
C B M |
| ClaimResponse.subType.coding |
C |
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C |
| ClaimResponse.subType.coding.code |
C |
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C |
| ClaimResponse.subType.coding.system |
C F |
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C |
| ClaimResponse.use |
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F |
F |
| ClaimResponse.patient |
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| ClaimResponse.created |
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| ClaimResponse.insurer |
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| ClaimResponse.requestor |
C |
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C |
| ClaimResponse.requestor.reference |
C |
C |
C |
| ClaimResponse.request |
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| ClaimResponse.outcome |
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| ClaimResponse.decision |
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| ClaimResponse.disposition |
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| ClaimResponse.preAuthRef |
C |
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| ClaimResponse.preAuthPeriod |
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| ClaimResponse.preAuthPeriod.start |
C |
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| ClaimResponse.event |
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| ClaimResponse.event.extension |
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| ClaimResponse.event.modifierExtension |
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| ClaimResponse.event.type |
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| ClaimResponse.event.when[x] |
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| ClaimResponse.payeeType |
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| ClaimResponse.encounter |
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| ClaimResponse.diagnosisRelatedGroup |
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| ClaimResponse.item |
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| ClaimResponse.item.extension |
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| ClaimResponse.item.modifierExtension |
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| ClaimResponse.item.itemSequence |
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| ClaimResponse.item.traceNumber |
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| ClaimResponse.item.noteNumber |
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| ClaimResponse.item.reviewOutcome |
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| ClaimResponse.item.reviewOutcome.extension |
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| ClaimResponse.item.reviewOutcome.modifierExtension |
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| ClaimResponse.item.reviewOutcome.decision |
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| ClaimResponse.item.reviewOutcome.reason |
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| ClaimResponse.item.reviewOutcome.preAuthRef |
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| ClaimResponse.item.reviewOutcome.preAuthPeriod |
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| ClaimResponse.item.adjudication |
C |
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| ClaimResponse.item.adjudication.extension |
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| ClaimResponse.item.adjudication.modifierExtension |
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| ClaimResponse.item.adjudication.category |
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| ClaimResponse.item.adjudication.category.coding |
C |
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| ClaimResponse.item.adjudication.category.coding.code |
C |
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| ClaimResponse.item.adjudication.category.coding.system |
C F |
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| ClaimResponse.item.adjudication.reason |
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| ClaimResponse.item.adjudication.reason.coding |
C B M |
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| ClaimResponse.item.adjudication.reason.coding.code |
C |
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| ClaimResponse.item.adjudication.reason.coding.system |
C |
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| ClaimResponse.item.adjudication.amount |
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| ClaimResponse.item.adjudication.quantity |
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| ClaimResponse.item.detail |
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| ClaimResponse.item.detail.extension |
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| ClaimResponse.item.detail.modifierExtension |
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| ClaimResponse.item.detail.detailSequence |
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| ClaimResponse.item.detail.traceNumber |
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| ClaimResponse.item.detail.noteNumber |
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| ClaimResponse.item.detail.reviewOutcome |
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| ClaimResponse.item.detail.adjudication |
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| ClaimResponse.item.detail.subDetail |
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| ClaimResponse.item.detail.subDetail.extension |
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| ClaimResponse.item.detail.subDetail.modifierExtension |
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| ClaimResponse.item.detail.subDetail.subDetailSequence |
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| ClaimResponse.item.detail.subDetail.traceNumber |
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| ClaimResponse.item.detail.subDetail.noteNumber |
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| ClaimResponse.item.detail.subDetail.reviewOutcome |
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| ClaimResponse.item.detail.subDetail.adjudication |
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| ClaimResponse.addItem |
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C |
| ClaimResponse.addItem.extension |
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S C (4) |
| ClaimResponse.addItem.extension.value[x] |
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| ClaimResponse.addItem.extension.value[x].currency |
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C (2) |
| ClaimResponse.addItem.extension.value[x].value |
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C (2) |
| ClaimResponse.addItem.modifierExtension |
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| ClaimResponse.addItem.itemSequence |
C |
C |
C |
| ClaimResponse.addItem.detailSequence |
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| ClaimResponse.addItem.subdetailSequence |
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| ClaimResponse.addItem.traceNumber |
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| ClaimResponse.addItem.provider |
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C |
C |
| ClaimResponse.addItem.revenue |
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| ClaimResponse.addItem.productOrService |
B M |
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| ClaimResponse.addItem.productOrService.coding |
C |
C |
C |
| ClaimResponse.addItem.productOrService.coding.code |
C |
C |
C |
| ClaimResponse.addItem.productOrService.coding.system |
C |
C F |
C F |
| ClaimResponse.addItem.productOrServiceEnd |
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| ClaimResponse.addItem.request |
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| ClaimResponse.addItem.modifier |
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| ClaimResponse.addItem.programCode |
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| ClaimResponse.addItem.serviced[x] |
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S C (2) |
S C (2) |
| ClaimResponse.addItem.location[x] |
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| ClaimResponse.addItem.quantity |
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C |
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| ClaimResponse.addItem.quantity.value |
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C |
| ClaimResponse.addItem.unitPrice |
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C |
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| ClaimResponse.addItem.unitPrice.currency |
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C |
| ClaimResponse.addItem.unitPrice.value |
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C |
| ClaimResponse.addItem.factor |
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| ClaimResponse.addItem.tax |
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| ClaimResponse.addItem.net |
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C |
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| ClaimResponse.addItem.net.currency |
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C |
| ClaimResponse.addItem.net.value |
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C |
| ClaimResponse.addItem.bodySite |
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| ClaimResponse.addItem.bodySite.extension |
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| ClaimResponse.addItem.bodySite.modifierExtension |
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| ClaimResponse.addItem.bodySite.site |
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| ClaimResponse.addItem.bodySite.subSite |
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| ClaimResponse.addItem.noteNumber |
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| ClaimResponse.addItem.reviewOutcome |
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| ClaimResponse.addItem.adjudication |
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C |
| ClaimResponse.addItem.adjudication.category |
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B M |
| ClaimResponse.addItem.adjudication.category.coding |
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C |
| ClaimResponse.addItem.adjudication.category.coding.code |
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C |
| ClaimResponse.addItem.adjudication.category.coding.system |
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C |
| ClaimResponse.addItem.adjudication.extension |
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S C (3) |
| ClaimResponse.addItem.adjudication.extension.value[x] |
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S |
| ClaimResponse.addItem.adjudication.extension.value[x].coding |
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C |
| ClaimResponse.addItem.adjudication.extension.value[x].coding.code |
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C |
| ClaimResponse.addItem.adjudication.extension.value[x].coding.system |
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C |
| ClaimResponse.addItem.adjudication.reason |
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B M |
B M |
| ClaimResponse.addItem.detail |
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| ClaimResponse.addItem.detail.extension |
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| ClaimResponse.addItem.detail.modifierExtension |
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| ClaimResponse.addItem.detail.traceNumber |
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| ClaimResponse.addItem.detail.revenue |
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| ClaimResponse.addItem.detail.productOrService |
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| ClaimResponse.addItem.detail.productOrServiceEnd |
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| ClaimResponse.addItem.detail.modifier |
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| ClaimResponse.addItem.detail.quantity |
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| ClaimResponse.addItem.detail.unitPrice |
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| ClaimResponse.addItem.detail.factor |
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| ClaimResponse.addItem.detail.tax |
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| ClaimResponse.addItem.detail.net |
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| ClaimResponse.addItem.detail.noteNumber |
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| ClaimResponse.addItem.detail.reviewOutcome |
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| ClaimResponse.addItem.detail.adjudication |
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| ClaimResponse.addItem.detail.subDetail |
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| ClaimResponse.addItem.detail.subDetail.extension |
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| ClaimResponse.addItem.detail.subDetail.modifierExtension |
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| ClaimResponse.addItem.detail.subDetail.traceNumber |
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| ClaimResponse.addItem.detail.subDetail.revenue |
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| ClaimResponse.addItem.detail.subDetail.productOrService |
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| ClaimResponse.addItem.detail.subDetail.productOrServiceEnd |
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| ClaimResponse.addItem.detail.subDetail.modifier |
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| ClaimResponse.addItem.detail.subDetail.quantity |
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| ClaimResponse.addItem.detail.subDetail.unitPrice |
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| ClaimResponse.addItem.detail.subDetail.factor |
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| ClaimResponse.addItem.detail.subDetail.tax |
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| ClaimResponse.addItem.detail.subDetail.net |
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| ClaimResponse.addItem.detail.subDetail.noteNumber |
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| ClaimResponse.addItem.detail.subDetail.reviewOutcome |
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| ClaimResponse.addItem.detail.subDetail.adjudication |
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| ClaimResponse.adjudication |
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| ClaimResponse.total |
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| ClaimResponse.total.extension |
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| ClaimResponse.total.modifierExtension |
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| ClaimResponse.total.category |
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| ClaimResponse.total.amount |
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| ClaimResponse.payment |
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| ClaimResponse.payment.extension |
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| ClaimResponse.payment.modifierExtension |
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| ClaimResponse.payment.type |
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| ClaimResponse.payment.adjustment |
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| ClaimResponse.payment.adjustmentReason |
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| ClaimResponse.payment.date |
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| ClaimResponse.payment.amount |
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| ClaimResponse.payment.identifier |
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| ClaimResponse.fundsReserve |
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| ClaimResponse.formCode |
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| ClaimResponse.form |
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| ClaimResponse.processNote |
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| ClaimResponse.processNote.extension |
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| ClaimResponse.processNote.modifierExtension |
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| ClaimResponse.processNote.number |
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| ClaimResponse.processNote.type |
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| ClaimResponse.processNote.text |
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| ClaimResponse.processNote.language |
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| ClaimResponse.communicationRequest |
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| ClaimResponse.insurance |
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C |
| ClaimResponse.insurance.extension |
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| ClaimResponse.insurance.modifierExtension |
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| ClaimResponse.insurance.sequence |
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| ClaimResponse.insurance.focal |
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| ClaimResponse.insurance.coverage |
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| ClaimResponse.insurance.businessArrangement |
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| ClaimResponse.insurance.claimResponse |
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| ClaimResponse.error |
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| ClaimResponse.error.extension |
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| ClaimResponse.error.modifierExtension |
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| ClaimResponse.error.itemSequence |
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| ClaimResponse.error.detailSequence |
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| ClaimResponse.error.subDetailSequence |
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| ClaimResponse.error.code |
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| ClaimResponse.error.expression |
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