Claim/985d1480-018a-4ee3-a490-8ee7f11004fc
Validation Results
Level | Type | Location | Message |
Narrative View
Generated Narrative with Details
id: 985d1480-018a-4ee3-a490-8ee7f11004fc
status: active
type: Institutional (Details : {http://terminology.hl7.org/CodeSystem/claim-type code 'institutional' = 'Institutional)
use: claim
billablePeriod: Oct 11, 2016, 4:16:44 PM --> Oct 11, 2016, 4:46:44 PM
created: Oct 11, 2016, 4:46:44 PM
priority: Normal (Details : {http://terminology.hl7.org/CodeSystem/processpriority code 'normal' = 'Normal)
SupportingInfos
- | Sequence | Category | Value[x] |
* | 1 | Information (Details : {http://terminology.hl7.org/CodeSystem/claiminformationcategory code 'info' = 'Information) | Generated Summary: id: 6d6e61d6-1bdc-49e5-8c5c-cc7fc2379a06; status: completed; Influenza, seasonal, injectable, preservative free; occurrence: Oct 11, 2016, 4:16:44 PM; primarySource |
procedure
sequence: 1
procedure
sequence: 2
Insurances
- | Sequence | Focal | Coverage |
* | 1 | true | Medicare |
item
sequence: 1
productOrService: Encounter for check up (procedure) (Details : {SNOMED CT code '185349003' = 'Encounter for check up (procedure)', given as 'Encounter for check up (procedure)'})
item
sequence: 2
procedureSequence: 1
productOrService: Electrical cardioversion (Details : {SNOMED CT code '180325003' = 'Electrical cardioversion', given as 'Electrical cardioversion'})
net:
item
sequence: 3
informationSequence: 1
productOrService: Influenza, seasonal, injectable, preservative free (Details : {http://hl7.org/fhir/sid/cvx code '140' = 'Influenza, seasonal, injectable, preservative free', given as 'Influenza, seasonal, injectable, preservative free'})
net:
item
sequence: 4
procedureSequence: 2
productOrService: Medication Reconciliation (procedure) (Details : {SNOMED CT code '430193006' = 'Medication Reconciliation (procedure)', given as 'Medication Reconciliation (procedure)'})
net:
total: