Publication Build: This will be filled in by the publication tooling
Page standards status: Informative |
Generated Narrative: ClaimResponse ErrorResponseExample
identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER
/111099
status: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
created: 2005-05-02 11:02:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
requestor: Organization DR. JOE SMITH CORPORATION
outcome: Error
error
code: 04
error
ErrorElement: 2010A-NM103
ErrorPath: Bundle.entry[1].Organization.name
ErrorFollowupAction: C
code: T4