PaymentReconciliation
This resource provides the details including amount of a payment and allocates the payment items being paid.
Endpoints
dev
https://api.sandbox.ovok.com/fhir/R5/PaymentReconciliation| Interaction | Method | Path |
|---|---|---|
| Read | GET | /fhir/R5/PaymentReconciliation/[id] |
| Vread | GET | /fhir/R5/PaymentReconciliation/[id]/_history/[vid] |
| Update | PUT | /fhir/R5/PaymentReconciliation/[id] |
| Patch | PATCH | /fhir/R5/PaymentReconciliation/[id] |
| Delete | DELETE | /fhir/R5/PaymentReconciliation/[id] |
| Create | POST | /fhir/R5/PaymentReconciliation |
| Search | GET | /fhir/R5/PaymentReconciliation?... |
| History | GET | /fhir/R5/PaymentReconciliation/[id]/_history |
| Type-history | GET | /fhir/R5/PaymentReconciliation/_history |
Top-level elements
| Element | Type(s) | Cardinality | Description |
|---|---|---|---|
identifier | Identifier | 0..* | Business Identifier for a payment reconciliation |
type | CodeableConcept | 1..1 | Category of payment |
status | code | 1..1 | active |
kind | CodeableConcept | 0..1 | Workflow originating payment |
period | Period | 0..1 | Period covered |
created | dateTime | 1..1 | Creation date |
enterer | Reference | 0..1 | Who entered the payment |
issuerType | CodeableConcept | 0..1 | Nature of the source |
paymentIssuer | Reference | 0..1 | Party generating payment |
request | Reference | 0..1 | Reference to requesting resource |
requestor | Reference | 0..1 | Responsible practitioner |
outcome | code | 0..1 | queued |
disposition | string | 0..1 | Disposition message |
date | date | 1..1 | When payment issued |
location | Reference | 0..1 | Where payment collected |
method | CodeableConcept | 0..1 | Payment instrument |
cardBrand | string | 0..1 | Type of card |
accountNumber | string | 0..1 | Digits for verification |
expirationDate | date | 0..1 | Expiration year-month |
processor | string | 0..1 | Processor name |
referenceNumber | string | 0..1 | Check number or payment reference |
authorization | string | 0..1 | Authorization number |
tenderedAmount | Money | 0..1 | Amount offered by the issuer |
returnedAmount | Money | 0..1 | Amount returned by the receiver |
amount | Money | 1..1 | Total amount of Payment |
paymentIdentifier | Identifier | 0..1 | Business identifier for the payment |
allocation | BackboneElement | 0..* | Settlement particulars |
formCode | CodeableConcept | 0..1 | Printed form identifier |
processNote | BackboneElement | 0..* | Note concerning processing |
Resource-specific search parameters
| Parameter | Type | Description |
|---|---|---|
allocation-account | reference | The account to which payment or adjustment was applied. |
allocation-encounter | reference | The encounter to which payment or adjustment was applied. |
created | date | The creation date |
disposition | string | The contents of the disposition message |
identifier | token | The business identifier of the ExplanationOfBenefit |
outcome | token | The processing outcome |
payment-issuer | reference | The organization which generated this resource |
request | reference | The reference to the claim |
requestor | reference | The reference to the provider who submitted the claim |
status | token | The status of the payment reconciliation |
Reference
- Official FHIR R5 spec:
PaymentReconciliation - Maturity: Trial Use 4 (FMM 4).