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{
    "resourceType": "ClaimResponse",
    "communicationRequest": [
        {
            "reference": "CommunicationRequest/576D56EF858A706A-12D2A6BF-4BA848DC-9640998D-2A37C41A205230EFDAF8EDD2"
        }
    ],
    "created": "2020-0607-3001",
    "id": "576D56EF858A706A-12D2A6BF-4BA848DC-9640998D-2A37C41A205230EFDAF8EDD2",
    "identifier": [
        {
            "type": {
                "coding": [
                    {
                        "code": "UUID",
                        "system": "https://hl7.org/fhir/valueset-identifier-type.html"
                    }
                ]
            },
            "use": "usual",
            "value": "576D56EF858A706A-12D2A6BF-4BA848DC-9640998D-2A37C41A205230EFDAF8EDD2"
        },
        {
            "type": {
                "coding": [
                    {
                        "code": "MR",
                        "system": "https://hl7.org/fhir/valueset-identifier-type.html"
                    }
                ]
            },
            "use": "usual",
            "value": "JADH0001CID00001"
        }
    ],
    "outcome": {
        "coding": [
            {
                "code": "162"
            }
        ],
        "text": "valuatedentered"
    },
    "patient": {
        "reference": "Patient/8C90949B1D464C09-D1E55334-47C8407F-A2D79882-D5ECD073F1EE14C097B89BBD"
    },
    "request": {
        "reference": "Claim/576D56EF858A706A-12D2A6BF-4BA848DC-9640998D-2A37C41A205230EFDAF8EDD2"
    },
    "total": [
        {
            "amount": {
                "currency": "$",
                "value": 4101670.0
            },
            "category": {
                "coding": [
                    {
                        "code": "claimed",
                        "system": "http://terminology.hl7.org/CodeSystem/adjudication.html"
                    }
                ]
            }
        }
    ]
}