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{
    "resourceType": "ClaimResponse",
    "communicationRequest": [
        {
            "reference": "CommunicationRequest/858A706A-A6BF-48DC-998D-30EFDAF8EDD2"
        }
    ],
    "created": "2020-07-08",
    "id": "858A706A-A6BF-48DC-998D-30EFDAF8EDD2",
    "identifier": [
        {
            "type": {
                "coding": [
                    {
                        "code": "UUID",
                        "system": "https://hl7.org/fhir/valueset-identifier-type.html"
                    }
                ]
            },
            "use": "usual",
            "value": "858A706A-A6BF-48DC-998D-30EFDAF8EDD2"
        },
        {
            "type": {
                "coding": [
                    {
                        "code": "MR",
                        "system": "https://hl7.org/fhir/valueset-identifier-type.html"
                    }
                ]
            },
            "use": "usual",
            "value": "CID00001"
        }
    ],
    "insurer": {
        "reference": "HealthcareService/D61C869B-F184-4CAE-B61B-0AD52DDE2354"
    },
    "outcome": 2"entered",
    "patient": {
        "reference": "Patient/1D464C09-5334-407F-9882-14C097B89BBD"
    },
    "request": {
        "reference": "Claim/858A706A-A6BF-48DC-998D-30EFDAF8EDD2"
    },
    "status": "active",
    "total": [
        {
            "amount": {
                "currency": "$",
                "value": 1670.0
            },
            "category": {
                "coding": [
                    {
                        "code": "claimed",
                        "system": "http://terminology.hl7.org/CodeSystem/adjudication.html"
                    }
                ]
            }
        }
    ],
    "type": {
        "text": "O"
    },
    "use": "claim"
}