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{
  "resourceType": "ClaimResponse",
  "id": "claim_uuidclaimUuid",
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "https://hl7.org/fhir/valueset-identifier-type.html",
            "code": "ACSN"
          }
        ]
      },
      "value": "claim_uuidexternalIdentifier"
    },
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "https://hl7.org/fhir/valueset-identifier-type.html",
            "code": "MR"
          }
        ]
      },
      "value": "claim_codeclaimUuid"
    }
  ],
  "created": "20192020-1101-05T1731T11:0016:2920+01:00",
  "request": {
    "reference": "Claim/8a589dc9-435f-4453-957a-31106cf0d932claimUuid"
  },
  "outcome": {
    "coding": [
      {
        "code": "2"
      }
    ],
    "text": "ENTERED"
  },
  "disposition": "20e5e68e-c4ce-4812-95b7-3179fd3eac57",
  "error": [
    {
      "code": {
        "coding": [
          {
            "code": "error_codeerrorCode"
          }
        ],
        "text": "error_codeerrorCode"
      }
    }
  ],
  "totalBenefit": {
    "value": 1234567890.21
  },
  "payment": {
    "adjustmentReason": {
      "text": "adjustment reasonadjustmentReason"
    },
    "date": "20192020-1101-0531"
  },
  "communicationRequest": [
    {
      "reference": "CommunicationRequest/claim_uuidcommunicationRequestId"
    }
  ]
}