醫療保險理賠實作指引
0.1.3 - CI Build

This page is part of the 醫療保險理賠實作指引 (v0.1.3: Releases Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Claim: Claim-C2

理賠申請書編號:A0002 (https://www.vghtpe.gov.tw/)

理賠申請書狀態: Active (Financial Resource Status Codes#active)

理賠申請書類別: Institutional (Claim Type Codes#institutional)

理賠申請書用途: Claim (Use#claim)

病人Patient/Patient-C2 "康美女"

理賠申請書日期: 2023-08-08

醫院Organization/Organization-min "臺北榮民總醫院"

處理優先順序: Immediate (Process Priority Codes#stat)

診斷證明書

-順序Diagnosis[x]
*1Condition/Condition-C2

保險

-順序FocalCoverage
*1trueCoverage/Coverage-C2

收據

費用序號: 1

自付金額(base price)/減免(discount): 自付金額 (InvoicePriceComponentType#base)

費用項目: 掛號費 (費用項目-健保#REGISTRATION)

就醫身分: 自費 (Coverage SelfPay Codes#pay)

收據日期: 2023-08-08

自付金額:150

費用序號: 2

費用項目: 掛號費 (費用項目-健保#REGISTRATION)

就醫身分: 健保 (ActCode#PUBLICPOL)

收據日期: 2023-08-08

健保點數:580

總費用:150