醫療保險理賠實作指引 - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
理賠申請書編號:A0003 (https://www.cgh.org.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-C3 "康美女"
理賠申請書日期: 2023-08-10
醫院: Organization/Organization-min "國泰醫療財團法人國泰綜合醫院"
處理優先順序: Immediate (Process Priority Codes#stat)
診斷證明書:
順序 | Diagnosis[x] |
1 | Condition/Condition-C3 |
保險:
順序 | Focal | Coverage |
1 | true | Coverage/Coverage-C3 |
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: 手術費 (費用項目-健保#SURGICAL)
就醫身分: 自費 (Coverage SelfPay Codes#pay)
收據日期: 2023-08-10
自付金額:168237
費用序號: 2
費用項目: 手術費 (費用項目-健保#SURGICAL)
就醫身分: 健保 (ActCode#PUBLICPOL)
收據日期: 2023-08-10
健保點數:8580
總費用:168237