{

"resourceType": "PaymentNotice",
"id": "77654",
"text": {
  "status": "generated",
  "div": "<div>A human-readable rendering of the PaymentNotice</div>"
},
"identifier": [
  {
    "system": "http://benefitsinc.com/paymentnotice",
    "value": "776543"
  }
],
"created": "2014-08-16",
"organization": {
  "reference": "Organization/1"
},
"request": {
  "reference": "http://benefitsinc.com/fhir/oralhealthclaim/12345"
},
"paymentStatus": {
  "system": "http://hl7.org/fhir/paymentstatus",
  "code": "paid"
}

}