{

"resourceType": "ExplanationOfBenefit",
"id": "R3500",
"text": {
  "status": "generated",
  "div": "<div>A human-readable rendering of the ExplanationOfBenefit</div>"
},
"identifier": [
  {
    "system": "http://www.BenefitsInc.com/fhir/eob",
    "value": "987654321"
  }
],
"request": {
  "reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"
},
"outcome": "complete",
"disposition": "Claim settled as per contract.",
"created": "2014-08-16",
"organization": {
  "reference": "Organization/2"
},
"requestOrganization": {
  "reference": "Organization/1"
}

}