{

"resourceType": "PaymentReconciliation",
"id": "ER2500",
"text": {
  "status": "generated",
  "div": "<div>A human-readable rendering of the PaymentReconciliation</div>"
},
"identifier": [
  {
    "system": "http://www.BenefitsInc.com/fhir/enrollmentresponse",
    "value": "781234"
  }
],
"request": {
  "reference": "http://www.BenefitsInc.com/fhir/eligibility/225476332402"
},
"outcome": "complete",
"disposition": "2014 August mid-month settlement.",
"created": "2014-08-16",
"organization": {
  "reference": "Organization/2"
},
"requestOrganization": {
  "reference": "Organization/1"
},
"detail": [
  {
    "type": {
      "system": "http://hl7.org/fhir/paymenttype",
      "code": "payment"
    },
    "request": {
      "reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332402"
    },
    "date": "2014-08-16",
    "amount": {
      "value": 1000.00,
      "system": "urn:iso:std:iso:4217",
      "code": "USD"
    }
  },
  {
    "type": {
      "system": "http://hl7.org/fhir/paymenttype",
      "code": "payment"
    },
    "request": {
      "reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/225476332699"
    },
    "date": "2014-08-12",
    "amount": {
      "value": 4000.00,
      "system": "urn:iso:std:iso:4217",
      "code": "USD"
    }
  },
  {
    "type": {
      "system": "http://hl7.org/fhir/paymenttype",
      "code": "advance"
    },
    "date": "2014-08-16",
    "amount": {
      "value": -1500.00,
      "system": "urn:iso:std:iso:4217",
      "code": "USD"
    }
  }
],
"total": {
  "value": 3500.00,
  "system": "urn:iso:std:iso:4217",
  "code": "USD"
}

}