<?xml version=“1.0” encoding=“UTF-8”?><ExplanationOfBenefit xmlns=“hl7.org/fhir”>
<id value="R3500"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the ExplanationOfBenefit</div> </text> <identifier> <system value="http://www.BenefitsInc.com/fhir/eob"/> <value value="987654321"/> </identifier> <request> <reference value="http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"/> </request> <outcome value="complete"/> <disposition value="Claim settled as per contract."/> <created value="2014-08-16"/> <organization> <reference value="Organization/2"/> </organization> <requestOrganization> <reference value="Organization/1"/> </requestOrganization>
</ExplanationOfBenefit>