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Generated Narrative: ClaimResponse ExampleClaimResponseBHYT

Profile: Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile

identifier: Mã phản hồi XML1 của Cổng tiếp nhận BHYT/XML1-20260319-000001

status: Active

type: Institutional

use: Claim

patient: Nguyễn Văn An

created: 2026-03-19

insurer: Bảo hiểm xã hội Việt Nam

request: Claim: extension = ,,Phí dịch vụ (FFS); identifier = Mã liên kết hồ sơ BHYT: VNMALK#LK-2026-000101; status = active; type = Institutional; subType = KCB đúng cơ sở nơi đăng ký KCB BHYT ban đầu; use = claim; created = 2026-03-17; priority = Normal

outcome: Processing Complete

item

itemSequence: 1

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 150000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 150000 | Vietnamese đồng

adjudication

category: CoPay

Amounts

- | Value | Currency
* | 30000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 120000 | Vietnamese đồng

item

itemSequence: 2

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 2520000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 2520000 | Vietnamese đồng

adjudication

category: CoPay

Amounts

- | Value | Currency
* | 504000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 2016000 | Vietnamese đồng

item

itemSequence: 3

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 8500000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 7500000 | Vietnamese đồng

adjudication

category: CoPay

Amounts

- | Value | Currency
* | 1500000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 6000000 | Vietnamese đồng

item

itemSequence: 4

adjudication

category: Submitted Amount

Amounts

- | Value | Currency
* | 3200000 | Vietnamese đồng

adjudication

category: Eligible Amount

Amounts

- | Value | Currency
* | 2430000 | Vietnamese đồng

adjudication

category: CoPay

Amounts

- | Value | Currency
* | 486000 | Vietnamese đồng

adjudication

category: Benefit Amount

Amounts

- | Value | Currency
* | 1944000 | Vietnamese đồng

total

category: Submitted Amount

Amounts

- | Value | Currency
* | 14370000 | Vietnamese đồng

total

category: Eligible Amount

Amounts

- | Value | Currency
* | 12600000 | Vietnamese đồng

total

category: CoPay

Amounts

- | Value | Currency
* | 2520000 | Vietnamese đồng

total

category: Benefit Amount

Amounts

- | Value | Currency
* | 10080000 | Vietnamese đồng

payment

type: Complete

Amounts

- | Value | Currency
* | 10080000 | Vietnamese đồng