{
    "resourceType": "Claim",
    "id": "12345678",
    "status": "active",
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/claim-type",
          "code": "institutional"
        }
      ]
    },
    "use": "preauthorization",
    "patient": {
      "reference": "urn:uuid:4708d49c-98ee-4b37-9499-9c24bc6f6c7e",
      "display": "Patient_2 Patient_LN_2"
    },
    "billablePeriod": {
      "start": "2018-03-13T01:02:46-04:00",
      "end": "2018-03-13T02:32:46-04:00"
    },
    "provider": {
      "reference": "urn:uuid:a92d9a1a-c02d-49b5-a132-746c184e280a",
      "display": "PCP10000"
    },
    "created": "2018-03-13T02:32:46-04:00",
    "priority": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/processpriority",
          "code": "normal"
        }
      ]
    },
    "insurance": [
      {
        "sequence": 1,
        "focal": true,
        "coverage": {
          "display": "Healthcare Provider 1"
        }
      }
    ],
    "item": [
      {
        "sequence": 1,
        "procedureSequence": [
          1
        ],
        "productOrService": {
          "coding": [
            {
              "system": "https://icd10coded.com/pcs",
              "code": "BQ37ZZZ",
              "display": "MRI"
            }
          ],
          "text": "Right Knee MRI"
        },
        "net": {
          "value": 1516.65
        }
      }
    ],
    "total": {
      "value": 1516.65
    }
  },
  {
    "resourceType": "Claim",
    "id": "12345679",
    "status": "active",
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/claim-type",
          "code": "institutional"
        }
      ]
    },
    "use": "preauthorization",
    "patient": {
      "reference": "urn:uuid:4708d49c-98ee-4b37-9499-9c24bc6f6c7e",
      "display": "Patient_2 Patient_LN_2"
    },
    "billablePeriod": {
      "start": "2019-07-13T01:02:46-04:00",
      "end": "2019-07-13T02:32:46-04:00"
    },
    "provider": {
      "reference": "urn:uuid:a92d9a1a-c02d-49b5-a132-746c184e280b",
      "display": "PCP20000"
    },
    "created": "2018-03-13T02:32:46-04:00",
    "priority": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/processpriority",
          "code": "normal"
        }
      ]
    },
    "insurance": [
      {
        "sequence": 1,
        "focal": true,
        "coverage": {
          "display": "Healthcare Provider 1"
        }
      }
    ],
    "item": [
      {
        "sequence": 1,
        "procedureSequence": [
          1
        ],
        "productOrService": {
          "coding": [
            {
              "system": "https://icd10coded.com/pcs",
              "code": "BQ37ZZZ",
              "display": "MRI"
            }
          ],
          "text": "Right Knee MRI"
        },
        "net": {
          "value": 2000.61
        }
      }
    ],
    "total": {
      "value": 2000.61
    }
  },
  {
    "resourceType": "Claim",
    "id": "12345680",
    "status": "active",
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/claim-type",
          "code": "institutional"
        }
      ]
    },
    "use": "preauthorization",
    "patient": {
      "reference": "urn:uuid:4708d49c-98ee-4b37-9499-9c24bc6f6c7f",
      "display": "Patient_1 Patient_LN_1"
    },
    "billablePeriod": {
      "start": "2019-04-13T01:02:46-04:00",
      "end": "2019-04-13T02:32:46-04:00"
    },
    "provider": {
      "reference": "urn:uuid:a92d9a1a-c02d-49b5-a132-746c184e280a",
      "display": "PCP10000"
    },
    "created": "2018-03-13T02:32:46-04:00",
    "priority": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/processpriority",
          "code": "normal"
        }
      ]
    },
    "insurance": [
      {
        "sequence": 1,
        "focal": true,
        "coverage": {
          "display": "Healthcare Provider 1"
        }
      }
    ],
    "item": [
      {
        "sequence": 1,
        "procedureSequence": [
          1
        ],
        "productOrService": {
          "coding": [
            {
              "system": "https://icd10coded.com/pcs",
              "code": "BQ37ZZZ",
              "display": "MRI"
            }
          ],
          "text": "Right Knee MRI"
        },
        "net": {
          "value": 4032.11
        }
      }
    ],
    "total": {
      "value": 4032.11
    }
  }