Documentation for DHPO XML Schema
Definition Type: Element
Name: Claim
Containing Schema: RemittanceAdvice.xsd
MinOccurs 1
MaxOccurs unbounded
Abstract
Collapse XSD Schema Diagram:
Drilldown into Activity Drilldown into Encounter Drilldown into DateSettlement Drilldown into PaymentReference Drilldown into DenialCode Drilldown into ProviderID Drilldown into IDPayer Drilldown into IDXSD Diagram of Claim
Collapse XSD Schema Code: 
<xs:element minOccurs="1" maxOccurs="unbounded" name="Claim">
    <xs:complexType>
        <xs:sequence>
            <xs:element minOccurs="1" maxOccurs="1" name="ID" type="tns:ClaimID" />
            <xs:element minOccurs="1" maxOccurs="1" name="IDPayer" type="tns:ClaimIDPayer" />
            <xs:element minOccurs="0" maxOccurs="1" name="ProviderID" type="tns:ClaimProviderID" />
            <xs:element minOccurs="0" maxOccurs="1" name="DenialCode" type="tns:ClaimDenialCode" />
            <xs:element minOccurs="1" maxOccurs="1" name="PaymentReference" type="tns:ClaimPaymentReference" />
            <xs:element minOccurs="0" maxOccurs="1" name="DateSettlement" type="tns:ClaimDateSettlement" />
            <xs:element minOccurs="0" maxOccurs="1" name="Encounter">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="0" maxOccurs="1" name="FacilityID" type="tns:EncounterFacilityID" />
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
            <xs:element minOccurs="1" maxOccurs="unbounded" name="Activity">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="1" maxOccurs="1" name="ID" type="tns:ActivityID" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Start" type="tns:ActivityStart" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:ActivityType" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Code" type="tns:ActivityCode" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Quantity" type="tns:ActivityQuantity" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Net" type="tns:ActivityNet" />
                        <xs:element minOccurs="0" maxOccurs="1" name="List" type="tns:ActivityList" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Clinician" type="tns:ActivityClinician" />
                        <xs:element minOccurs="0" maxOccurs="1" name="PriorAuthorizationID" type="tns:ActivityPriorAuthorizationID" />
                        <xs:element minOccurs="0" maxOccurs="1" name="Gross" type="tns:ActivityGross" />
                        <xs:element minOccurs="0" maxOccurs="1" name="PatientShare" type="tns:ActivityPatientShare" />
                        <xs:element minOccurs="1" maxOccurs="1" name="PaymentAmount" type="tns:ActivityPaymentAmount" />
                        <xs:element minOccurs="0" maxOccurs="1" name="DenialCode" type="tns:ActivityDenialCode" />
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
        </xs:sequence>
    </xs:complexType>
</xs:element>
Collapse Child Elements:
Name Type Min Occurs Max Occurs
ID ID 1 1
IDPayer IDPayer 1 1
ProviderID ProviderID 0 1
DenialCode DenialCode 0 1
PaymentReference PaymentReference 1 1
DateSettlement DateSettlement 0 1
Encounter Encounter 0 1
Activity Activity 1 unbounded
Documentation for DHPO XML Schema