Generated Narrative: Claim ExampleDentalClaimMixed

status: Active

type: Professional

use: Claim

patient: Aylin Özdemir (official) (no stated gender), DoB: 1988-03-14 ( Krankenversichertennummer)

billablePeriod: 2026-05-01 --> 2026-05-31

created: 2026-05-31

insurer: Barmer

provider: PractitionerRole Doctor

priority: normal

supportingInfo

sequence: 1

category: Information

value: ChargeItem BEMA-91d

supportingInfo

sequence: 2

category: Information

value: ChargeItem GOZ-5040

Diagnoses

insurance

sequence: 1

focal: true

coverage: Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2024-01-01 --> (ongoing)

insurance

sequence: 2

focal: false

coverage: Coverage: status = active; type = private Krankenversicherung; period = 2024-01-01 --> (ongoing)

item

ZE Versorgungsart: gleichartig

Versionierter Festzuschuss-Betrag

• finding: Festzuschuss-Befund nach §55 SGB V: 1.1 (Festzuschuss-Befund 1.1)
• benefitPercentage: 75
• amount: €125,00 (EUR)
• effectivePeriod: 2026-01-01 --> 2026-12-31
• source: https://example.org/festzuschuss/synthetic/2026

sequence: 1

informationSequence: 1

productOrService: BEMA-91d

UnitPrices

-	Value	Currency
*	210	Euro

Nets

-	Value	Currency
*	210	Euro

item

ZE Versorgungsart: gleichartig

sequence: 2

informationSequence: 2

productOrService: GOZ-5040

UnitPrices

-	Value	Currency
*	480	Euro

factor: 1

Nets

-	Value	Currency
*	480	Euro

Totals