Profile: Medical Preliminary Billing Claim DE
status: Draft
type: Professional
subType: Preliminary
use: Predetermination
patient: Test (no stated gender), DoB Unknown
created: 2024-01-01
insurer: Organization Test Insurer
provider: Test Provider
priority: Normal
| Sequence | Focal | Coverage |
| 1 | true | Test Coverage |
| Sequence | ProductOrService |
| 1 | Test Service |