{
  "resourceType": "ExplanationOfBenefit",
  "id": "df4e20433ff8accdd1e689a4f5d018c272fe51c53e54d1bdeffb48a2277314f5",
  "status": "active",
  "use": "claim",
  "provider": {
    "identifier": {
      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "7653324343"
    },
    "display": "Alvena Schaden"
  },
  "patient": {
    "reference": "Patient/74532b683658335246434e495a53425462476c5741673d3d"
  },
  "insurer": {
    "display": "Humana"
  },
  "created": "2020-06-11",
  "outcome": "complete",
  "insurance": [
    {
      "focal": true,
      "coverage": {
        "identifier": {
          "system": "https://fhir.humana.com/documentation/glossary/memberIdBase",
          "value": "H40183968"
        }
      }
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "pharmacy",
        "display": "Pharmacy"
      }
    ],
    "text": "Pharmacy"
  }
}