- <Remittance.Advice xmlns:tns="http://www.eclaimlink.ae/DataDictionary/CommonTypes" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.eclaimlink.ae/DataDictionary/CommonTypes/RemittanceAdvice.xsd">
- <Header>
  <SenderID>TPA002</SenderID> 
  <ReceiverID>DHA-F-0001193</ReceiverID> 
  <TransactionDate>17/05/2016 06:02</TransactionDate> 
  <RecordCount>2</RecordCount> 
  <DispositionFlag>PRODUCTION</DispositionFlag> 
  </Header>
- <Claim>
  <ID>NC0216-NGI-73827 - NC0216-NGI - 2</ID> 
  <IDPayer>7687338-3-1</IDPayer> 
  <ProviderID>DHA-F-0001193</ProviderID> 
  <PaymentReference>01140516466_508</PaymentReference> 
  <DateSettlement>15/05/2016 00:00</DateSettlement> 
- <Encounter>
  <FacilityID>DHA-F-0001193</FacilityID> 
  </Encounter>
- <Activity>
  <ID>20706673</ID> 
  <Start>07/02/2016 12:55</Start> 
  <Type>3</Type> 
  <Code>85025</Code> 
  <Quantity>1</Quantity> 
  <Net>30</Net> 
  <Clinician>DHA-P-0134080</Clinician> 
  <PaymentAmount>30</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706674</ID> 
  <Start>07/02/2016 12:55</Start> 
  <Type>3</Type> 
  <Code>85652</Code> 
  <Quantity>1</Quantity> 
  <Net>13</Net> 
  <Clinician>DHA-P-0134080</Clinician> 
  <PaymentAmount>13</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706675</ID> 
  <Start>07/02/2016 12:55</Start> 
  <Type>5</Type> 
  <Code>0005-124506-2071</Code> 
  <Quantity>1</Quantity> 
  <Net>18</Net> 
  <Clinician>DHA-P-0134080</Clinician> 
  <PaymentAmount>18</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706672</ID> 
  <Start>07/02/2016 12:55</Start> 
  <Type>8</Type> 
  <Code>10</Code> 
  <Quantity>1</Quantity> 
  <Net>175</Net> 
  <Clinician>DHA-P-0134080</Clinician> 
  <PaymentAmount>175</PaymentAmount> 
  </Activity>
  </Claim>
- <Claim>
  <ID>NC0216-NGI-74078 - NC0216-NGI - 3</ID> 
  <IDPayer>7256197-14-1</IDPayer> 
  <ProviderID>DHA-F-0001193</ProviderID> 
  <PaymentReference>01140516466_508</PaymentReference> 
  <DateSettlement>15/05/2016 00:00</DateSettlement> 
- <Encounter>
  <FacilityID>DHA-F-0001193</FacilityID> 
  </Encounter>
- <Activity>
  <ID>20706677</ID> 
  <Start>15/02/2016 11:20</Start> 
  <Type>3</Type> 
  <Code>96372</Code> 
  <Quantity>2</Quantity> 
  <Net>24</Net> 
  <Clinician>DHA-P-0119135</Clinician> 
  <PaymentAmount>24</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706679</ID> 
  <Start>15/02/2016 11:20</Start> 
  <Type>5</Type> 
  <Code>0005-107704-0802</Code> 
  <Quantity>1</Quantity> 
  <Net>52.65</Net> 
  <Clinician>DHA-P-0119135</Clinician> 
  <PaymentAmount>52.65</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706676</ID> 
  <Start>15/02/2016 11:20</Start> 
  <Type>8</Type> 
  <Code>9</Code> 
  <Quantity>1</Quantity> 
  <Net>24</Net> 
  <Clinician>DHA-P-0119135</Clinician> 
  <PaymentAmount>24</PaymentAmount> 
  </Activity>
- <Activity>
  <ID>20706678</ID> 
  <Start>15/02/2016 11:20</Start> 
  <Type>5</Type> 
  <Code>0005-149902-1021</Code> 
  <Quantity>1</Quantity> 
  <Net>5.85</Net> 
  <Clinician>DHA-P-0119135</Clinician> 
  <PaymentAmount>5.85</PaymentAmount> 
  </Activity>
  </Claim>
  </Remittance.Advice>