Generated Narrative: ExplanationOfBenefit haau3-explanation-of-benefit-outpatient Profiles: haau3 Explanation of Benefit, http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Outpatient-Institutional identifier: https://haau3.com/fhir/NamingSystem/source-resource-id/ExplanationOfBenefit/example-source-record, https://bluebutton.cms.gov/resources/variables/clm_id/EXAMPLE-CLM-0001 status: Active type: Institutional use: Claim patient: Derrick Lin Male, DoB: 1965-04-12 ( https://haau3.com/fhir/NamingSystem/haau3-patient-id#Haau3PatientId#example-haau3-patient (use: usual, )) created: 2026-02-04 insurer: Identifier: United States Employer Identification Number/EXAMPLE-INSURER provider: Organization Valley Outpatient Center outcome: Processing Complete Insurances - Focal Coverage * true Coverage: extension = ->display: string (PrimitiveType/Coverage.extension[0].value[x].display): element = string -> display=string[Northgate Supplemental Benefits]; identifier = https://haau3.com/fhir/NamingSystem/source-resource-id#Coverage/example-source-record; status = active; subscriberId = VM-88214; relationship = 01 Items - Sequence ProductOrService Serviced[x] * 1 EXAMPLE01 2026-02-01 total category: submitted Amounts - Value Currency * 412.5 United States dollar Generated Narrative: Organization #ExampleClaimProviderOrganization active: true name: Valley Outpatient Center