{
  "status": "active", 
  "use": "claim", 
  "originalPrescription": {
    "reference": "http://pharmacy.org/MedicationRequest/AB1202B"
  }, 
  "prescription": {
    "reference": "http://pharmacy.org/MedicationRequest/AB1234G"
  }, 
  "insurer": {
    "reference": "Organization/2"
  }, 
  "resourceType": "Claim", 
  "created": "2019-09-13T15:00:03.907668", 
  "priority": {
    "coding": [
      {
        "code": "stat"
      }
    ]
  }, 
  "item": [
    {
      "quantity": {
        "value": 2.0
      }, 
      "productOrService": {
        "coding": [
          {
            "code": "55513-760-02", 
            "display": "Repatha (140 mg)", 
            "system": "http://hl7.org/fhir/sid/ndc"
          }
        ]
      }, 
      "sequence": 1, 
      "informationSequence": [
        1, 
        2, 
        3
      ], 
      "careTeamSequence": [
        1
      ]
    }
  ], 
  "provider": {
    "type": "Organization", 
    "reference": "Organization/1456"
  }, 
  "patient": {
    "reference": "Patient/id3"
  }, 
  "identifier": [
    {
      "system": "http://fhir.icanbwell.com/claim", 
      "value": "12345"
    }
  ], 
  "type": {
    "coding": [
      {
        "code": "pharmacy", 
        "system": "http://terminology.hl7.org/CodeSystem/claim-type"
      }
    ]
  }, 
  "insurance": [
    {
      "focal": true, 
      "coverage": {
        "reference": "Coverage/9876B1"
      }, 
      "sequence": 1
    }
  ]
}