Optional_OptionaladjustmentPayment adjustment for non-claim issues
OptionaladjustmentExplanation for the adjustment
Payable amount after adjustment
OptionaldateExpected date of payment
OptionalextensionAdditional content defined by implementations
OptionalidUnique id for inter-element referencing
OptionalidentifierBusiness identifier for the payment
OptionalmodifierExtensions that cannot be ignored even if unrecognized
Partial or complete payment
Expected date of payment