{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "active"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "21362"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"
  } ],
  "codesystem" : "3f3ee941-b4ac-567a-82e4-52aefc2cff3b",
  "concept_id" : "bba97578-a8ee-540b-b489-7a7d918ed821",
  "ancestors" : {
    "PAY" : 0,
    "_ActInvoiceDetailCode" : 3,
    "_ActInvoiceElementCode" : 4,
    "_ActInvoiceDetailGenericCode" : 2,
    "_ActInvoiceDetailGenericAdjudicatorCode" : 1
  },
  "id" : "2f242431-2789-4edd-a190-fc63e30d2cd4",
  "code" : "PAY",
  "display" : "payment",
  "version" : "9.0.0"
}