{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "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#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"
  } ],
  "codesystem" : "d73ae040-3e88-581f-8c74-bc9b7419407a",
  "concept_id" : "bba97578-a8ee-540b-b489-7a7d918ed821",
  "ancestors" : {
    "PAY" : 0,
    "_ActInvoiceDetailCode" : 3,
    "_ActInvoiceElementCode" : 4,
    "_ActInvoiceDetailGenericCode" : 2,
    "_ActInvoiceDetailGenericAdjudicatorCode" : 1
  },
  "id" : "a97bae46-d512-4bcd-8b25-5754fdb2e84f",
  "code" : "PAY",
  "display" : "payment",
  "version" : "2018-08-12"
}