{
"claim" : {
"patient" : {
  "medicare" : {
    "memberNumber" : "XXXXXXXXX",
    "memberRefNumber" : "1"
  },
  "healthFund" : {
    "memberNumber" : "xxxxxxxx",
    "memberRefNumber" : "00",
    "organisation" : "BUP"
  },
  "identity" : {
    "dateOfBirth" : "1953-00-03",
    "familyName" : "xxxxx",
    "givenName" : "xxxxx",
    "secondInitial" : "W",
    "sex" : "1"
  }
},
"medicalEvent" : [ {
  "service" : [ {
    "dateOfService" : "xxxx-08-18",
    "id" : "0100",
    "chargeAmount" : "9935",
    "itemNumber" : "18262",
    "text" : "TPA LEFT NOT A DUPLICATE SERVICE"
  } ],
  "serviceProvider" : {
    "providerNumber" : "xxxxxxx"
  },
  "id" : "01",
  "ifcIssueCode" : "X",
  "referralOverrideCode" : "N"
} ],
"principalProvider" : {
  "providerNumber" : "xxxxxxx"
},
"accident" : {
  "accidentInd" : "N"
},
"accountPaidInd" : "N",
"accountReferenceId" : "xxxxxxx",
"claimTypeCode" : "AG",
"facilityId" : "0012690L",
"fundPayeeId" : "215286",
"serviceTypeCode" : "S"
}
}