<?xml version="1.0" encoding="utf-8"?>
<Remittance.Advice xmlns:tns="http://www.haad.ae/DataDictionary/CommonTypes" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.haad.ae/DataDictionary/CommonTypes/RemittanceAdvice.xsd">
  <Header>
    <SenderID>A001</SenderID>
    <ReceiverID>MF1100</ReceiverID>
    <TransactionDate>06/01/2009 15:00</TransactionDate>
    <RecordCount>1</RecordCount>
    <DispositionFlag>PRODUCTION</DispositionFlag>
  </Header>
  <Claim>
    <ID>123</ID>
    <IDPayer>456</IDPayer>
    <PaymentReference>45621</PaymentReference>
       <Activity>
      <Start>01/01/2009 13:00</Start>
      <Type>3</Type>
      <Code>0031T</Code>
      <Quantity>1</Quantity>
      <Net>4500</Net>
      <Clinician>GD6476</Clinician>
      <PriorAuthorizationID>1235</PriorAuthorizationID>
      <Gross>5000</Gross>
      <PatientShare>500</PatientShare>
      <PaymentAmount>4500</PaymentAmount>
    </Activity>
  </Claim>
</Remittance.Advice>