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VBASoftware (v1)

APIs for VBASoftware

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VBAPI VBASoftware
https://vbapi.vbasoftware.com/vbasoftware/

Accounting

Operations

Check Batches

Operations

Check Details

Operations

Check Edit Details

Operations

Check Edit Headers

Operations

Check Edits

Operations

Check Statuses

Operations

Check Types

Operations

Checks

Operations

Funding

Operations

Funding Account

Operations

Funding Account Category

Operations

Funding Account Signatures

Operations

Funding Account Type

Operations

Funding Deposits

Operations

Funding Indicators

Operations

Funding Issue Types

Operations

Funding Reconciliation Disbursements

Operations

Funding Reconciliation On Statements

Operations

Funding Reconciliation Statuses

Operations

Funding Reconciliations

Operations

Funding Reconciliations Received

Operations

Funding References

Operations

Funding Request Claim Remove

Operations

Funding Request Claims

Operations

Funding Request Statuses

Operations

Funding Request Types

Operations

Funding Requests

Operations

Funding Statement Formats

Operations

Funding Statuses

Operations

Funding Types

Operations

Payor Account Notifications

Operations

Payor Account Signatures

Operations

Payor Accounts

Operations

PremInvoiceList

Operations

Signatures

Operations

Change Data Capture

Operations

Client Config

Operations

Company Data

Operations

Criteria

Operations

EDI Code Mappings

Operations

Feedback

Operations

IPWhitelists

Operations

Job Execution Metadata

Operations

Job Executions

Operations

Job Types

Operations

Jobs

Operations

State Surcharge Basis

Operations

VBAInterface ID Codes

Operations

VBAInterface Map Types

Operations

VBAInterface Statuses

Operations

VBAInterface Types

Operations

VBAInterface Vendors

Operations

VBAInterfaces

Operations

Adv. Accounting

Operations

Adv. Auth

Operations

Adv. Benefits

Operations

Adv. Billing

Operations

Adv. Capitation

Operations

Adv. Care Management

Operations

Adv. Claim

Operations

Adv. Commission

Operations

Adv. Enrollment

Operations

Adv. FeeSchedule

Operations

Adv. Grievance

Operations

Adv. Group Contracts

Operations

Adv. Group Divisions

Operations

Adv. Groups

Operations

Adv. Reinsurance

Operations

Adv. VBAGateway

Operations

Adv. Workflow

Operations

Auth

Operations

Auth Action

Operations

Auth Code

Operations

Auth Diagnostic Codes

Operations

Auth Max Calc

Operations

Auth Procedure Codes

Operations

Auth Reference

Operations

Auth Review

Operations

Auth Review Level

Operations

Auth Review Severity

Operations

Auth Review Status

Operations

Auth Review Type

Operations

Auth Review Urgency Type

Operations

Auth Type Places

Operations

Auth Types

Operations

Benefit Categories

Operations

Benefit Diagnostic Codes

Operations

Benefit Places

Operations

Benefit Procedures

Operations

Benefit Provider Types

Operations

Benefit Specialties

Operations

Benefits

Operations

Disability Event Case Changes

Operations

Disability Event Deduction Changes

Operations

Disability Event Field Changes

Operations

Disability Event Fields

Operations

Disability Event Groups

Operations

Issue Duration Value Detail

Operations

Issue Duration Values

Operations

Plan Accumulator Benefits

Operations

Plan Accumulators

Operations

Plan Auth Penalties

Operations

Plan Auth Penalty Benefits

Operations

Plan Benefit Cascades

Operations

Plan Benefit Clusters

Operations

Plan Benefit Diagnosis Ex Codes

Operations

Plan Benefit Diagnostic Codes

Operations

Plan Benefit Levels

Operations

Plan Benefit Maximums

Operations

Plan Benefit Modifier Ex Codes

Operations

Plan Benefit PBM Co-Pays

Operations

Plan Benefit Place Authorizations

Operations

Plan Benefit Place Co-Insurance

Operations

Plan Benefit Place Co-Pays

Operations

Plan Benefit Place Ex Codes

Operations

Plan Benefit Places

Operations

Plan Benefit Procedure Ex Codes

Operations

Plan Benefit Procedure Maximums

Operations

Plan Benefit Procedures

Operations

Plan Benefit Provider Types

Operations

Plan Benefit Rates

Operations

Plan Benefit Specialties

Operations

Plan Benefit Tooth Maximums

Operations

Plan Benefits

Operations

Plan Coordination

Operations

Plan Dependency

Operations

Plan Dependency Benefit

Operations

Plan Diagnosis Age Restrictions

Operations

Plan Disability Limits

Operations

Plan Display Types

Operations

Plan Displays

Operations

Plan Lineage Details

Operations

Plan Lineages

Operations

Plan Maximums

Operations

Plan Modifiers

Operations

Plan Place Auth

Operations

Plan Place Auth Benefit

Operations

Plan Pre-existing Coverages

Operations

Plan Procedure Age Restriction Modifiers

Operations

Plan Procedure Age Restrictions

Operations

Plan Relationship Age Restrictions

Operations

Plan Types

Operations

Plans

Operations

Billing

Operations

Billing Basis

Operations

Group Bill Cycle Payment Methods

Operations

Invoice Reasons

Operations

Payment Methods

Operations

Prem Rate Types

Operations

PremInvoice

Operations

Premium Distributions

Operations

Premium Invoice Adjustments

Operations

Premium Invoice Adjustments Received

Operations

Premium Invoice Payments

Operations

Premium Invoice Subscriber Details

Operations

Premium Invoice Subscribers

Operations

Premium Invoices

Operations

Premium Invoices Received

Operations

Premium Invoices Self-Admin

Operations

Premium Invoices Self-Admin Received

Operations

Premium Past Due Group Triggers

Operations

Premium Past Due Subscriber Triggers

Operations

Premium Past Due Triggers

Operations

Premium Payment File Formats

Operations

Premium Payment Types

Operations

Premium Payments

Operations

Premium Payments On Accounts

Operations

Premium Payments on Subscribers

Operations

Premium Rate Add-Ons

Operations

Premium Rate Age Types

Operations

Premium Rate Basis

Operations

Premium Rate Categories

Operations

Premium Rate Distribution Types

Operations

Premium Rate Excludes

Operations

Premium Rate Members

Operations

Premium Rate Min/Max

Operations

Premium Rate Min/Max Details

Operations

Premium Rate Pace Types

Operations

Premium Rate Paces

Operations

Premium Rate Payees

Operations

Premium Rate Zipcodes

Operations

Premium Rates

Operations

Call Destinations

Operations

Call Statuses

Operations

Call Tracking Subscribers

Operations

Call Trackings

Operations

Call Types

Operations

Caller Types

Operations

CallTrackingDiagCodes

Operations

CallTrackingProcCodes

Operations

Capitation Adjustment Reasons

Operations

Capitation Adjustment Types

Operations

Capitation Adjustments

Operations

Capitation Categories

Operations

Capitation Category Types

Operations

Capitation Plan Rates

Operations

Capitation Service Plans

Operations

Capitation Service Tax IDs

Operations

Capitation Services

Operations

Capitation Transactions

Operations

Capitation Types

Operations

Capitations

Operations

Care Case Actions

Operations

Care Case Add

Operations

Care Case Authorizations

Operations

Care Case Clinical Fact Categories

Operations

Care Case Clinical Fact Category Types

Operations

Care Case Clinical Facts

Operations

Care Case Clinical Trial Arms

Operations

Care Case Clinical Trial Reasons

Operations

Care Case Clinical Trial Study Phases

Operations

Care Case Clinical Trials

Operations

Care Case Compliances

Operations

Care Case Concordances

Operations

Care Case Details

Operations

Care Case Diagnoses

Operations

Care Case Eligibility Statuses

Operations

Care Case Emetic Risks

Operations

Care Case Intake Secondary Types

Operations

Care Case Intake Types

Operations

Care Case Intakes

Operations

Care Case Intents

Operations

Care Case Log Entry Types

Operations

Care Case Lots

Operations

Care Case Medications

Operations

Care Case Members

Operations

Care Case Neutropenic Risks

Operations

Care Case Providers

Operations

Care Case Savings

Operations

Care Case Savings Secondary Types

Operations

Care Case Savings Types

Operations

Care Case Stages

Operations

Care Case Treatment Types

Operations

Care Case Treatments

Operations

Care Case Work Log Savings Types

Operations

Care Case Work Log Secondary Log Types

Operations

Care Case Work Log Types

Operations

Care Case Work Logs

Operations

Care Cases

Operations

Care Manager Care Plans

Operations

Care Manager Care Types

Operations

Care Manager Cases

Operations

Care Manager Mappings

Operations

Care Manager Types

Operations

Care Managers

Operations

Care Plan Categories

Operations

Care Plan Custom Values

Operations

Care Plan Details

Operations

Care Plan Rule Criterias

Operations

Care Plan Rule Details

Operations

Care Plan Rules

Operations

Care Plan Score Details

Operations

Care Plan Scores

Operations

Care Plans

Operations

Care Types

Operations

Care Unit Managers

Operations

Care Units

Operations

Case Attachment Types

Operations

Case Attachments

Operations

Case Close Reasons

Operations

Case Head Types

Operations

Case Heads

Operations

Case Medical Concordance Levels

Operations

Case Priorities

Operations

Case Reasons

Operations

Case Status Reasons

Operations

Case Statuses

Operations

VBAssist

Operations

Auth Actions

Operations

Claim Adjudication

Operations

Claim Anesthesia Modifier Units

Operations

Claim Anesthesia Place Code Units

Operations

Claim Anesthesia Procedure Code Units

Operations

Claim Audit Appeal Reasons

Operations

Claim Audit Appeal Results

Operations

Claim Audit Clauses

Operations

Claim Audit Detail Results

Operations

Claim Audit Details

Operations

Claim Audit Results

Operations

Claim Audit Statuses

Operations

Claim Audits

Operations

Claim Batch

Operations

Get ClaimBatch

Request

Gets ClaimBatch

Security
apiKeyAuth and bearerAuth
Path
batchNumberinteger(int32)required

Batch Number

batchClaiminteger(int32)required

Batch Claim

Headers
vbasoftware-databasestringrequired

Target database

curl -i -X GET \
  'https://vbapi.vbasoftware.com/vbasoftware/claim-batches/{batchNumber}/claims/{batchClaim}' \
  -H 'Authorization: Bearer <YOUR_JWT_HERE>' \
  -H 'vbasoftware-database: string' \
  -H 'x-api-key: YOUR_API_KEY_HERE'

Responses

Success

Body
dataobject(ClaimBatch)
errorobject(VBAProblemDetails)
debugobject(Debug)
Response
No response example

Update ClaimBatch

Request

Updates a specific ClaimBatch.

Security
apiKeyAuth and bearerAuth
Path
batchNumberinteger(int32)required

Batch Number

batchClaiminteger(int32)required

Batch Claim

Headers
vbasoftware-databasestringrequired

Target database

Bodyrequired
batch_Numberinteger(int32)required

This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.

batch_Claiminteger(int32)required

This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.

aeoB_Claimbooleanrequired

A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: This field is marked as NOT NULL in the database and therefore required by the API.

accident_Datestring or null(date-time)

The date of accident.

account_Keyinteger or null(int32)

For claim funding, indicates the payor/account this claim would be paid from.

adjusted_Frominteger or null(int32)

Indicates that this claim was part of an Adjustment process.

adjustment_Claimbooleanrequired

Indicates this claim is part of an adjustment process. Note: This field is marked as NOT NULL in the database and therefore required by the API.

admission_Datestring or null(date-time)

For institutional Claims, holds the Admission Date.

admission_Diagnostic_Codestring or null<= 8 characters

The admission diagnosis code if applicable for this claim.

admission_Hourstring or null<= 8 characters

For institutional Claims, holds the Admission Hour.

admission_Sourcestring or null<= 8 characters

For institutional Claims, holds the Admission Source.

admit_Datestring or null(date-time)

Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.

advance_Paybooleanrequired

Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: This field is marked as NOT NULL in the database and therefore required by the API.

advice_To_Paybooleanrequired

Notes this claim is advice to pay and will not go through funding. Note: This field is marked as NOT NULL in the database and therefore required by the API.

all_Docs_Rec_Datestring or null(date-time)

Information field used in custom processing and reporting.

ambulance_DropOff_Addressstring or null<= 90 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Address2string or null<= 90 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Citystring or null<= 32 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Locationstring or null<= 64 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Org_Namestring or null<= 512 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Statestring or null<= 10 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_DropOff_Zipstring or null<= 32 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Addressstring or null<= 90 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Address2string or null<= 90 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Citystring or null<= 32 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Locationstring or null<= 64 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Statestring or null<= 10 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

ambulance_PickUp_Zipstring or null<= 32 characters

If the claim utlized ambulance services (submitted via 837), we track that here.

appliance_Placed_Datestring or null(date-time)

The date the orthodontic appliance was placed.

assumed_Care_Datestring or null(date-time)

Information field used in custom processing and reporting.

attend_Provider_Addressstring or null<= 90 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Address2string or null<= 90 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Citystring or null<= 30 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Federal_IDstring or null<= 20 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_First_Namestring or null<= 25 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Last_Namestring or null<= 35 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_MAIDstring or null<= 20 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_NPIstring or null<= 20 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Org_Namestring or null<= 512 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Phonestring or null<= 20 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Statestring or null<= 10 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Taxonomystring or null<= 10 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attend_Provider_Zipstring or null<= 32 characters

The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

attended_Physician_Datestring or null(date-time)

This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.

auto_Flexbooleanrequired

For flex claims, notes that this claim was auto-created by adjudication based on configuration at the group. Note: This field is marked as NOT NULL in the database and therefore required by the API.

baseloadLookupbooleanrequired

Flagged when a claim has gone through the baseload provider matching service. Note: This field is marked as NOT NULL in the database and therefore required by the API.

beneficiary_IDstring or null<= 20 characters

Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.

bill_Provider_Addressstring or null<= 90 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Address2string or null<= 90 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Citystring or null<= 30 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Federal_IDstring or null<= 20 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_First_Namestring or null<= 25 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Last_Namestring or null<= 35 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_MAIDstring or null<= 20 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_NPIstring or null<= 20 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Org_Namestring or null<= 512 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Phonestring or null<= 20 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Statestring or null<= 10 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Taxonomystring or null<= 10 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

bill_Provider_Zipstring or null<= 32 characters

The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

billed_Amountnumber or null(double)

Holds the claim level billed amount that is used for balancing the claim detail billed_price values. If different, throws an error.

cliA_Numberstring or null<= 32 characters

No longer in use.

calculate_Interestbooleanrequired

Notes if interest was calculated for this claim as part of adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.

capitation_Claimbooleanrequired

Indicates if this claim is capitated. Note: This field is marked as NOT NULL in the database and therefore required by the API.

claim_837_COBstring or null<= 1 characters

For 837 transactions, indicates COB has been submitted.

claim_IDstring or null<= 32 characters

An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.

claim_Prioritystring or null<= 1 characters

For 837 transactions, indicates the submitted claim priority.

claim_Statusstring or null<= 8 characters

The status of the claim. Valid values reside in the ClaimStatus table.

claim_Typestring or null<= 20 characters

Notes the claim type for this claim. References ClaimType.Claim_Type.

closure_Effective_Datestring or null(date-time)

This is an information only field that allows the tracking of the Closure Effective Date.

condition_Code1string or null<= 8 characters

The Condition Code value for this claim.

condition_Code10string or null<= 8 characters

The Condition Code value for this claim.

condition_Code11string or null<= 8 characters

The Condition Code value for this claim.

condition_Code12string or null<= 8 characters

The Condition Code value for this claim.

condition_Code13string or null<= 8 characters

The Condition Code value for this claim.

condition_Code14string or null<= 8 characters

The Condition Code value for this claim.

condition_Code15string or null<= 8 characters

The Condition Code value for this claim.

condition_Code16string or null<= 8 characters

The Condition Code value for this claim.

condition_Code17string or null<= 8 characters

The Condition Code value for this claim.

condition_Code18string or null<= 8 characters

The Condition Code value for this claim.

condition_Code19string or null<= 8 characters

The Condition Code value for this claim.

condition_Code2string or null<= 8 characters

The Condition Code value for this claim.

condition_Code20string or null<= 8 characters

The Condition Code value for this claim.

condition_Code21string or null<= 8 characters

The Condition Code value for this claim.

condition_Code22string or null<= 8 characters

The Condition Code value for this claim.

condition_Code23string or null<= 8 characters

The Condition Code value for this claim.

condition_Code24string or null<= 8 characters

The Condition Code value for this claim.

condition_Code3string or null<= 8 characters

The Condition Code value for this claim.

condition_Code4string or null<= 8 characters

The Condition Code value for this claim.

condition_Code5string or null<= 8 characters

The Condition Code value for this claim.

condition_Code6string or null<= 8 characters

The Condition Code value for this claim.

condition_Code7string or null<= 8 characters

The Condition Code value for this claim.

condition_Code8string or null<= 8 characters

The Condition Code value for this claim.

condition_Code9string or null<= 8 characters

The Condition Code value for this claim.

context4_Overridebooleanrequired

Allows the user to flag a claim to ignore Context4Health service results and stick to core adjudication edits. Note: This field is marked as NOT NULL in the database and therefore required by the API.

coverage_Startstring or null(date-time)

The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.

current_Illness_Datestring or null(date-time)

The current illness date for this claim.

drG_Codestring or null<= 4 characters

The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.

drG_Quantitynumber or null(double)

The quantity associated with this DRG value.

death_Cert_Rec_Datestring or null(date-time)

Information field used in custom processing and reporting.

delivery_Datestring or null(date-time)

This identifies the date of delivery for disability due to pregnancy.

delivery_Typestring or null<= 1 characters

This will identify the type of delivery that is performed as a result of pregnancy.

dep_SSDI_End_Datestring or null(date-time)

This is an information only field that allows the tracking of Dependent SSI End Date.

diagnostic_Code1string or null<= 8 characters

An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.

diagnostic_Code10string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code11string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code12string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code13string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code14string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code15string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code16string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code17string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code18string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code19string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code2string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code20string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code21string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code22string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code23string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code24string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code3string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code4string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code5string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code6string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code7string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code8string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code9string or null<= 8 characters

An assigned diagnostic code for this claim.

diagnostic_Code_Typestring[ 1 .. 16 ] charactersrequired

Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10. Note: This field is marked as NOT NULL in the database and therefore required by the API.

disability_Datestring or null(date-time)

The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.

disability_End_Datestring or null(date-time)

Information field used in custom processing and reporting.

disability_Typestring or null<= 20 characters

Used to identify the type of disability (Injury or Illness).

disabled_By_Physicianstring or null(date-time)

This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.

discharge_Datestring or null(date-time)

Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.

discharge_Hourstring or null<= 8 characters

For institutional Claims, holds the Discharge Hour.

division_IDstring or null<= 20 characters

The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.

eCode_Diagnostic_Codestring or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code10string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code11string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code12string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code2string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code3string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code4string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code5string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code6string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code7string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code8string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

eCode_Diagnostic_Code9string or null<= 8 characters

The external cause of injury code for this claim, if applicable.

epsdT_Condition_Indicator1string or null<= 3 characters

Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.

epsdT_Condition_Indicator2string or null<= 3 characters

Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.

epsdT_Condition_Indicator3string or null<= 3 characters

Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.

epsdT_Referral_Givenstring or null<= 1 characters

Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.

entry_Datestring(date-time)

Date when the record was first added to the system.

entry_Userstring or null<= 20 characters

User that first added the record to the system.

error_Amountstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Authstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Beneficiarystring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Benefitstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_ConditionCodestring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Datesstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Detailstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag1string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag10string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag11string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag12string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag13string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag14string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag15string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag16string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag17string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag18string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag19string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag2string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag20string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag21string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag22string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag23string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag24string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag3string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag4string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag5string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag6string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag7string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag8string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Diag9string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_ExCode1string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_ExCode2string or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Existsstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Groupstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Memstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Networkstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_OccurrenceCodestring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Planstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Procedurestring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Provstring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_Substring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

error_ValueCodestring or null<= 1 characters

During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.

ex_Code1string or null<= 6 characters

A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.

ex_Code2string or null<= 6 characters

A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.

ex_Code3string or null<= 8 characters

A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.

ex_Code4string or null<= 8 characters

A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.

exhaust_Datestring or null(date-time)

This is the Exhaust Date of the members Disability.

expected_Typical_Durationinteger or null(int32)

Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.

ficA_Percentnumber or null(double)

This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.

federal_Withheldnumber or null(double)

This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.

filing_Indicatorstring or null<= 2 characters

No longer in use.

followUp_Datestring or null(date-time)

This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.

followUp_Ex_Codestring or null<= 6 characters

This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.

freq_Codestring or null<= 8 characters

Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.

group_IDstring or null<= 20 characters

The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.

hearing_Vision_RX_Datestring or null(date-time)

Information field used in custom processing and reporting.

image_File_Locationstring or null<= 128 characters

Stores a reference, if applicable, to an image or document associated with this claim.

image_File_Location2string or null<= 128 characters

Stores a reference, if applicable, to an image or document associated with this claim.

image_File_Location3string or null<= 128 characters

Stores a reference, if applicable, to an image or document associated with this claim.

image_File_Location4string or null<= 128 characters

Stores a reference, if applicable, to an image or document associated with this claim.

initial_Treatment_Datestring or null(date-time)

Information field to track the initial treatment date for this claim.

insured_Addressstring or null<= 128 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Address2string or null<= 128 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Alternate_IDstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Birth_Datestring or null(date-time)

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Citystring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Employer_IDstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_First_Namestring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_IDstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Last_Namestring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Phonestring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Policy_Numberstring or null<= 64 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_SSNstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Sexstring or null<= 1 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Statestring or null<= 64 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

insured_Zipstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

job_Typestring or null<= 2 characters

This is the job classification for the member going on disability.

ltD_Effective_Datestring or null(date-time)

This is an information only field that holds the date the member went on Long-Term Disability.

ltD_Packet_Datestring or null(date-time)

This is an information only field that tracks the date the Long-Term Disability Packet was sent.

last_Day_Workedstring or null(date-time)

This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.

last_Physician_Warrant_Datestring or null(date-time)

This is an information only field that allows for the tracking of the Physician Warrant Date.

last_Seen_Datestring or null(date-time)

Information field to track the last time a phyician was seen at the time of this claim submission.

liability_Injurybooleanrequired

This is an information only field that identifies if this disability is a liability injury. Note: This field is marked as NOT NULL in the database and therefore required by the API.

mail_Tostring or null<= 1 characters

Notes if the payment should be mailed to an entity other than the "Send_Check_To".

member_Seqstring or null<= 2 characters

The Member Sequence of the patient for this claim.

months_Of_Treatmentinteger or null(int32)

The number of months the orthodontic treatment will be.

network_IDstring or null<= 10 characters

Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".

notestring or null<= 24 characters

No longer in use.

occupationalbooleanrequired

Notes if the disability is related to the patiens occupation. Note: This field is marked as NOT NULL in the database and therefore required by the API.

occurrence_Code1string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code10string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code11string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code12string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code13string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code14string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code15string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code16string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code17string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code18string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code19string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code2string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code20string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code21string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code22string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code23string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code24string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code3string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code4string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code5string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code6string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code7string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code8string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Code9string or null<= 8 characters

The Occurrence Code value for this claim.

occurrence_Date1string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date10string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date11string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date12string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date13string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date14string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date15string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date16string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date17string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date18string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date19string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date2string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date20string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date21string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date22string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date23string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date24string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date3string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date4string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date5string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date6string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date7string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date8string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Date9string or null(date-time)

The Occurrence Date associated to the assigned Occurrence Codes.

occurrence_Span_Codestring or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code10string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code11string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code12string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code13string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code14string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code15string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code16string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code17string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code18string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code19string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code2string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code20string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code21string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code22string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code23string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code24string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code3string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code4string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code5string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code6string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code7string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code8string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Code9string or null<= 8 characters

The occurrence span indicator for the Occurrence Span From and Thru dates.

occurrence_Span_Fromstring or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From10string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From11string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From12string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From13string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From14string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From15string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From16string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From17string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From18string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From19string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From2string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From20string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From21string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From22string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From23string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From24string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From3string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From4string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From5string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From6string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From7string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From8string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_From9string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thrustring or null(date-time)

The occurrence span thru for this claim.

occurrence_Span_Thru10string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru11string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru12string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru13string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru14string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru15string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru16string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru17string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru18string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru19string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru2string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru20string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru21string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru22string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru23string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru24string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru3string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru4string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru5string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru6string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru7string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru8string or null(date-time)

The occurrence span from for this claim.

occurrence_Span_Thru9string or null(date-time)

The occurrence span from for this claim.

onset_Similar_Illness_Datestring or null(date-time)

Notes the date of the original illness if this claim is associated to that illness.

oper_Provider_Addressstring or null<= 90 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Address2string or null<= 90 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Citystring or null<= 30 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Federal_IDstring or null<= 20 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_First_Namestring or null<= 25 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Last_Namestring or null<= 35 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_MAIDstring or null<= 20 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_NPIstring or null<= 20 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Org_Namestring or null<= 512 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Phonestring or null<= 20 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Statestring or null<= 10 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Taxonomystring or null<= 10 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

oper_Provider_Zipstring or null<= 32 characters

The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

orthodontics_Treatmentbooleanrequired

When this flag is checked, it indicates the dental claim is for orthodontics. Note: This field is marked as NOT NULL in the database and therefore required by the API.

other_Insurancebooleanrequired

Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: This field is marked as NOT NULL in the database and therefore required by the API.

other_Procedure_Code1string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code10string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code11string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code12string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code13string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code14string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code15string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code16string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code17string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code18string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code19string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code2string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code20string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code21string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code22string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code23string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code3string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code4string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code5string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code6string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code7string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code8string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Code9string or null<= 8 characters

Additional procedure code (ICD10 Diagnosis) values for this claim submission.

other_Procedure_Date1string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date10string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date11string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date12string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date13string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date14string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date15string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date16string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date17string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date18string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date19string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date2string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date20string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date21string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date22string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date23string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date3string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date4string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date5string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date6string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date7string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date8string or null(date-time)

Date associated with the additional procedure code.

other_Procedure_Date9string or null(date-time)

Date associated with the additional procedure code.

overridestring or null<= 1 characters

No longer in use.

override_Datestring or null(date-time)

No longer in use.

override_Network_IDbooleanrequired

This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.

override_Payor_Accountbooleanrequired

Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: This field is marked as NOT NULL in the database and therefore required by the API.

override_Userstring or null<= 16 characters

No longer in use.

partial_Disabilitybooleanrequired

This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.

patient_Accountstring or null<= 128 characters

For the servicing provider, this indicates the patient account identifier in their practice management system.

patient_Addressstring or null<= 90 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Address2string or null<= 90 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Birth_Datestring or null(date-time)

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Citystring or null<= 30 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_First_Namestring or null<= 25 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_IDstring or null<= 32 characters

For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Last_Namestring or null<= 35 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Phonestring or null<= 20 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Reason_for_Visit_Diagnostic_Code1string or null<= 8 characters

Reason for Visit code on Diagnosis Code 1

patient_Reason_for_Visit_Diagnostic_Code2string or null<= 8 characters

Reason for Visit code on Diagnosis Code 2

patient_Reason_for_Visit_Diagnostic_Code3string or null<= 8 characters

Reason for Visit code on Diagnosis Code 3

patient_Relationshipstring or null<= 8 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Sexstring or null<= 1 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Signaturebooleanrequired

Indicates if the patient signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.

patient_Signature_Datestring or null(date-time)

Indicates the date of the patient signature being collected.

patient_Statestring or null<= 50 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

patient_Statusstring or null<= 8 characters

For institutional Claims, holds the Patient Status.

patient_Zipstring or null<= 32 characters

For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.

payToPlan_Addressstring or null<= 90 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Address2string or null<= 90 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Citystring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Claim_Office_Numstring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_IDstring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_NAICstring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Namestring or null<= 512 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Statestring or null<= 10 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payToPlan_Zipstring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payTo_Addressstring or null<= 90 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payTo_Address2string or null<= 90 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payTo_Citystring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payTo_Statestring or null<= 10 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payTo_Zipstring or null<= 32 characters

The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

payee_IDstring or null<= 20 characters

The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).

payor_Claim_Control_Numberstring or null<= 64 characters

A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.

payor_IDstring or null<= 20 characters

For claim funding, indicates the payor/account this claim would be paid from.

physician_Return_To_Workstring or null(date-time)

This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.

place_Of_Servicestring or null<= 5 characters

Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.

plan_IDstring or null<= 20 characters

Holds the plan the patient is enrolled in and that benefits are assigned.

plan_Providerstring or null<= 1 characters

No longer in use.

plan_Yearstring or null<= 8 characters

Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.

present_On_Admission1string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 1.

present_On_Admission10string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 10.

present_On_Admission11string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 11.

present_On_Admission12string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 12.

present_On_Admission13string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 13.

present_On_Admission14string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 14.

present_On_Admission15string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 15.

present_On_Admission16string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 16.

present_On_Admission17string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 17.

present_On_Admission18string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 18.

present_On_Admission19string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 19.

present_On_Admission2string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 2.

present_On_Admission20string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 20.

present_On_Admission21string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 21.

present_On_Admission22string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 22.

present_On_Admission23string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 23.

present_On_Admission24string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 24.

present_On_Admission3string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 3.

present_On_Admission4string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 4.

present_On_Admission5string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 5.

present_On_Admission6string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 6.

present_On_Admission7string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 7.

present_On_Admission8string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 8.

present_On_Admission9string or null<= 1 characters

Indicates if the patient was present on admission for diagnosis 9.

present_On_Admission_ECode1string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 1.

present_On_Admission_ECode10string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 10.

present_On_Admission_ECode11string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 11.

present_On_Admission_ECode12string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 12.

present_On_Admission_ECode2string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 2.

present_On_Admission_ECode3string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 3.

present_On_Admission_ECode4string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 4.

present_On_Admission_ECode5string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 5.

present_On_Admission_ECode6string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 6.

present_On_Admission_ECode7string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 7.

present_On_Admission_ECode8string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 8.

present_On_Admission_ECode9string or null<= 1 characters

Indicates if the patient was present for the external cause of injury diagnosis 9.

pricing_Methodstring or null<= 8 characters

For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.

pricing_Org_IDstring or null<= 50 characters

The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.

pricing_Ratenumber or null(double)

The rate associated with the reprice method (Pricing_Method).

principal_Procedure_Codestring or null<= 8 characters

The principal procedure (ICD10 Diagnosis) for this claim submission.

principal_Procedure_Datestring or null(date-time)

The principal procedure date.

prior_Placement_Datestring or null(date-time)

The date of a previous prosthetic or crown applied, if there was one.

prosthesis_Replacementbooleanrequired

This flag indicates if this claim is for the replacement of a prosthesis. Note: This field is marked as NOT NULL in the database and therefore required by the API.

provider_Addressstring or null<= 90 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Address2string or null<= 90 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Citystring or null<= 30 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Federal_IDstring or null<= 20 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_First_Namestring or null<= 30 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_IDstring or null<= 20 characters

The provider ID of the servicing provider. References Provider.Provider_ID.

provider_Last_Namestring or null<= 30 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_MAIDstring or null<= 20 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_NPIstring or null<= 20 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Org_Namestring or null<= 512 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Phonestring or null<= 20 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Statestring or null<= 10 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Taxonomystring or null<= 10 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

provider_Zipstring or null<= 32 characters

For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.

qpA_Methodstring or null<= 1 characters

Overrides the QPA Method set on the Plan for this claim.

ready_To_Processstring or null<= 1 characters

Notes if the claim is ready to process out of batch.

received_Datestring or null(date-time)

The date this claim was received into the admin system.

ref_Provider_Addressstring or null<= 90 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Address2string or null<= 90 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Citystring or null<= 30 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Federal_IDstring or null<= 20 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_First_Namestring or null<= 25 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Last_Namestring or null<= 35 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_MAIDstring or null<= 20 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_NPIstring or null<= 20 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Org_Namestring or null<= 512 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Phonestring or null<= 20 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Statestring or null<= 10 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Taxonomystring or null<= 10 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

ref_Provider_Zipstring or null<= 32 characters

The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

referred_Bystring or null<= 30 characters

Information field to track if a referral was sent for this claim.

refund_Check_IDinteger or null(int32)

Indicates that this claim was part of a Void process.

refund_Claimbooleanrequired

Indicates this claim is part of a refund process. Note: This field is marked as NOT NULL in the database and therefore required by the API.

refund_Funding_Keyinteger or null(int32)

If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.

related_To_Accidentbooleanrequired

Indicates if the claim is related to a non-car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.

related_To_Another_Partybooleanrequired

Indicates if the claim was casued by a third party. Note: This field is marked as NOT NULL in the database and therefore required by the API.

related_To_Autobooleanrequired

Indicates if the claim is related to a car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.

related_To_Employmentbooleanrequired

Indicates if the claim is work related. Note: This field is marked as NOT NULL in the database and therefore required by the API.

relinquished_Care_Datestring or null(date-time)

Information field used in custom processing and reporting.

rend_Provider_Addressstring or null<= 90 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Address2string or null<= 90 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Citystring or null<= 30 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Federal_IDstring or null<= 20 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_First_Namestring or null<= 25 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Last_Namestring or null<= 35 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_MAIDstring or null<= 20 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_NPIstring or null<= 20 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Org_Namestring or null<= 512 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Phonestring or null<= 20 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Statestring or null<= 10 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Taxonomystring or null<= 10 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

rend_Provider_Zipstring or null<= 32 characters

The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

repriced_Network_IDstring or null<= 10 characters

As part of reprice claim submissions (via 837), this will hold the repricing network.

return_To_Work_Datestring or null(date-time)

This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.

salary_Continuationbooleanrequired

This flag identifies that there is salary continuation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.

send_Check_Tostring or null<= 1 characters

Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.

sender_IDstring or null<= 15 characters

The Sender ID sent inbound for x12 (837) transactions.

service_Datestring or null(date-time)

The earliest Service_Date of all service lines on this claim.

service_Fac_Loc_Addressstring or null<= 90 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Address2string or null<= 90 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Citystring or null<= 30 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Federal_IDstring or null<= 20 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_First_Namestring or null<= 25 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Last_Namestring or null<= 35 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_MAIDstring or null<= 20 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_NPIstring or null<= 20 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Org_Namestring or null<= 512 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Phonestring or null<= 20 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Statestring or null<= 10 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Taxonomystring or null<= 10 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Fac_Loc_Zipstring or null<= 32 characters

The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.

service_Thrustring or null(date-time)

The latest Service_Thru for all service lines on this claim.

sick_Timebooleanrequired

This flag identifies that there is sick time during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.

statement_From_Datestring or null(date-time)

For Institutional Claims, holds the Statement Date.

statement_Thru_Datestring or null(date-time)

For Institutional Claims, holds the Statement Date.

subscriber_IDstring or null<= 9 characters

The Subscriber ID of the patient for this claim.

subscriber_Signaturebooleanrequired

Indicates if the insured signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.

survivor_Benefitbooleanrequired

Indicates if Survivor Benefit was applied for this disability payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.

third_Party_Paymentbooleanrequired

For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: This field is marked as NOT NULL in the database and therefore required by the API.

total_COBnumber(double)required

COB total for all claim detail lines Note: This field is marked as NOT NULL in the database and therefore required by the API.

trading_Partner_Keyinteger or null(int32)

No longer in use.

trans_837_Control_Numstring or null<= 9 characters

For 837 transactions, this is the control number assgined by the submitter.

transaction_837booleanrequired

Indicates this is a claim entered by an inbound 837. Note: This field is marked as NOT NULL in the database and therefore required by the API.

transaction_837_IDstring or null<= 30 characters

For 837 transactions, this holds the transaction ID assigned by the submission.

type_Of_Admissionstring or null<= 6 characters

The Admission Type associated to this claim.

type_Of_Billstring or null<= 6 characters

The Bill Type associated to this claim. References BillType.Type_Of_Bill.

update_Datestring(date-time)

Date when the record was last updated in the system.

update_Userstring or null<= 20 characters

User that last updated the record in the system.

vacationbooleanrequired

This flag identifies that there is vacation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.

value_Amount1number or null(double)

The monetary amount related to the value code.

value_Amount10number or null(double)

The monetary amount related to the value code.

value_Amount11number or null(double)

The monetary amount related to the value code.

value_Amount12number or null(double)

The monetary amount related to the value code.

value_Amount13number or null(double)

The monetary amount related to the value code.

value_Amount14number or null(double)

The monetary amount related to the value code.

value_Amount15number or null(double)

The monetary amount related to the value code.

value_Amount16number or null(double)

The monetary amount related to the value code.

value_Amount17number or null(double)

The monetary amount related to the value code.

value_Amount18number or null(double)

The monetary amount related to the value code.

value_Amount19number or null(double)

The monetary amount related to the value code.

value_Amount2number or null(double)

The monetary amount related to the value code.

value_Amount20number or null(double)

The monetary amount related to the value code.

value_Amount21number or null(double)

The monetary amount related to the value code.

value_Amount22number or null(double)

The monetary amount related to the value code.

value_Amount23number or null(double)

The monetary amount related to the value code.

value_Amount24number or null(double)

The monetary amount related to the value code.

value_Amount3number or null(double)

The monetary amount related to the value code.

value_Amount4number or null(double)

The monetary amount related to the value code.

value_Amount5number or null(double)

The monetary amount related to the value code.

value_Amount6number or null(double)

The monetary amount related to the value code.

value_Amount7number or null(double)

The monetary amount related to the value code.

value_Amount8number or null(double)

The monetary amount related to the value code.

value_Amount9number or null(double)

The monetary amount related to the value code.

value_Code1string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code10string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code11string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code12string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code13string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code14string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code15string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code16string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code17string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code18string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code19string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code2string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code20string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code21string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code22string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code23string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code24string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code3string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code4string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code5string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code6string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code7string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code8string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

value_Code9string or null<= 2 characters

The code indicating a monetary condition which was used by the intermediary to process an institutional claim.

void_Check_IDinteger or null(int32)

Indicates that this claim was part of a Refund process.

volume_Overridebooleanrequired

Notes that the benefit amount, for disability claims, has been manually overridden. Note: This field is marked as NOT NULL in the database and therefore required by the API.

waiting_Period_Claimbooleanrequired

Indicates if this disability payment is a waiting period payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.

qualifying_Payment_Amountnumber or null(double)
override_Qualifying_Payment_Amountboolean
override_Qualifying_Payment_Amount_Userstring or null
service_Authorization_Exception_Codestring or null
repriced_Claim_Reference_Numberstring or null
adjusted_Repriced_Claim_Reference_Numberstring or null
medical_Record_Numberstring or null
payer_Claim_Control_Numberstring or null
other_Payer_Prior_Authorization_Numberstring or null
investigational_Device_Exemption_Identifierstring or null
patient_Amount_Paidnumber or null(double)
patient_Responsibility_Amountnumber or null(double)
peer_Review_Authorization_Numberstring or null
auto_Accident_Statestring or null
care_Plan_Oversight_Numberstring or null
referral_Numberstring or null
mammography_Certification_Numberstring or null
medicare_Section_4081_Indicatorstring or null
demonstration_Project_Indicatorstring or null
clinical_Laboratory_Improvement_Amendment_Numberstring or null
curl -i -X PUT \
  'https://vbapi.vbasoftware.com/vbasoftware/claim-batches/{batchNumber}/claims/{batchClaim}' \
  -H 'Authorization: Bearer <YOUR_JWT_HERE>' \
  -H 'Content-Type: application/json' \
  -H 'vbasoftware-database: string' \
  -H 'x-api-key: YOUR_API_KEY_HERE' \
  -d '{
    "batch_Number": 0,
    "batch_Claim": 0,
    "aeoB_Claim": true,
    "accident_Date": "2019-08-24T14:15:22Z",
    "account_Key": 0,
    "adjusted_From": 0,
    "adjustment_Claim": true,
    "admission_Date": "2019-08-24T14:15:22Z",
    "admission_Diagnostic_Code": "string",
    "admission_Hour": "string",
    "admission_Source": "string",
    "admit_Date": "2019-08-24T14:15:22Z",
    "advance_Pay": true,
    "advice_To_Pay": true,
    "all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
    "ambulance_DropOff_Address": "string",
    "ambulance_DropOff_Address2": "string",
    "ambulance_DropOff_City": "string",
    "ambulance_DropOff_Location": "string",
    "ambulance_DropOff_Org_Name": "string",
    "ambulance_DropOff_State": "string",
    "ambulance_DropOff_Zip": "string",
    "ambulance_PickUp_Address": "string",
    "ambulance_PickUp_Address2": "string",
    "ambulance_PickUp_City": "string",
    "ambulance_PickUp_Location": "string",
    "ambulance_PickUp_State": "string",
    "ambulance_PickUp_Zip": "string",
    "appliance_Placed_Date": "2019-08-24T14:15:22Z",
    "assumed_Care_Date": "2019-08-24T14:15:22Z",
    "attend_Provider_Address": "string",
    "attend_Provider_Address2": "string",
    "attend_Provider_City": "string",
    "attend_Provider_Federal_ID": "string",
    "attend_Provider_First_Name": "string",
    "attend_Provider_Last_Name": "string",
    "attend_Provider_MAID": "string",
    "attend_Provider_NPI": "string",
    "attend_Provider_Org_Name": "string",
    "attend_Provider_Phone": "string",
    "attend_Provider_State": "string",
    "attend_Provider_Taxonomy": "string",
    "attend_Provider_Zip": "string",
    "attended_Physician_Date": "2019-08-24T14:15:22Z",
    "auto_Flex": true,
    "baseloadLookup": true,
    "beneficiary_ID": "string",
    "bill_Provider_Address": "string",
    "bill_Provider_Address2": "string",
    "bill_Provider_City": "string",
    "bill_Provider_Federal_ID": "string",
    "bill_Provider_First_Name": "string",
    "bill_Provider_Last_Name": "string",
    "bill_Provider_MAID": "string",
    "bill_Provider_NPI": "string",
    "bill_Provider_Org_Name": "string",
    "bill_Provider_Phone": "string",
    "bill_Provider_State": "string",
    "bill_Provider_Taxonomy": "string",
    "bill_Provider_Zip": "string",
    "billed_Amount": 0.1,
    "cliA_Number": "string",
    "calculate_Interest": true,
    "capitation_Claim": true,
    "claim_837_COB": "s",
    "claim_ID": "string",
    "claim_Priority": "s",
    "claim_Status": "string",
    "claim_Type": "string",
    "closure_Effective_Date": "2019-08-24T14:15:22Z",
    "condition_Code1": "string",
    "condition_Code10": "string",
    "condition_Code11": "string",
    "condition_Code12": "string",
    "condition_Code13": "string",
    "condition_Code14": "string",
    "condition_Code15": "string",
    "condition_Code16": "string",
    "condition_Code17": "string",
    "condition_Code18": "string",
    "condition_Code19": "string",
    "condition_Code2": "string",
    "condition_Code20": "string",
    "condition_Code21": "string",
    "condition_Code22": "string",
    "condition_Code23": "string",
    "condition_Code24": "string",
    "condition_Code3": "string",
    "condition_Code4": "string",
    "condition_Code5": "string",
    "condition_Code6": "string",
    "condition_Code7": "string",
    "condition_Code8": "string",
    "condition_Code9": "string",
    "context4_Override": true,
    "coverage_Start": "2019-08-24T14:15:22Z",
    "current_Illness_Date": "2019-08-24T14:15:22Z",
    "drG_Code": "stri",
    "drG_Quantity": 0.1,
    "death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
    "delivery_Date": "2019-08-24T14:15:22Z",
    "delivery_Type": "s",
    "dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
    "diagnostic_Code1": "string",
    "diagnostic_Code10": "string",
    "diagnostic_Code11": "string",
    "diagnostic_Code12": "string",
    "diagnostic_Code13": "string",
    "diagnostic_Code14": "string",
    "diagnostic_Code15": "string",
    "diagnostic_Code16": "string",
    "diagnostic_Code17": "string",
    "diagnostic_Code18": "string",
    "diagnostic_Code19": "string",
    "diagnostic_Code2": "string",
    "diagnostic_Code20": "string",
    "diagnostic_Code21": "string",
    "diagnostic_Code22": "string",
    "diagnostic_Code23": "string",
    "diagnostic_Code24": "string",
    "diagnostic_Code3": "string",
    "diagnostic_Code4": "string",
    "diagnostic_Code5": "string",
    "diagnostic_Code6": "string",
    "diagnostic_Code7": "string",
    "diagnostic_Code8": "string",
    "diagnostic_Code9": "string",
    "diagnostic_Code_Type": "string",
    "disability_Date": "2019-08-24T14:15:22Z",
    "disability_End_Date": "2019-08-24T14:15:22Z",
    "disability_Type": "string",
    "disabled_By_Physician": "2019-08-24T14:15:22Z",
    "discharge_Date": "2019-08-24T14:15:22Z",
    "discharge_Hour": "string",
    "division_ID": "string",
    "eCode_Diagnostic_Code": "string",
    "eCode_Diagnostic_Code10": "string",
    "eCode_Diagnostic_Code11": "string",
    "eCode_Diagnostic_Code12": "string",
    "eCode_Diagnostic_Code2": "string",
    "eCode_Diagnostic_Code3": "string",
    "eCode_Diagnostic_Code4": "string",
    "eCode_Diagnostic_Code5": "string",
    "eCode_Diagnostic_Code6": "string",
    "eCode_Diagnostic_Code7": "string",
    "eCode_Diagnostic_Code8": "string",
    "eCode_Diagnostic_Code9": "string",
    "epsdT_Condition_Indicator1": "str",
    "epsdT_Condition_Indicator2": "str",
    "epsdT_Condition_Indicator3": "str",
    "epsdT_Referral_Given": "s",
    "entry_Date": "2019-08-24T14:15:22Z",
    "entry_User": "string",
    "error_Amount": "s",
    "error_Auth": "s",
    "error_Beneficiary": "s",
    "error_Benefit": "s",
    "error_ConditionCode": "s",
    "error_Dates": "s",
    "error_Detail": "s",
    "error_Diag1": "s",
    "error_Diag10": "s",
    "error_Diag11": "s",
    "error_Diag12": "s",
    "error_Diag13": "s",
    "error_Diag14": "s",
    "error_Diag15": "s",
    "error_Diag16": "s",
    "error_Diag17": "s",
    "error_Diag18": "s",
    "error_Diag19": "s",
    "error_Diag2": "s",
    "error_Diag20": "s",
    "error_Diag21": "s",
    "error_Diag22": "s",
    "error_Diag23": "s",
    "error_Diag24": "s",
    "error_Diag3": "s",
    "error_Diag4": "s",
    "error_Diag5": "s",
    "error_Diag6": "s",
    "error_Diag7": "s",
    "error_Diag8": "s",
    "error_Diag9": "s",
    "error_ExCode1": "s",
    "error_ExCode2": "s",
    "error_Exists": "s",
    "error_Group": "s",
    "error_Mem": "s",
    "error_Network": "s",
    "error_OccurrenceCode": "s",
    "error_Plan": "s",
    "error_Procedure": "s",
    "error_Prov": "s",
    "error_Sub": "s",
    "error_ValueCode": "s",
    "ex_Code1": "string",
    "ex_Code2": "string",
    "ex_Code3": "string",
    "ex_Code4": "string",
    "exhaust_Date": "2019-08-24T14:15:22Z",
    "expected_Typical_Duration": 0,
    "ficA_Percent": 0.1,
    "federal_Withheld": 0.1,
    "filing_Indicator": "st",
    "followUp_Date": "2019-08-24T14:15:22Z",
    "followUp_Ex_Code": "string",
    "freq_Code": "string",
    "group_ID": "string",
    "hearing_Vision_RX_Date": "2019-08-24T14:15:22Z",
    "image_File_Location": "string",
    "image_File_Location2": "string",
    "image_File_Location3": "string",
    "image_File_Location4": "string",
    "initial_Treatment_Date": "2019-08-24T14:15:22Z",
    "insured_Address": "string",
    "insured_Address2": "string",
    "insured_Alternate_ID": "string",
    "insured_Birth_Date": "2019-08-24T14:15:22Z",
    "insured_City": "string",
    "insured_Employer_ID": "string",
    "insured_First_Name": "string",
    "insured_ID": "string",
    "insured_Last_Name": "string",
    "insured_Phone": "string",
    "insured_Policy_Number": "string",
    "insured_SSN": "string",
    "insured_Sex": "s",
    "insured_State": "string",
    "insured_Zip": "string",
    "job_Type": "st",
    "ltD_Effective_Date": "2019-08-24T14:15:22Z",
    "ltD_Packet_Date": "2019-08-24T14:15:22Z",
    "last_Day_Worked": "2019-08-24T14:15:22Z",
    "last_Physician_Warrant_Date": "2019-08-24T14:15:22Z",
    "last_Seen_Date": "2019-08-24T14:15:22Z",
    "liability_Injury": true,
    "mail_To": "s",
    "member_Seq": "st",
    "months_Of_Treatment": 0,
    "network_ID": "string",
    "note": "string",
    "occupational": true,
    "occurrence_Code1": "string",
    "occurrence_Code10": "string",
    "occurrence_Code11": "string",
    "occurrence_Code12": "string",
    "occurrence_Code13": "string",
    "occurrence_Code14": "string",
    "occurrence_Code15": "string",
    "occurrence_Code16": "string",
    "occurrence_Code17": "string",
    "occurrence_Code18": "string",
    "occurrence_Code19": "string",
    "occurrence_Code2": "string",
    "occurrence_Code20": "string",
    "occurrence_Code21": "string",
    "occurrence_Code22": "string",
    "occurrence_Code23": "string",
    "occurrence_Code24": "string",
    "occurrence_Code3": "string",
    "occurrence_Code4": "string",
    "occurrence_Code5": "string",
    "occurrence_Code6": "string",
    "occurrence_Code7": "string",
    "occurrence_Code8": "string",
    "occurrence_Code9": "string",
    "occurrence_Date1": "2019-08-24T14:15:22Z",
    "occurrence_Date10": "2019-08-24T14:15:22Z",
    "occurrence_Date11": "2019-08-24T14:15:22Z",
    "occurrence_Date12": "2019-08-24T14:15:22Z",
    "occurrence_Date13": "2019-08-24T14:15:22Z",
    "occurrence_Date14": "2019-08-24T14:15:22Z",
    "occurrence_Date15": "2019-08-24T14:15:22Z",
    "occurrence_Date16": "2019-08-24T14:15:22Z",
    "occurrence_Date17": "2019-08-24T14:15:22Z",
    "occurrence_Date18": "2019-08-24T14:15:22Z",
    "occurrence_Date19": "2019-08-24T14:15:22Z",
    "occurrence_Date2": "2019-08-24T14:15:22Z",
    "occurrence_Date20": "2019-08-24T14:15:22Z",
    "occurrence_Date21": "2019-08-24T14:15:22Z",
    "occurrence_Date22": "2019-08-24T14:15:22Z",
    "occurrence_Date23": "2019-08-24T14:15:22Z",
    "occurrence_Date24": "2019-08-24T14:15:22Z",
    "occurrence_Date3": "2019-08-24T14:15:22Z",
    "occurrence_Date4": "2019-08-24T14:15:22Z",
    "occurrence_Date5": "2019-08-24T14:15:22Z",
    "occurrence_Date6": "2019-08-24T14:15:22Z",
    "occurrence_Date7": "2019-08-24T14:15:22Z",
    "occurrence_Date8": "2019-08-24T14:15:22Z",
    "occurrence_Date9": "2019-08-24T14:15:22Z",
    "occurrence_Span_Code": "string",
    "occurrence_Span_Code10": "string",
    "occurrence_Span_Code11": "string",
    "occurrence_Span_Code12": "string",
    "occurrence_Span_Code13": "string",
    "occurrence_Span_Code14": "string",
    "occurrence_Span_Code15": "string",
    "occurrence_Span_Code16": "string",
    "occurrence_Span_Code17": "string",
    "occurrence_Span_Code18": "string",
    "occurrence_Span_Code19": "string",
    "occurrence_Span_Code2": "string",
    "occurrence_Span_Code20": "string",
    "occurrence_Span_Code21": "string",
    "occurrence_Span_Code22": "string",
    "occurrence_Span_Code23": "string",
    "occurrence_Span_Code24": "string",
    "occurrence_Span_Code3": "string",
    "occurrence_Span_Code4": "string",
    "occurrence_Span_Code5": "string",
    "occurrence_Span_Code6": "string",
    "occurrence_Span_Code7": "string",
    "occurrence_Span_Code8": "string",
    "occurrence_Span_Code9": "string",
    "occurrence_Span_From": "2019-08-24T14:15:22Z",
    "occurrence_Span_From10": "2019-08-24T14:15:22Z",
    "occurrence_Span_From11": "2019-08-24T14:15:22Z",
    "occurrence_Span_From12": "2019-08-24T14:15:22Z",
    "occurrence_Span_From13": "2019-08-24T14:15:22Z",
    "occurrence_Span_From14": "2019-08-24T14:15:22Z",
    "occurrence_Span_From15": "2019-08-24T14:15:22Z",
    "occurrence_Span_From16": "2019-08-24T14:15:22Z",
    "occurrence_Span_From17": "2019-08-24T14:15:22Z",
    "occurrence_Span_From18": "2019-08-24T14:15:22Z",
    "occurrence_Span_From19": "2019-08-24T14:15:22Z",
    "occurrence_Span_From2": "2019-08-24T14:15:22Z",
    "occurrence_Span_From20": "2019-08-24T14:15:22Z",
    "occurrence_Span_From21": "2019-08-24T14:15:22Z",
    "occurrence_Span_From22": "2019-08-24T14:15:22Z",
    "occurrence_Span_From23": "2019-08-24T14:15:22Z",
    "occurrence_Span_From24": "2019-08-24T14:15:22Z",
    "occurrence_Span_From3": "2019-08-24T14:15:22Z",
    "occurrence_Span_From4": "2019-08-24T14:15:22Z",
    "occurrence_Span_From5": "2019-08-24T14:15:22Z",
    "occurrence_Span_From6": "2019-08-24T14:15:22Z",
    "occurrence_Span_From7": "2019-08-24T14:15:22Z",
    "occurrence_Span_From8": "2019-08-24T14:15:22Z",
    "occurrence_Span_From9": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru10": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru11": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru12": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru13": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru14": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru15": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru16": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru17": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru18": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru19": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru2": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru20": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru21": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru22": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru23": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru24": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru3": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru4": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru5": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru6": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru7": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru8": "2019-08-24T14:15:22Z",
    "occurrence_Span_Thru9": "2019-08-24T14:15:22Z",
    "onset_Similar_Illness_Date": "2019-08-24T14:15:22Z",
    "oper_Provider_Address": "string",
    "oper_Provider_Address2": "string",
    "oper_Provider_City": "string",
    "oper_Provider_Federal_ID": "string",
    "oper_Provider_First_Name": "string",
    "oper_Provider_Last_Name": "string",
    "oper_Provider_MAID": "string",
    "oper_Provider_NPI": "string",
    "oper_Provider_Org_Name": "string",
    "oper_Provider_Phone": "string",
    "oper_Provider_State": "string",
    "oper_Provider_Taxonomy": "string",
    "oper_Provider_Zip": "string",
    "orthodontics_Treatment": true,
    "other_Insurance": true,
    "other_Procedure_Code1": "string",
    "other_Procedure_Code10": "string",
    "other_Procedure_Code11": "string",
    "other_Procedure_Code12": "string",
    "other_Procedure_Code13": "string",
    "other_Procedure_Code14": "string",
    "other_Procedure_Code15": "string",
    "other_Procedure_Code16": "string",
    "other_Procedure_Code17": "string",
    "other_Procedure_Code18": "string",
    "other_Procedure_Code19": "string",
    "other_Procedure_Code2": "string",
    "other_Procedure_Code20": "string",
    "other_Procedure_Code21": "string",
    "other_Procedure_Code22": "string",
    "other_Procedure_Code23": "string",
    "other_Procedure_Code3": "string",
    "other_Procedure_Code4": "string",
    "other_Procedure_Code5": "string",
    "other_Procedure_Code6": "string",
    "other_Procedure_Code7": "string",
    "other_Procedure_Code8": "string",
    "other_Procedure_Code9": "string",
    "other_Procedure_Date1": "2019-08-24T14:15:22Z",
    "other_Procedure_Date10": "2019-08-24T14:15:22Z",
    "other_Procedure_Date11": "2019-08-24T14:15:22Z",
    "other_Procedure_Date12": "2019-08-24T14:15:22Z",
    "other_Procedure_Date13": "2019-08-24T14:15:22Z",
    "other_Procedure_Date14": "2019-08-24T14:15:22Z",
    "other_Procedure_Date15": "2019-08-24T14:15:22Z",
    "other_Procedure_Date16": "2019-08-24T14:15:22Z",
    "other_Procedure_Date17": "2019-08-24T14:15:22Z",
    "other_Procedure_Date18": "2019-08-24T14:15:22Z",
    "other_Procedure_Date19": "2019-08-24T14:15:22Z",
    "other_Procedure_Date2": "2019-08-24T14:15:22Z",
    "other_Procedure_Date20": "2019-08-24T14:15:22Z",
    "other_Procedure_Date21": "2019-08-24T14:15:22Z",
    "other_Procedure_Date22": "2019-08-24T14:15:22Z",
    "other_Procedure_Date23": "2019-08-24T14:15:22Z",
    "other_Procedure_Date3": "2019-08-24T14:15:22Z",
    "other_Procedure_Date4": "2019-08-24T14:15:22Z",
    "other_Procedure_Date5": "2019-08-24T14:15:22Z",
    "other_Procedure_Date6": "2019-08-24T14:15:22Z",
    "other_Procedure_Date7": "2019-08-24T14:15:22Z",
    "other_Procedure_Date8": "2019-08-24T14:15:22Z",
    "other_Procedure_Date9": "2019-08-24T14:15:22Z",
    "override": "s",
    "override_Date": "2019-08-24T14:15:22Z",
    "override_Network_ID": true,
    "override_Payor_Account": true,
    "override_User": "string",
    "partial_Disability": true,
    "patient_Account": "string",
    "patient_Address": "string",
    "patient_Address2": "string",
    "patient_Birth_Date": "2019-08-24T14:15:22Z",
    "patient_City": "string",
    "patient_First_Name": "string",
    "patient_ID": "string",
    "patient_Last_Name": "string",
    "patient_Phone": "string",
    "patient_Reason_for_Visit_Diagnostic_Code1": "string",
    "patient_Reason_for_Visit_Diagnostic_Code2": "string",
    "patient_Reason_for_Visit_Diagnostic_Code3": "string",
    "patient_Relationship": "string",
    "patient_Sex": "s",
    "patient_Signature": true,
    "patient_Signature_Date": "2019-08-24T14:15:22Z",
    "patient_State": "string",
    "patient_Status": "string",
    "patient_Zip": "string",
    "payToPlan_Address": "string",
    "payToPlan_Address2": "string",
    "payToPlan_City": "string",
    "payToPlan_Claim_Office_Num": "string",
    "payToPlan_ID": "string",
    "payToPlan_NAIC": "string",
    "payToPlan_Name": "string",
    "payToPlan_State": "string",
    "payToPlan_Zip": "string",
    "payTo_Address": "string",
    "payTo_Address2": "string",
    "payTo_City": "string",
    "payTo_State": "string",
    "payTo_Zip": "string",
    "payee_ID": "string",
    "payor_Claim_Control_Number": "string",
    "payor_ID": "string",
    "physician_Return_To_Work": "2019-08-24T14:15:22Z",
    "place_Of_Service": "strin",
    "plan_ID": "string",
    "plan_Provider": "s",
    "plan_Year": "string",
    "present_On_Admission1": "s",
    "present_On_Admission10": "s",
    "present_On_Admission11": "s",
    "present_On_Admission12": "s",
    "present_On_Admission13": "s",
    "present_On_Admission14": "s",
    "present_On_Admission15": "s",
    "present_On_Admission16": "s",
    "present_On_Admission17": "s",
    "present_On_Admission18": "s",
    "present_On_Admission19": "s",
    "present_On_Admission2": "s",
    "present_On_Admission20": "s",
    "present_On_Admission21": "s",
    "present_On_Admission22": "s",
    "present_On_Admission23": "s",
    "present_On_Admission24": "s",
    "present_On_Admission3": "s",
    "present_On_Admission4": "s",
    "present_On_Admission5": "s",
    "present_On_Admission6": "s",
    "present_On_Admission7": "s",
    "present_On_Admission8": "s",
    "present_On_Admission9": "s",
    "present_On_Admission_ECode1": "s",
    "present_On_Admission_ECode10": "s",
    "present_On_Admission_ECode11": "s",
    "present_On_Admission_ECode12": "s",
    "present_On_Admission_ECode2": "s",
    "present_On_Admission_ECode3": "s",
    "present_On_Admission_ECode4": "s",
    "present_On_Admission_ECode5": "s",
    "present_On_Admission_ECode6": "s",
    "present_On_Admission_ECode7": "s",
    "present_On_Admission_ECode8": "s",
    "present_On_Admission_ECode9": "s",
    "pricing_Method": "string",
    "pricing_Org_ID": "string",
    "pricing_Rate": 0.1,
    "principal_Procedure_Code": "string",
    "principal_Procedure_Date": "2019-08-24T14:15:22Z",
    "prior_Placement_Date": "2019-08-24T14:15:22Z",
    "prosthesis_Replacement": true,
    "provider_Address": "string",
    "provider_Address2": "string",
    "provider_City": "string",
    "provider_Federal_ID": "string",
    "provider_First_Name": "string",
    "provider_ID": "string",
    "provider_Last_Name": "string",
    "provider_MAID": "string",
    "provider_NPI": "string",
    "provider_Org_Name": "string",
    "provider_Phone": "string",
    "provider_State": "string",
    "provider_Taxonomy": "string",
    "provider_Zip": "string",
    "qpA_Method": "s",
    "ready_To_Process": "s",
    "received_Date": "2019-08-24T14:15:22Z",
    "ref_Provider_Address": "string",
    "ref_Provider_Address2": "string",
    "ref_Provider_City": "string",
    "ref_Provider_Federal_ID": "string",
    "ref_Provider_First_Name": "string",
    "ref_Provider_Last_Name": "string",
    "ref_Provider_MAID": "string",
    "ref_Provider_NPI": "string",
    "ref_Provider_Org_Name": "string",
    "ref_Provider_Phone": "string",
    "ref_Provider_State": "string",
    "ref_Provider_Taxonomy": "string",
    "ref_Provider_Zip": "string",
    "referred_By": "string",
    "refund_Check_ID": 0,
    "refund_Claim": true,
    "refund_Funding_Key": 0,
    "related_To_Accident": true,
    "related_To_Another_Party": true,
    "related_To_Auto": true,
    "related_To_Employment": true,
    "relinquished_Care_Date": "2019-08-24T14:15:22Z",
    "rend_Provider_Address": "string",
    "rend_Provider_Address2": "string",
    "rend_Provider_City": "string",
    "rend_Provider_Federal_ID": "string",
    "rend_Provider_First_Name": "string",
    "rend_Provider_Last_Name": "string",
    "rend_Provider_MAID": "string",
    "rend_Provider_NPI": "string",
    "rend_Provider_Org_Name": "string",
    "rend_Provider_Phone": "string",
    "rend_Provider_State": "string",
    "rend_Provider_Taxonomy": "string",
    "rend_Provider_Zip": "string",
    "repriced_Network_ID": "string",
    "return_To_Work_Date": "2019-08-24T14:15:22Z",
    "salary_Continuation": true,
    "send_Check_To": "s",
    "sender_ID": "string",
    "service_Date": "2019-08-24T14:15:22Z",
    "service_Fac_Loc_Address": "string",
    "service_Fac_Loc_Address2": "string",
    "service_Fac_Loc_City": "string",
    "service_Fac_Loc_Federal_ID": "string",
    "service_Fac_Loc_First_Name": "string",
    "service_Fac_Loc_Last_Name": "string",
    "service_Fac_Loc_MAID": "string",
    "service_Fac_Loc_NPI": "string",
    "service_Fac_Loc_Org_Name": "string",
    "service_Fac_Loc_Phone": "string",
    "service_Fac_Loc_State": "string",
    "service_Fac_Loc_Taxonomy": "string",
    "service_Fac_Loc_Zip": "string",
    "service_Thru": "2019-08-24T14:15:22Z",
    "sick_Time": true,
    "statement_From_Date": "2019-08-24T14:15:22Z",
    "statement_Thru_Date": "2019-08-24T14:15:22Z",
    "subscriber_ID": "string",
    "subscriber_Signature": true,
    "survivor_Benefit": true,
    "third_Party_Payment": true,
    "total_COB": 0.1,
    "trading_Partner_Key": 0,
    "trans_837_Control_Num": "string",
    "transaction_837": true,
    "transaction_837_ID": "string",
    "type_Of_Admission": "string",
    "type_Of_Bill": "string",
    "update_Date": "2019-08-24T14:15:22Z",
    "update_User": "string",
    "vacation": true,
    "value_Amount1": 0.1,
    "value_Amount10": 0.1,
    "value_Amount11": 0.1,
    "value_Amount12": 0.1,
    "value_Amount13": 0.1,
    "value_Amount14": 0.1,
    "value_Amount15": 0.1,
    "value_Amount16": 0.1,
    "value_Amount17": 0.1,
    "value_Amount18": 0.1,
    "value_Amount19": 0.1,
    "value_Amount2": 0.1,
    "value_Amount20": 0.1,
    "value_Amount21": 0.1,
    "value_Amount22": 0.1,
    "value_Amount23": 0.1,
    "value_Amount24": 0.1,
    "value_Amount3": 0.1,
    "value_Amount4": 0.1,
    "value_Amount5": 0.1,
    "value_Amount6": 0.1,
    "value_Amount7": 0.1,
    "value_Amount8": 0.1,
    "value_Amount9": 0.1,
    "value_Code1": "st",
    "value_Code10": "st",
    "value_Code11": "st",
    "value_Code12": "st",
    "value_Code13": "st",
    "value_Code14": "st",
    "value_Code15": "st",
    "value_Code16": "st",
    "value_Code17": "st",
    "value_Code18": "st",
    "value_Code19": "st",
    "value_Code2": "st",
    "value_Code20": "st",
    "value_Code21": "st",
    "value_Code22": "st",
    "value_Code23": "st",
    "value_Code24": "st",
    "value_Code3": "st",
    "value_Code4": "st",
    "value_Code5": "st",
    "value_Code6": "st",
    "value_Code7": "st",
    "value_Code8": "st",
    "value_Code9": "st",
    "void_Check_ID": 0,
    "volume_Override": true,
    "waiting_Period_Claim": true,
    "qualifying_Payment_Amount": 0.1,
    "override_Qualifying_Payment_Amount": true,
    "override_Qualifying_Payment_Amount_User": "string",
    "service_Authorization_Exception_Code": "string",
    "repriced_Claim_Reference_Number": "string",
    "adjusted_Repriced_Claim_Reference_Number": "string",
    "medical_Record_Number": "string",
    "payer_Claim_Control_Number": "string",
    "other_Payer_Prior_Authorization_Number": "string",
    "investigational_Device_Exemption_Identifier": "string",
    "patient_Amount_Paid": 0.1,
    "patient_Responsibility_Amount": 0.1,
    "peer_Review_Authorization_Number": "string",
    "auto_Accident_State": "string",
    "care_Plan_Oversight_Number": "string",
    "referral_Number": "string",
    "mammography_Certification_Number": "string",
    "medicare_Section_4081_Indicator": "string",
    "demonstration_Project_Indicator": "string",
    "clinical_Laboratory_Improvement_Amendment_Number": "string"
  }'

Responses

Success

Body
dataobject(ClaimBatch)
errorobject(VBAProblemDetails)
debugobject(Debug)
Response
No response example

Delete ClaimBatch

Request

Deletes an ClaimBatch

Security
apiKeyAuth and bearerAuth
Path
batchNumberinteger(int32)required

Batch Number

batchClaiminteger(int32)required

Batch Claim

Headers
vbasoftware-databasestringrequired

Target database

curl -i -X DELETE \
  'https://vbapi.vbasoftware.com/vbasoftware/claim-batches/{batchNumber}/claims/{batchClaim}' \
  -H 'Authorization: Bearer <YOUR_JWT_HERE>' \
  -H 'vbasoftware-database: string' \
  -H 'x-api-key: YOUR_API_KEY_HERE'

Responses

Success

Claim Batch Detail Benefits

Operations

Claim Batch Details

Operations

Claim Batch Life Benefits

Operations

Claim Batch Logs

Operations

Claim Batch Plans

Operations

Claim Batch References

Operations

Claim Batch Types

Operations

Claim Batches

Operations

Claim Batches Statuses

Operations

Claim Coding Rule Types

Operations

Claim Coding Rules

Operations

Claim Condition Codes

Operations

Claim Custom Ex Code Rules

Operations

Claim Deduction Types

Operations

Claim Detail Deductions

Operations

Claim Detail Ex Codes

Operations

Claim Details

Operations

Claim Disabilities

Operations

Claim Disability Deductions

Operations

Claim Ex Codes

Operations

Claim Funded Statuses

Operations

Claim Invoice

Operations

Claim Invoice Adjustment Reasons

Operations

Claim Invoice Adjustment Received

Operations

Claim Invoice Adjustments

Operations

Claim Invoice Details

Operations

Claim Invoice Payments

Operations

Claim Invoice Received

Operations

Claim Lives

Operations

Claim Occurrence Codes

Operations

Claim Offset

Operations

Claim Offset Detail

Operations

Claim Payments

Operations

Claim PreBatch Details

Operations

Claim PreBatches

Operations

Claim Prompt Pays

Operations

Claim Queue Details

Operations

Claim Queue Logs

Operations

Claim Queue Notify User Groups

Operations

Claim Queue Notify Users

Operations

Claim Queue Priorities

Operations

Claim Queue Process Tracking

Operations

Claim Queue Processors

Operations

Claim Queue Results

Operations

Claim Queue Schedule Notify User Groups

Operations

Claim Queue Schedule Notify Users

Operations

Claim Queue Schedules

Operations

Claim Queue Statuses

Operations

Claim Queues

Operations

Claim Reprice Remove

Operations

Claim Rule Dependents

Operations

Claim Rule Procedures

Operations

Claim Rule Provider Types

Operations

Claim Rule Set Details

Operations

Claim Rule Set Headers

Operations

Claim Rule Types

Operations

Claim Rules

Operations

Claim Statuses

Operations

Claim Transactions

Operations

Claim Value Codes

Operations

Claims

Operations

Duplicate Columns

Operations

Duplicate Master Sets

Operations

Duplicate Masters

Operations

Duplicate Set Columns

Operations

Duplicate Sets

Operations

EDICustomFields

Operations

EDICustomFieldValueClaims

Operations

EOB

Operations

Error Category

Operations

Error Category Types

Operations

Error Severity

Operations

Error Type

Operations

Events

Operations

Flex Claim Details

Operations

Flex Claim Services

Operations

Flex Claims

Operations

Members

Operations

Premium Claim

Operations

Reviewed Status

Operations

Suspense Claims

Operations

Suspense Criterias

Operations

Suspense Types

Operations

Commission Activity

Operations

Commission Activity Parameters

Operations

Commission Adjustment Reasons

Operations

Commission Adjustment Types

Operations

Commission Adjustments

Operations

Commission Agencies

Operations

Commission Agency Rep Rates

Operations

Commission Agency Reps

Operations

Commission Agency Types

Operations

Commission Appointment Types

Operations

Commission Basis

Operations

Commission Categories

Operations

Commission Cycles

Operations

Commission License Types

Operations

Commission Rate Cluster Agency Rep

Operations

Commission Rate Cluster Rates

Operations

Commission Rate Clusters

Operations

Commission Rate Subscribers

Operations

Commission Rates

Operations

Commission Rep Accounts

Operations

Commission Rep Appointments

Operations

Commission Rep Groups

Operations

Commission Rep Licenses

Operations

Commission Rep Subscribers

Operations

Commission Rep Types

Operations

Commission Reps

Operations

Commission Transactions

Operations

Commissions

Operations

Unassigned Commission Adjustments

Operations

Admission Type Places

Operations

Age Settings

Operations

Agriculture Tax Returns

Operations

Amount Details

Operations

APC Codes

Operations

APC Weights

Operations

Armor Code ExCode

Operations

Bill Type Places

Operations

Bill Types

Operations

Billing Cycles

Operations

Brokerage

Operations

Claim Queue Types

Operations

Claim Types

Operations

CLIA Certificate

Operations

CLIA Certificate Procedure Codes

Operations

COB Types

Operations

College Types

Operations

Colleges

Operations

Communication Methods

Operations

Contact Assignments

Operations

Contact Categories

Operations

Contact Emails

Operations

Contact Mappings

Operations

Contact Phone

Operations

Contact Statuses

Operations

Contacts

Operations

Context4 Lists

Operations

Context4Health Cost Containment CaseIndex

Operations

Context4Health Cost Containment Category

Operations

Context4Health Cost Containment Default Action

Operations

Context4Health Cost Containment Errors

Operations

Context4Health Cost Containment Ex Codes

Operations

Context4Health Cost Containment Message Types

Operations

Context4Health Cost Containment Option Pricing

Operations

Context4Health Cost Containment Options

Operations

Cost Contain Zelis ExCodes

Operations

Country

Operations

Country Dialing Codes

Operations

County

Operations

Coverage Types

Operations

Criteria

Operations

Criteria Columns

Operations

Currency

Operations

Data Types

Operations

Day Intervals

Operations

Diagnostic Code Groups

Operations

Diagnostic Code Types

Operations

Diagnostic Codes

Operations

Disability Options

Operations

Disaster Locations

Operations

Disasters

Operations

DRG Cluster

Operations

DRG Cluster Detail

Operations

DRG Codes

Operations

DRG Schedule

Operations

DRG Weight

Operations

Drug Code Units

Operations

Drug Codes

Operations

Eligibility Status

Operations

Employer Contribution Schedule Types

Operations

Employer Sizes

Operations

Ethnicity Codes

Operations

Event Priority Levels

Operations

Event Status Types

Operations

Ex Code Result Types

Operations

Expense Types

Operations

Explaination Code Categories

Operations

Explanation Codes

Operations

External ID

Operations

Filter Types

Operations

Filters

Operations

Flex Types

Operations

Forfeiture Statuses

Operations

Frequency Intervals

Operations

Gender

Operations

Group Codes

Operations

HIPAA Adjustment Codes

Operations

HIPAA Benefit Codes

Operations

HIPAA Claim Status Category Codes

Operations

HIPAA Claim Status Codes

Operations

HIPAA Plan Types

Operations

HIPAA Reasons

Operations

HIPAA Relationships

Operations

HIPAA Remittance Codes

Operations

HIPAA Tiers

Operations

ID Code Types

Operations

ID Code Values

Operations

ID Types

Operations

Image

Operations

Insurance Carrier Types

Operations

Insurance Carriers

Operations

Insurance Priorities

Operations

Insurance Types

Operations

Interface Types

Operations

Invoice Status

Operations

Invoice Types

Operations

Language Skill Levels

Operations

Languages

Operations

Life Options

Operations

Local Taxes

Operations

Logging

Operations

LogType

Operations

Marital Statuses

Operations

Modifiers

Operations

Network Modifiers

Operations

Network Practice Types

Operations

Network Procedure Clusters

Operations

Network Profile Assignments

Operations

Network Profile Networks

Operations

Network Profiles

Operations

Network Types

Operations

Networks

Operations

Objects

Operations

Occupations

Operations

PatientStatus

Operations

Pay Frequency

Operations

Payee Accounts

Operations

Payees

Operations

Payor

Operations

Payor Filters

Operations

Payor Reports

Operations

PBM Types

Operations

Places of Service

Operations

Policy Forfeiture Ext

Operations

Policy Forfeiture Ext Details

Operations

Policy Statuses

Operations

Procedure Categories

Operations

Procedure Cluster Details

Operations

Procedure Clusters

Operations

Procedure Code Qualifiers

Operations

Procedure Code Sets

Operations

Procedure Codes

Operations

Procedure Groups

Operations

Process Logging

Operations

Process Parameters

Operations

Processes

Operations

Provider Types

Operations

Reasons

Operations

Relationships

Operations

Rounding Precision

Operations

Rounding Types

Operations

Search Config

Operations

Search Criteria

Operations

Search Operators

Operations

Search Request

Operations

Send To

Operations

Sex Codes

Operations

Specialty

Operations

State Interest

Operations

State Procedure Code Taxes

Operations

State Surcharge

Operations

States

Operations

Suffix

Operations

Tax Filing Status

Operations

Taxonomy

Operations

Taxonomy Group Details

Operations

Taxonomy Group Types

Operations

Taxonomy Groups

Operations

Tiers

Operations

Timely Filing

Operations

Tooth

Operations

Tooth Actions

Operations

Tooth Chart Types

Operations

Tooth Charts

Operations

Tooth Procedures

Operations

Tooth Quadrants

Operations

Transplant Types

Operations

Treatment Types

Operations

UC Network

Operations

Unit Type Conversions

Operations

Unit Types

Operations

VBA Plan Types

Operations

Visium Code ExCode

Operations

Visium Network

Operations

Visium Policy

Operations

Visium Setting

Operations

Volume Types

Operations

Yes No List

Operations

Zelis Cost Containment Claim Detail Repricing

Operations

Zelis Cost Containment Claim Repricing

Operations

Zelis Cost Containment Edit Codes

Operations

Zelis Cost Containment EOB Codes

Operations

Zelis Cost Containment Polls

Operations

ZipCodes

Operations

Credentialing Amounts

Operations

Credentialing Attestation Methods

Operations

Credentialing Attestation Questions

Operations

Credentialing Attestation Sources

Operations

Credentialing Attestation Types

Operations

Credentialing Carriers

Operations

Credentialing Certifications

Operations

Credentialing Confidentials

Operations

Credentialing Contracts

Operations

Credentialing Dates

Operations

Credentialing Education Types

Operations

Credentialing License Types

Operations

Credentialing Options

Operations

Credentialing Practice Categories

Operations

Credentialing Practice Category Types

Operations

Credentialing Quality

Operations

Credentialing Services

Operations

Credentialing Statuses

Operations

Credentialing Techniques

Operations

Credentialing Terminations

Operations

Credentialing Types

Operations

Provider Credentialing

Operations

Provider Credentialing Amounts

Operations

Provider Credentialing Attestations

Operations

Provider Credentialing Certifications

Operations

Provider Credentialing Confidentials

Operations

Provider Credentialing Contracts

Operations

Provider Credentialing Counties

Operations

Provider Credentialing Dates

Operations

Provider Credentialing Education

Operations

Provider Credentialing Hours

Operations

Provider Credentialing Licenses

Operations

Provider Credentialing Malpractice

Operations

Provider Credentialing Options

Operations

Provider Credentialing Practice Offices

Operations

Provider Credentialing Practices

Operations

Provider Credentialing Quality

Operations

Provider Credentialing Services

Operations

Provider Credentialing Techniques

Operations

Provider Credentialing Terminations

Operations

Disenroll Log

Operations

Disenroll Log Rates

Operations

Enrollment Accumulators

Operations

Enrollment Waiting Period Subscribers

Operations

Enrollment Waiting Periods

Operations

Member Account Plan Payments

Operations

Member Account Plans

Operations

Member Accounts

Operations

Member Accum

Operations

Member Address

Operations

Member Address History

Operations

Member Alternate Payee

Operations

Member Alternate Payee Plan

Operations

Member Beneficiary

Operations

Member Beneficiary Plans

Operations

Member Care Alerts

Operations

Member Case Heads

Operations

Member Classes

Operations

Member COB Savings

Operations

Member Colleges

Operations

Member Eligibility Status

Operations

Member Enrollment Plan Rider

Operations

Member Enrollment Plans

Operations

Member ID Card Request Types

Operations

Member ID Card Requests

Operations

Member ID Cards Printed

Operations

Member Insurance

Operations

Member Languages

Operations

Member Medicare Reponsibility

Operations

Member Networks

Operations

Member Occupations

Operations

Member Payments

Operations

Member Plan Years

Operations

Member Pre-existing Diagnostic Codes

Operations

Member PreEx Disclosed Diags

Operations

Member Prior Accumulators

Operations

Member Provider Alternates

Operations

Member Providers

Operations

Member Taxes

Operations

Member Tooth

Operations

Member Tooth Ex Codes

Operations

Member VBA Plan Type IDs

Operations

Members

Operations

Subscriber Accumulators

Operations

Subscriber Enrollment Plan Riders

Operations

Subscriber Enrollment Plans

Operations

Subscriber Enrollments

Operations

Subscriber Flex

Operations

Subscriber Flex Exports

Operations

Subscriber Flex Payments

Operations

Subscriber ID Code History

Operations

Subscriber ID Codes

Operations

Subscriber Payment Methods

Operations

Subscriber Plan Policies

Operations

Subscriber Plan Policy Forfeitures

Operations

Subscriber Plan Policy Statuses

Operations

Subscriber Premium Rate Splits

Operations

Subscriber Prior Accumulators

Operations

Subscriber Sponsors

Operations

Subscriber Waive Premiums

Operations

Subscriber Writing Agents

Operations

Subscribers

Operations

Waiting Period Types

Operations

Event Args

Operations

Event Schedules

Operations

Events

Operations

Fee Schedule Anesthesias

Operations

Fee Schedule Details

Operations

Fee Schedule Effective Dates

Operations

Fee Schedule Modifier Discounts

Operations

Fee Schedule Modifier Excludes

Operations

Fee Schedule Procedure Group Adjustments

Operations

Fee Schedule Provider Type Discounts

Operations

Fee Schedules

Operations

Grievance Admin Change Types

Operations

Grievance Categories

Operations

Grievance Issue Types

Operations

Grievance Resolution Types

Operations

Grievance Statuses

Operations

Grievance Types

Operations

Grievances

Operations

Classes

Operations

Contribution Schedules

Operations

Flex Issuance Types

Operations

Flex Vendor Card Status

Operations

Flex Vendor Purse Status

Operations

Flex Vendors

Operations

Group Account Periods

Operations

Group Account Reports

Operations

Group ACH Pulls

Operations

Group Advice to Pay

Operations

Group Calculate Interest Network Options

Operations

Group Calculate Interest Options

Operations

Group Classes

Operations

Group Company Data Ex-Code Overrides

Operations

Group Contract Network Types

Operations

Group Contract Plan Premiums

Operations

Group Contract Plan Rider External IDs

Operations

Group Contract Plan Riders

Operations

Group Contract Plans

Operations

Group Contract Tiers

Operations

Group Contracts

Operations

Group Coverage Calculations

Operations

Group Day Interval

Operations

Group Disenroll Affected Claims

Operations

Group Division Captives

Operations

Group Division Cobras

Operations

Group Division Deduction Types

Operations

Group Division ID Codes

Operations

Group Divisions

Operations

Group End Coverage Age Types

Operations

Group Ex-Code Criterias

Operations

Group Flex Auto-Create

Operations

Group Flex Schedules

Operations

Group Flexes

Operations

Group IRS 1094C

Operations

Group IRS 1095B

Operations

Group Multiplier Options

Operations

Group Network Add-Ons

Operations

Group Network Criteria Columns

Operations

Group Network Criterias

Operations

Group Networks

Operations

Group Participation Incentives

Operations

Group Pay Through Day Options

Operations

Group Payor Account Benefits

Operations

Group Payor Account Networks

Operations

Group Payor Account Pay To

Operations

Group Payor Account Plan Types

Operations

Group Payor Account Provider Federal IDs

Operations

Group Payor Account Senders

Operations

Group Payor Account Settings

Operations

Group Plan Prior Accum Auto Generators

Operations

Group Plan Years

Operations

Group Premium Rate Categories

Operations

Group Price Adjustments

Operations

Group Self Admin Settings

Operations

Group Start Date Rules

Operations

Group State Surcharge

Operations

Group Student Age Settings

Operations

Group Subscriber Reimbursements

Operations

Group Tax Day Limit Types

Operations

Group Term Rules

Operations

Group UC Percent Claim Types

Operations

Group UC Percent Criterias

Operations

Group UC Percent Settings

Operations

Group VBA Plan Types

Operations

Group Volumes

Operations

Groups

Operations

ID Card Record Statuses

Operations

ID Card Request Statuses

Operations

Invoice Levels

Operations

MessageAttachment

Operations

Payment Schedules

Operations

Reimburse Schedules

Operations

Tolerances

Operations

VBAGateway Messaging

Operations

Zelis Redcard

Operations

Note Attachments

Operations

Note Categories

Operations

Note Category Types

Operations

Note Data

Operations

Note Priorities

Operations

Note References

Operations

Note Sources

Operations

Note Types

Operations

Process Automation

Operations

Provider CLIA Certificates

Operations

APC Schedules

Operations

Provider

Operations

Provider Account

Operations

Provider Affiliation

Operations

Provider Alternate

Operations

Provider APC

Operations

Provider Auth Exempt Procedures

Operations

Provider Benefit Admin Fees

Operations

Provider DRG

Operations

Provider Languages

Operations

Provider Network

Operations

Provider Network Modifier

Operations

Provider Payees

Operations

Provider Per Diem

Operations

Provider Per Diem Procedure

Operations

Provider Practice Types

Operations

Provider Profile

Operations

Provider Rate Adjustments

Operations

Provider Rate Column

Operations

Provider Rate Criteria

Operations

Provider Rate Types

Operations

Provider Rates

Operations

Provider Roles

Operations

Provider Specialty

Operations

Provider Suffix

Operations

Provider Taxonomy

Operations

Provider Withholds

Operations

Reinsurance Accumulators

Operations

Reinsurance Aggregating Specific Members

Operations

Reinsurance Conditional Specific

Operations

Reinsurance Conditional Specific Detail

Operations

Reinsurance Contract Criteria Details

Operations

Reinsurance Contract Criterias

Operations

Reinsurance Contract Cycles

Operations

Reinsurance Contract Factor Criterias

Operations

Reinsurance Contract Factors

Operations

Reinsurance Contract Levels

Operations

Reinsurance Contract Status

Operations

Reinsurance Contract Templates

Operations

Reinsurance Contract Transaction Claim Details

Operations

Reinsurance Contract Transaction Claim Statuses

Operations

Reinsurance Contract Transaction Claims

Operations

Reinsurance Contract Transaction Reimbursements

Operations

Reinsurance Contract Transaction Statuses

Operations

Reinsurance Contract Transactions

Operations

Reinsurance Contract Types

Operations

Reinsurance Contracts

Operations

Reinsurance Domestic Claims Criteria

Operations

Reinsurance Member Specific Deductibles

Operations

Reinsurance Notify User Groups

Operations

Reinsurance Notify Users

Operations

Reinsurance Options

Operations

Report Categories

Operations

Report Definitions

Operations

Report Queue Detail Arguments

Operations

Report Queue Details

Operations

Report Queue Logs

Operations

Report Queue Schedules

Operations

Report Queues

Operations

Report Request Invoice

Operations

Report Request Invoice Detail

Operations

Report Series

Operations

Report Series Process Arguments

Operations

Report Series Process Templates

Operations

Report Series Processes

Operations

Report Series Step Args

Operations

Report Series Steps

Operations

Report Series Tracking Args

Operations

Report Static Lists

Operations

Report Tracking

Operations

Report Tracking Priorities

Operations

Report Tracking Received Statuses

Operations

Report Tracking Sent Statuses

Operations

Report Tracking Sent To

Operations

Report Tracking Statuses

Operations

Security Area Objects

Operations

Security Area Overrides

Operations

Security Area Reports

Operations

Security Area User Groups

Operations

Security Area Users

Operations

Security Areas

Operations

Security Field Set Details

Operations

Security Field Sets

Operations

Security Field User Groups

Operations

Security Field Users

Operations

Security Fields

Operations

Security Group Division User Groups

Operations

Security Group Division Users

Operations

Security Levels

Operations

Security User Limit Member Claim Data

Operations

Security User Restrictions

Operations

User Field Security

Operations

Support

Operations

Authentication

Operations

Multi-Factor Auth

Operations

Password Policy

Operations

User

Operations

User Account

Operations

User Amount

Operations

User Amount Procedure

Operations

User Experience

Operations

User Group Mappings

Operations

User Groups

Operations

User LogTypes

Operations

User Note Access

Operations

UserAmount

Operations

UserStatus

Operations

VBAGateway Subscription

Operations

VBAGateway Subscription Detail

Operations

VBA Reports

Operations

VBAReporting

Operations

Workflow Details

Operations

Workflow Task Options

Operations

Workflow Task Users

Operations

Workflow Tasks

Operations

Workflow Type Task Options

Operations

Workflow Types

Operations

Workflow Users

Operations

Workflows

Operations