APIs for VBASoftware
VBASoftware (v1)
Download OpenAPI description
Languages
Servers
VBAPI VBASoftware
https://vbapi.vbasoftware.com/vbasoftware/
Request
WARNING: The underlying Claim table and this API are used for claims that have already passed through the adjudication process and have been paid.
Note: If you are looking for Claims that have not yet been processed through adjudication, use the ClaimBatches, ClaimBatch and ClaimBatchDetail APIs.
Security
apiKeyAuth and bearerAuth
- application/json
- text/json
- application/*+json
Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of 0 for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of 0 to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For claim funding, indicates the payor/account this claim would be paid from.
Indicates that this claim was part of an Adjustment process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The admission diagnosis code if applicable for this claim.
Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes this claim is advice to pay and will not go through funding. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Information field used in custom processing and reporting.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
Information field used in custom processing and reporting.
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.
Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed.
This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed.
Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
Notes if interest was calculated for this claim as part of adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if this claim is capitated. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used in custom integration with ceridian tax services. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used in custom integration with ceridian tax services.
This is the primary indicator if a claim is "Paid". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
Holds the Check ID this claim was paid under. References Checks.Check_ID.
Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
For 837 transactions, indicates the submitted claim priority.
The status of the claim. Valid values reside in the ClaimStatus table.
Notes the claim type for this claim. References ClaimType.Claim_Type.
This is an information only field that allows the tracking of the Closure Effective Date.
The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
Information field used in custom processing and reporting.
This identifies the date of delivery for disability due to pregnancy.
This will identify the type of delivery that is performed as a result of pregnancy.
This is an information only field that allows the tracking of Dependent SSI End Date.
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.
Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
Information field used in custom processing and reporting.
Used to identify the type of disability (Injury or Illness).
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.
Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
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.
This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
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.
Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
Information field used in custom processing and reporting.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Information field to track the initial treatment date for this claim.
This is the job classification for the member going on disability.
This is an information only field that holds the date the member went on Long-Term Disability.
This is an information only field that tracks the date the Long-Term Disability Packet was sent.
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.
This is an information only field that allows for the tracking of the Physician Warrant Date.
Information field to track the last time a phyician was seen at the time of this claim submission.
This is an information only field that identifies if this disability is a liability injury. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes if the payment should be mailed to an entity other than the "Send_Check_To".
Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
Notes if the disability is related to the patiens occupation. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The occurrence span indicator for the Occurrence Span From and Thru dates.
Notes the date of the original illness if this claim is associated to that illness.
When this flag is checked, it indicates the dental claim is for orthodontics. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For the servicing provider, this indicates the patient account identifier in their practice management system.
Reason for Visit code on Diagnosis Code 1
Reason for Visit code on Diagnosis Code 2
Reason for Visit code on Diagnosis Code 3
Holds the relationship of the patient to the insured.
Indicates if the patient signature has been collected. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates the date of the patient signature being collected.
The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
For claim funding, indicates the payor/account this claim would be paid from.
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.
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.
Holds the plan the patient is enrolled in and that benefits are assigned.
Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
Indicates if the patient was present on admission for diagnosis 1.
Indicates if the patient was present on admission for diagnosis 10.
Indicates if the patient was present on admission for diagnosis 11.
Indicates if the patient was present on admission for diagnosis 12.
Indicates if the patient was present on admission for diagnosis 13.
Indicates if the patient was present on admission for diagnosis 14.
Indicates if the patient was present on admission for diagnosis 15.
Indicates if the patient was present on admission for diagnosis 16.
Indicates if the patient was present on admission for diagnosis 17.
Indicates if the patient was present on admission for diagnosis 18.
Indicates if the patient was present on admission for diagnosis 19.
Indicates if the patient was present on admission for diagnosis 2.
Indicates if the patient was present on admission for diagnosis 20.
Indicates if the patient was present on admission for diagnosis 21.
Indicates if the patient was present on admission for diagnosis 22.
Indicates if the patient was present on admission for diagnosis 23.
Indicates if the patient was present on admission for diagnosis 24.
Indicates if the patient was present on admission for diagnosis 3.
Indicates if the patient was present on admission for diagnosis 4.
Indicates if the patient was present on admission for diagnosis 5.
Indicates if the patient was present on admission for diagnosis 6.
Indicates if the patient was present on admission for diagnosis 7.
Indicates if the patient was present on admission for diagnosis 8.
Indicates if the patient was present on admission for diagnosis 9.
Indicates if the patient was present for the external cause of injury diagnosis 1.
Indicates if the patient was present for the external cause of injury diagnosis 10.
Indicates if the patient was present for the external cause of injury diagnosis 11.
Indicates if the patient was present for the external cause of injury diagnosis 12.
Indicates if the patient was present for the external cause of injury diagnosis 2.
Indicates if the patient was present for the external cause of injury diagnosis 3.
Indicates if the patient was present for the external cause of injury diagnosis 4.
Indicates if the patient was present for the external cause of injury diagnosis 5.
Indicates if the patient was present for the external cause of injury diagnosis 6.
Indicates if the patient was present for the external cause of injury diagnosis 7.
Indicates if the patient was present for the external cause of injury diagnosis 8.
Indicates if the patient was present for the external cause of injury diagnosis 9.
For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
The principal procedure (ICD10 Diagnosis) for this claim submission.
The date of a previous prosthetic or crown applied, if there was one.
This flag indicates if this claim is for the replacement of a prosthesis. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The provider ID of the servicing provider. References Provider.Provider_ID.
Information field to track if a referral was sent for this claim.
Indicates that this claim was part of a Refund process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
Indicates if the claim is related to a non-car accident. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim was casued by a third party. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim is related to a car accident. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim is work related. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Information field used in custom processing and reporting.
As part of reprice claim submissions (via 837), this will hold the repricing network.
This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
This flag identifies that there is salary continuation during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
This flag identifies that there is sick time during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the insured signature has been collected. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if Survivor Benefit was applied for this disability payment. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
COB total for all claim detail lines Note: The database will apply a default value of 0 for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of 0 to meet the API requirements and ensure that the functionality occurs as expected.
For 837 transactions, this is the control number assgined by the submitter.
Indicates this is a claim entered by an inbound 837. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For 837 transactions, this holds the transaction ID assigned by the submission.
The Bill Type associated to this claim. References BillType.Type_Of_Bill.
This flag identifies that there is vacation during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
Indicates that this claim was part of a Void process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes that the benefit amount, for disability claims, has been manually overridden. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if this disability payment is a waiting period payment. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/claims
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X POST \
https://vbapi.vbasoftware.com/vbasoftware/claims \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'Content-Type: application/json' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE' \
-d '{
"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"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",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"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",
"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",
"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",
"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",
"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_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"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",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"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",
"remittance_Printed": "s",
"reprice_Printed": "s",
"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_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_Claim": true,
"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"
}'Response
No response exampleRequest
WARNING: The underlying Claim table and this API are used for claims that have already passed through the adjudication process and have been paid.
Note: If you are looking for Claims that have not yet been processed through adjudication, use the ClaimBatches, ClaimBatch and ClaimBatchDetail APIs.
Security
apiKeyAuth and bearerAuth
- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/claims/{claimNumber}
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X GET \
'https://vbapi.vbasoftware.com/vbasoftware/claims/{claimNumber}' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE'Response
No response exampleRequest
WARNING: The underlying Claim table and this API are used for claims that have already passed through the adjudication process and have been paid.
Note: If you are looking for Claims that have not yet been processed through adjudication, use the ClaimBatches, ClaimBatch and ClaimBatchDetail APIs.
Security
apiKeyAuth and bearerAuth
- application/json
- text/json
- application/*+json
Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of 0 for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of 0 to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For claim funding, indicates the payor/account this claim would be paid from.
Indicates that this claim was part of an Adjustment process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The admission diagnosis code if applicable for this claim.
Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes this claim is advice to pay and will not go through funding. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Information field used in custom processing and reporting.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
If the claim utlized ambulance services (submitted via 837), we track that here.
Information field used in custom processing and reporting.
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.
Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed.
This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed.
Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
Notes if interest was calculated for this claim as part of adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if this claim is capitated. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used in custom integration with ceridian tax services. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used in custom integration with ceridian tax services.
This is the primary indicator if a claim is "Paid". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
Holds the Check ID this claim was paid under. References Checks.Check_ID.
Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
For 837 transactions, indicates the submitted claim priority.
The status of the claim. Valid values reside in the ClaimStatus table.
Notes the claim type for this claim. References ClaimType.Claim_Type.
This is an information only field that allows the tracking of the Closure Effective Date.
The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
Information field used in custom processing and reporting.
This identifies the date of delivery for disability due to pregnancy.
This will identify the type of delivery that is performed as a result of pregnancy.
This is an information only field that allows the tracking of Dependent SSI End Date.
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.
Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
Information field used in custom processing and reporting.
Used to identify the type of disability (Injury or Illness).
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.
Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
The external cause of injury code for this claim, if applicable.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
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.
This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
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.
Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
Information field used in custom processing and reporting.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Stores a reference, if applicable, to an image or document associated with this claim.
Information field to track the initial treatment date for this claim.
This is the job classification for the member going on disability.
This is an information only field that holds the date the member went on Long-Term Disability.
This is an information only field that tracks the date the Long-Term Disability Packet was sent.
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.
This is an information only field that allows for the tracking of the Physician Warrant Date.
Information field to track the last time a phyician was seen at the time of this claim submission.
This is an information only field that identifies if this disability is a liability injury. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes if the payment should be mailed to an entity other than the "Send_Check_To".
Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
Notes if the disability is related to the patiens occupation. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The Occurrence Date associated to the assigned Occurrence Codes.
The occurrence span indicator for the Occurrence Span From and Thru dates.
Notes the date of the original illness if this claim is associated to that illness.
When this flag is checked, it indicates the dental claim is for orthodontics. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
Additional procedure code (ICD10 Diagnosis) values for this claim submission.
This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For the servicing provider, this indicates the patient account identifier in their practice management system.
Reason for Visit code on Diagnosis Code 1
Reason for Visit code on Diagnosis Code 2
Reason for Visit code on Diagnosis Code 3
Holds the relationship of the patient to the insured.
Indicates if the patient signature has been collected. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates the date of the patient signature being collected.
The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
For claim funding, indicates the payor/account this claim would be paid from.
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.
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.
Holds the plan the patient is enrolled in and that benefits are assigned.
Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
Indicates if the patient was present on admission for diagnosis 1.
Indicates if the patient was present on admission for diagnosis 10.
Indicates if the patient was present on admission for diagnosis 11.
Indicates if the patient was present on admission for diagnosis 12.
Indicates if the patient was present on admission for diagnosis 13.
Indicates if the patient was present on admission for diagnosis 14.
Indicates if the patient was present on admission for diagnosis 15.
Indicates if the patient was present on admission for diagnosis 16.
Indicates if the patient was present on admission for diagnosis 17.
Indicates if the patient was present on admission for diagnosis 18.
Indicates if the patient was present on admission for diagnosis 19.
Indicates if the patient was present on admission for diagnosis 2.
Indicates if the patient was present on admission for diagnosis 20.
Indicates if the patient was present on admission for diagnosis 21.
Indicates if the patient was present on admission for diagnosis 22.
Indicates if the patient was present on admission for diagnosis 23.
Indicates if the patient was present on admission for diagnosis 24.
Indicates if the patient was present on admission for diagnosis 3.
Indicates if the patient was present on admission for diagnosis 4.
Indicates if the patient was present on admission for diagnosis 5.
Indicates if the patient was present on admission for diagnosis 6.
Indicates if the patient was present on admission for diagnosis 7.
Indicates if the patient was present on admission for diagnosis 8.
Indicates if the patient was present on admission for diagnosis 9.
Indicates if the patient was present for the external cause of injury diagnosis 1.
Indicates if the patient was present for the external cause of injury diagnosis 10.
Indicates if the patient was present for the external cause of injury diagnosis 11.
Indicates if the patient was present for the external cause of injury diagnosis 12.
Indicates if the patient was present for the external cause of injury diagnosis 2.
Indicates if the patient was present for the external cause of injury diagnosis 3.
Indicates if the patient was present for the external cause of injury diagnosis 4.
Indicates if the patient was present for the external cause of injury diagnosis 5.
Indicates if the patient was present for the external cause of injury diagnosis 6.
Indicates if the patient was present for the external cause of injury diagnosis 7.
Indicates if the patient was present for the external cause of injury diagnosis 8.
Indicates if the patient was present for the external cause of injury diagnosis 9.
For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
The principal procedure (ICD10 Diagnosis) for this claim submission.
The date of a previous prosthetic or crown applied, if there was one.
This flag indicates if this claim is for the replacement of a prosthesis. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The provider ID of the servicing provider. References Provider.Provider_ID.
Information field to track if a referral was sent for this claim.
Indicates that this claim was part of a Refund process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
Indicates if the claim is related to a non-car accident. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim was casued by a third party. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim is related to a car accident. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the claim is work related. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Information field used in custom processing and reporting.
As part of reprice claim submissions (via 837), this will hold the repricing network.
This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
This flag identifies that there is salary continuation during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
This flag identifies that there is sick time during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if the insured signature has been collected. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if Survivor Benefit was applied for this disability payment. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
COB total for all claim detail lines Note: The database will apply a default value of 0 for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of 0 to meet the API requirements and ensure that the functionality occurs as expected.
For 837 transactions, this is the control number assgined by the submitter.
Indicates this is a claim entered by an inbound 837. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
For 837 transactions, this holds the transaction ID assigned by the submission.
The Bill Type associated to this claim. References BillType.Type_Of_Bill.
This flag identifies that there is vacation during this disability. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
Indicates that this claim was part of a Void process. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Notes that the benefit amount, for disability claims, has been manually overridden. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
Indicates if this disability payment is a waiting period payment. Note: The database will apply a default value of False for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of False to meet the API requirements and ensure that the functionality occurs as expected.
- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/claims/{claimNumber}
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X PUT \
'https://vbapi.vbasoftware.com/vbasoftware/claims/{claimNumber}' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'Content-Type: application/json' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE' \
-d '{
"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"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",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"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",
"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",
"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",
"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",
"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_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"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",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"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",
"remittance_Printed": "s",
"reprice_Printed": "s",
"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_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_Claim": true,
"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"
}'Response
No response example