Claim Batch

Create ClaimBatch

Creates a new ClaimBatch

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber

required

integer <int32>

Batch Number

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

batch_Number required	integer <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Claim required	integer <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
aeoB_Claim required	boolean A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: This field is marked as NOT NULL in the database and therefore required by the API.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjusted_From	integer or null <int32> Indicates that this claim was part of an Adjustment process.
adjustment_Claim required	boolean Indicates this claim is part of an adjustment process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: This field is marked as NOT NULL in the database and therefore required by the API.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attend_Provider_Address	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Address2	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_City	string or null <= 30 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Federal_ID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_First_Name	string or null <= 25 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Last_Name	string or null <= 35 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_MAID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_NPI	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Org_Name	string or null <= 512 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Phone	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_State	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Taxonomy	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Zip	string or null <= 32 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean For flex claims, notes that this claim was auto-created by adjudication based on configuration at the group. Note: This field is marked as NOT NULL in the database and therefore required by the API.
baseloadLookup required	boolean Flagged when a claim has gone through the baseload provider matching service. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
bill_Provider_Address	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Address2	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_City	string or null <= 30 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Federal_ID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_First_Name	string or null <= 25 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Last_Name	string or null <= 35 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_MAID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_NPI	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Org_Name	string or null <= 512 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Phone	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_State	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Taxonomy	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Zip	string or null <= 32 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
billed_Amount	number or null <double> Holds the claim level billed amount that is used for balancing the claim detail billed_price values. If different, throws an error.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: This field is marked as NOT NULL in the database and therefore required by the API.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters The Condition Code value for this claim.
condition_Code11	string or null <= 8 characters The Condition Code value for this claim.
condition_Code12	string or null <= 8 characters The Condition Code value for this claim.
condition_Code13	string or null <= 8 characters The Condition Code value for this claim.
condition_Code14	string or null <= 8 characters The Condition Code value for this claim.
condition_Code15	string or null <= 8 characters The Condition Code value for this claim.
condition_Code16	string or null <= 8 characters The Condition Code value for this claim.
condition_Code17	string or null <= 8 characters The Condition Code value for this claim.
condition_Code18	string or null <= 8 characters The Condition Code value for this claim.
condition_Code19	string or null <= 8 characters The Condition Code value for this claim.
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters The Condition Code value for this claim.
condition_Code21	string or null <= 8 characters The Condition Code value for this claim.
condition_Code22	string or null <= 8 characters The Condition Code value for this claim.
condition_Code23	string or null <= 8 characters The Condition Code value for this claim.
condition_Code24	string or null <= 8 characters The Condition Code value for this claim.
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters The Condition Code value for this claim.
condition_Code9	string or null <= 8 characters The Condition Code value for this claim.
context4_Override required	boolean Allows the user to flag a claim to ignore Context4Health service results and stick to core adjudication edits. Note: This field is marked as NOT NULL in the database and therefore required by the API.
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10. Note: This field is marked as NOT NULL in the database and therefore required by the API.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
error_Amount	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Auth	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Beneficiary	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Benefit	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ConditionCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Dates	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Detail	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag10	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag11	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag12	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag13	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag14	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag15	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag16	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag17	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag18	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag19	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag20	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag21	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag22	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag23	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag24	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag3	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag4	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag5	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag6	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag7	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag8	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag9	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Exists	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Group	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Mem	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Network	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_OccurrenceCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Plan	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Procedure	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Prov	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Sub	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ValueCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
insured_Address	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Address2	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Alternate_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Birth_Date	string or null <date-time> For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_City	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Employer_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_First_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Last_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Phone	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Policy_Number	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_SSN	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Sex	string or null <= 1 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_State	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Zip	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code11	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code12	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code13	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code14	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code15	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code16	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code17	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code18	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code19	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code21	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code22	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code23	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code24	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code6	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code7	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code8	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code9	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date11	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date12	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date13	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date14	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date15	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date16	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date17	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date18	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date19	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date21	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date22	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date23	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date24	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date6	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date7	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date8	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date9	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code11	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code12	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code13	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code14	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code15	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code16	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code17	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code18	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code19	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code2	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code20	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code21	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code22	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code23	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code24	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code3	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code4	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code5	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code6	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code7	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code8	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code9	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From9	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru9	string or null <date-time> The occurrence span from for this claim.
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
oper_Provider_Address	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Address2	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_City	string or null <= 30 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Federal_ID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_First_Name	string or null <= 25 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Last_Name	string or null <= 35 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_MAID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_NPI	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Org_Name	string or null <= 512 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Phone	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_State	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Taxonomy	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Zip	string or null <= 32 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Address	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Address2	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Birth_Date	string or null <date-time> For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_City	string or null <= 30 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_First_Name	string or null <= 25 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Last_Name	string or null <= 35 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Phone	string or null <= 20 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Sex	string or null <= 1 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_State	string or null <= 50 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
patient_Zip	string or null <= 32 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
payToPlan_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Claim_Office_Num	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_ID	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_NAIC	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Name	string or null <= 512 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: This field is marked as NOT NULL in the database and therefore required by the API.
provider_Address	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Address2	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_City	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Federal_ID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_First_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
provider_Last_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_MAID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_NPI	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Org_Name	string or null <= 512 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Phone	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_State	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Taxonomy	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Zip	string or null <= 32 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
ready_To_Process	string or null <= 1 characters Notes if the claim is ready to process out of batch.
received_Date	string or null <date-time> The date this claim was received into the admin system.
ref_Provider_Address	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Address2	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_City	string or null <= 30 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Federal_ID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_First_Name	string or null <= 25 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Last_Name	string or null <= 35 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_MAID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_NPI	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Org_Name	string or null <= 512 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Phone	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_State	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Taxonomy	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Zip	string or null <= 32 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Check_ID	integer or null <int32> Indicates that this claim was part of a Void process.
refund_Claim required	boolean Indicates this claim is part of a refund process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Indicates if the claim is work related. Note: This field is marked as NOT NULL in the database and therefore required by the API.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
rend_Provider_Address	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Address2	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_City	string or null <= 30 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Federal_ID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_First_Name	string or null <= 25 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Last_Name	string or null <= 35 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_MAID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_NPI	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Org_Name	string or null <= 512 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Phone	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_State	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Taxonomy	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Zip	string or null <= 32 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
repriced_Network_ID	string or null <= 10 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Fac_Loc_Address	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Address2	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_City	string or null <= 30 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Federal_ID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_First_Name	string or null <= 25 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Last_Name	string or null <= 35 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_MAID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_NPI	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Org_Name	string or null <= 512 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Phone	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_State	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Taxonomy	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Zip	string or null <= 32 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: This field is marked as NOT NULL in the database and therefore required by the API.
total_COB required	number <double> COB total for all claim detail lines Note: This field is marked as NOT NULL in the database and therefore required by the API.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: This field is marked as NOT NULL in the database and therefore required by the API.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double> The monetary amount related to the value code.
value_Amount11	number or null <double> The monetary amount related to the value code.
value_Amount12	number or null <double> The monetary amount related to the value code.
value_Amount13	number or null <double> The monetary amount related to the value code.
value_Amount14	number or null <double> The monetary amount related to the value code.
value_Amount15	number or null <double> The monetary amount related to the value code.
value_Amount16	number or null <double> The monetary amount related to the value code.
value_Amount17	number or null <double> The monetary amount related to the value code.
value_Amount18	number or null <double> The monetary amount related to the value code.
value_Amount19	number or null <double> The monetary amount related to the value code.
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double> The monetary amount related to the value code.
value_Amount21	number or null <double> The monetary amount related to the value code.
value_Amount22	number or null <double> The monetary amount related to the value code.
value_Amount23	number or null <double> The monetary amount related to the value code.
value_Amount24	number or null <double> The monetary amount related to the value code.
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double> The monetary amount related to the value code.
value_Amount6	number or null <double> The monetary amount related to the value code.
value_Amount7	number or null <double> The monetary amount related to the value code.
value_Amount8	number or null <double> The monetary amount related to the value code.
value_Amount9	number or null <double> The monetary amount related to the value code.
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code11	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code12	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code13	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code14	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code15	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code16	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code17	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code18	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code19	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code21	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code22	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code23	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code24	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code6	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code7	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code8	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code9	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
void_Check_ID	integer or null <int32> Indicates that this claim was part of a Refund process.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

200

Success

401

Unauthorized

post/claim-batches/{batchNumber}/claims

Request samples

Payload
C#
JavaScript
curl
Java

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

Response samples

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

List ClaimBatch

Lists all ClaimBatch for the given batchNumber

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber

required

integer <int32>

Batch Number

query Parameters

page	integer <int32> Default: 1 Page
pageSize	integer <int32> Default: 100 Page Size
sortBy	string Comma separated string to sort by. Each sort field can be followed by :asc or :desc to specify sort direction, ascending is default. E.g., 'Property1:desc,Property2:asc,Property3:asc' sorts Property1 in descending order, Property2 in ascending, and Property3 in ascending.

header Parameters

vbasoftware-database

required

string

Target database

Responses

200

Success

401

Unauthorized

get/claim-batches/{batchNumber}/claims

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Get ClaimBatch

Gets ClaimBatch

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber required	integer <int32> Batch Number
batchClaim required	integer <int32> Batch Claim

header Parameters

vbasoftware-database

required

string

Target database

Responses

200

Success

401

Unauthorized

get/claim-batches/{batchNumber}/claims/{batchClaim}

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Update ClaimBatch

Updates a specific ClaimBatch.

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber required	integer <int32> Batch Number
batchClaim required	integer <int32> Batch Claim

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

batch_Number required	integer <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Claim required	integer <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
aeoB_Claim required	boolean A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: This field is marked as NOT NULL in the database and therefore required by the API.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjusted_From	integer or null <int32> Indicates that this claim was part of an Adjustment process.
adjustment_Claim required	boolean Indicates this claim is part of an adjustment process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: This field is marked as NOT NULL in the database and therefore required by the API.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attend_Provider_Address	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Address2	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_City	string or null <= 30 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Federal_ID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_First_Name	string or null <= 25 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Last_Name	string or null <= 35 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_MAID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_NPI	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Org_Name	string or null <= 512 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Phone	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_State	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Taxonomy	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Zip	string or null <= 32 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean For flex claims, notes that this claim was auto-created by adjudication based on configuration at the group. Note: This field is marked as NOT NULL in the database and therefore required by the API.
baseloadLookup required	boolean Flagged when a claim has gone through the baseload provider matching service. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
bill_Provider_Address	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Address2	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_City	string or null <= 30 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Federal_ID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_First_Name	string or null <= 25 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Last_Name	string or null <= 35 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_MAID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_NPI	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Org_Name	string or null <= 512 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Phone	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_State	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Taxonomy	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Zip	string or null <= 32 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
billed_Amount	number or null <double> Holds the claim level billed amount that is used for balancing the claim detail billed_price values. If different, throws an error.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: This field is marked as NOT NULL in the database and therefore required by the API.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters The Condition Code value for this claim.
condition_Code11	string or null <= 8 characters The Condition Code value for this claim.
condition_Code12	string or null <= 8 characters The Condition Code value for this claim.
condition_Code13	string or null <= 8 characters The Condition Code value for this claim.
condition_Code14	string or null <= 8 characters The Condition Code value for this claim.
condition_Code15	string or null <= 8 characters The Condition Code value for this claim.
condition_Code16	string or null <= 8 characters The Condition Code value for this claim.
condition_Code17	string or null <= 8 characters The Condition Code value for this claim.
condition_Code18	string or null <= 8 characters The Condition Code value for this claim.
condition_Code19	string or null <= 8 characters The Condition Code value for this claim.
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters The Condition Code value for this claim.
condition_Code21	string or null <= 8 characters The Condition Code value for this claim.
condition_Code22	string or null <= 8 characters The Condition Code value for this claim.
condition_Code23	string or null <= 8 characters The Condition Code value for this claim.
condition_Code24	string or null <= 8 characters The Condition Code value for this claim.
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters The Condition Code value for this claim.
condition_Code9	string or null <= 8 characters The Condition Code value for this claim.
context4_Override required	boolean Allows the user to flag a claim to ignore Context4Health service results and stick to core adjudication edits. Note: This field is marked as NOT NULL in the database and therefore required by the API.
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10. Note: This field is marked as NOT NULL in the database and therefore required by the API.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
error_Amount	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Auth	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Beneficiary	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Benefit	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ConditionCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Dates	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Detail	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag10	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag11	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag12	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag13	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag14	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag15	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag16	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag17	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag18	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag19	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag20	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag21	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag22	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag23	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag24	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag3	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag4	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag5	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag6	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag7	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag8	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag9	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Exists	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Group	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Mem	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Network	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_OccurrenceCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Plan	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Procedure	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Prov	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Sub	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ValueCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
insured_Address	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Address2	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Alternate_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Birth_Date	string or null <date-time> For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_City	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Employer_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_First_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Last_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Phone	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Policy_Number	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_SSN	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Sex	string or null <= 1 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_State	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Zip	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code11	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code12	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code13	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code14	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code15	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code16	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code17	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code18	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code19	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code21	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code22	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code23	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code24	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code6	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code7	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code8	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code9	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date11	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date12	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date13	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date14	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date15	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date16	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date17	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date18	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date19	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date21	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date22	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date23	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date24	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date6	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date7	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date8	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date9	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code11	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code12	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code13	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code14	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code15	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code16	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code17	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code18	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code19	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code2	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code20	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code21	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code22	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code23	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code24	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code3	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code4	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code5	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code6	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code7	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code8	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code9	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From9	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru9	string or null <date-time> The occurrence span from for this claim.
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
oper_Provider_Address	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Address2	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_City	string or null <= 30 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Federal_ID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_First_Name	string or null <= 25 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Last_Name	string or null <= 35 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_MAID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_NPI	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Org_Name	string or null <= 512 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Phone	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_State	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Taxonomy	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Zip	string or null <= 32 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Address	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Address2	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Birth_Date	string or null <date-time> For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_City	string or null <= 30 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_First_Name	string or null <= 25 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Last_Name	string or null <= 35 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Phone	string or null <= 20 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Sex	string or null <= 1 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_State	string or null <= 50 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
patient_Zip	string or null <= 32 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
payToPlan_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Claim_Office_Num	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_ID	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_NAIC	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Name	string or null <= 512 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: This field is marked as NOT NULL in the database and therefore required by the API.
provider_Address	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Address2	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_City	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Federal_ID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_First_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
provider_Last_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_MAID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_NPI	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Org_Name	string or null <= 512 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Phone	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_State	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Taxonomy	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Zip	string or null <= 32 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
ready_To_Process	string or null <= 1 characters Notes if the claim is ready to process out of batch.
received_Date	string or null <date-time> The date this claim was received into the admin system.
ref_Provider_Address	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Address2	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_City	string or null <= 30 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Federal_ID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_First_Name	string or null <= 25 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Last_Name	string or null <= 35 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_MAID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_NPI	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Org_Name	string or null <= 512 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Phone	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_State	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Taxonomy	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Zip	string or null <= 32 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Check_ID	integer or null <int32> Indicates that this claim was part of a Void process.
refund_Claim required	boolean Indicates this claim is part of a refund process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Indicates if the claim is work related. Note: This field is marked as NOT NULL in the database and therefore required by the API.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
rend_Provider_Address	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Address2	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_City	string or null <= 30 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Federal_ID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_First_Name	string or null <= 25 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Last_Name	string or null <= 35 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_MAID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_NPI	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Org_Name	string or null <= 512 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Phone	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_State	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Taxonomy	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Zip	string or null <= 32 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
repriced_Network_ID	string or null <= 10 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Fac_Loc_Address	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Address2	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_City	string or null <= 30 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Federal_ID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_First_Name	string or null <= 25 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Last_Name	string or null <= 35 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_MAID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_NPI	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Org_Name	string or null <= 512 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Phone	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_State	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Taxonomy	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Zip	string or null <= 32 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: This field is marked as NOT NULL in the database and therefore required by the API.
total_COB required	number <double> COB total for all claim detail lines Note: This field is marked as NOT NULL in the database and therefore required by the API.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: This field is marked as NOT NULL in the database and therefore required by the API.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double> The monetary amount related to the value code.
value_Amount11	number or null <double> The monetary amount related to the value code.
value_Amount12	number or null <double> The monetary amount related to the value code.
value_Amount13	number or null <double> The monetary amount related to the value code.
value_Amount14	number or null <double> The monetary amount related to the value code.
value_Amount15	number or null <double> The monetary amount related to the value code.
value_Amount16	number or null <double> The monetary amount related to the value code.
value_Amount17	number or null <double> The monetary amount related to the value code.
value_Amount18	number or null <double> The monetary amount related to the value code.
value_Amount19	number or null <double> The monetary amount related to the value code.
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double> The monetary amount related to the value code.
value_Amount21	number or null <double> The monetary amount related to the value code.
value_Amount22	number or null <double> The monetary amount related to the value code.
value_Amount23	number or null <double> The monetary amount related to the value code.
value_Amount24	number or null <double> The monetary amount related to the value code.
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double> The monetary amount related to the value code.
value_Amount6	number or null <double> The monetary amount related to the value code.
value_Amount7	number or null <double> The monetary amount related to the value code.
value_Amount8	number or null <double> The monetary amount related to the value code.
value_Amount9	number or null <double> The monetary amount related to the value code.
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code11	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code12	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code13	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code14	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code15	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code16	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code17	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code18	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code19	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code21	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code22	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code23	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code24	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code6	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code7	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code8	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code9	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
void_Check_ID	integer or null <int32> Indicates that this claim was part of a Refund process.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

200

Success

401

Unauthorized

put/claim-batches/{batchNumber}/claims/{batchClaim}

Request samples

Payload
C#
JavaScript
curl
Java

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

Response samples

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

Delete ClaimBatch

Deletes an ClaimBatch

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber required	integer <int32> Batch Number
batchClaim required	integer <int32> Batch Claim

header Parameters

vbasoftware-database

required

string

Target database

Responses

204

Success

401

Unauthorized

delete/claim-batches/{batchNumber}/claims/{batchClaim}

Request samples

C#
JavaScript
curl
Java

Full Delete ClaimBatch Advanced API

Deletes an ClaimBatch record along with all associated processing needed as a result of that delete.

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber required	integer <int32> Batch Number
batchClaim required	integer <int32> Batch Claim

query Parameters

claimStatusCategoryCode	string Claim Status Category Code
claimStatusCode	string Claim Status Code

header Parameters

vbasoftware-database

required

string

Target database

Responses

204

Success

401

Unauthorized

delete/claim-batches/{batchNumber}/claims/{batchClaim}/full-delete

Request samples

C#
JavaScript
curl
Java

Create or Update Batch ClaimBatch

Create or Update multiple ClaimBatch at once. If the entity exists, it will be updated. If the entity does not exist, it will be created.

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

batchNumber

required

integer <int32>

Batch Number

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

Array

batch_Number required	integer <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Claim required	integer <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
aeoB_Claim required	boolean A flag indicating a claim is an Advanced EOB and not a claim for payment. Part of the No Surprise Act. Note: This field is marked as NOT NULL in the database and therefore required by the API.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjusted_From	integer or null <int32> Indicates that this claim was part of an Adjustment process.
adjustment_Claim required	boolean Indicates this claim is part of an adjustment process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: This field is marked as NOT NULL in the database and therefore required by the API.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attend_Provider_Address	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Address2	string or null <= 90 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_City	string or null <= 30 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Federal_ID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_First_Name	string or null <= 25 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Last_Name	string or null <= 35 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_MAID	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_NPI	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Org_Name	string or null <= 512 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Phone	string or null <= 20 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_State	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Taxonomy	string or null <= 10 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attend_Provider_Zip	string or null <= 32 characters The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean For flex claims, notes that this claim was auto-created by adjudication based on configuration at the group. Note: This field is marked as NOT NULL in the database and therefore required by the API.
baseloadLookup required	boolean Flagged when a claim has gone through the baseload provider matching service. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
bill_Provider_Address	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Address2	string or null <= 90 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_City	string or null <= 30 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Federal_ID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_First_Name	string or null <= 25 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Last_Name	string or null <= 35 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_MAID	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_NPI	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Org_Name	string or null <= 512 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Phone	string or null <= 20 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_State	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Taxonomy	string or null <= 10 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
bill_Provider_Zip	string or null <= 32 characters The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
billed_Amount	number or null <double> Holds the claim level billed amount that is used for balancing the claim detail billed_price values. If different, throws an error.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: This field is marked as NOT NULL in the database and therefore required by the API.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters The Condition Code value for this claim.
condition_Code11	string or null <= 8 characters The Condition Code value for this claim.
condition_Code12	string or null <= 8 characters The Condition Code value for this claim.
condition_Code13	string or null <= 8 characters The Condition Code value for this claim.
condition_Code14	string or null <= 8 characters The Condition Code value for this claim.
condition_Code15	string or null <= 8 characters The Condition Code value for this claim.
condition_Code16	string or null <= 8 characters The Condition Code value for this claim.
condition_Code17	string or null <= 8 characters The Condition Code value for this claim.
condition_Code18	string or null <= 8 characters The Condition Code value for this claim.
condition_Code19	string or null <= 8 characters The Condition Code value for this claim.
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters The Condition Code value for this claim.
condition_Code21	string or null <= 8 characters The Condition Code value for this claim.
condition_Code22	string or null <= 8 characters The Condition Code value for this claim.
condition_Code23	string or null <= 8 characters The Condition Code value for this claim.
condition_Code24	string or null <= 8 characters The Condition Code value for this claim.
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters The Condition Code value for this claim.
condition_Code9	string or null <= 8 characters The Condition Code value for this claim.
context4_Override required	boolean Allows the user to flag a claim to ignore Context4Health service results and stick to core adjudication edits. Note: This field is marked as NOT NULL in the database and therefore required by the API.
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10. Note: This field is marked as NOT NULL in the database and therefore required by the API.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
error_Amount	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Auth	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Beneficiary	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Benefit	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ConditionCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Dates	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Detail	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag10	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag11	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag12	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag13	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag14	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag15	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag16	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag17	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag18	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag19	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag20	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag21	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag22	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag23	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag24	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag3	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag4	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag5	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag6	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag7	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag8	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Diag9	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode1	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ExCode2	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Exists	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Group	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Mem	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Network	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_OccurrenceCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Plan	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Procedure	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Prov	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_Sub	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
error_ValueCode	string or null <= 1 characters During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
insured_Address	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Address2	string or null <= 128 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Alternate_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Birth_Date	string or null <date-time> For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_City	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Employer_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_First_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Last_Name	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Phone	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Policy_Number	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_SSN	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Sex	string or null <= 1 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_State	string or null <= 64 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
insured_Zip	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code11	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code12	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code13	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code14	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code15	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code16	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code17	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code18	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code19	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code21	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code22	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code23	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code24	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code6	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code7	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code8	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code9	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date11	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date12	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date13	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date14	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date15	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date16	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date17	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date18	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date19	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date21	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date22	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date23	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date24	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date6	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date7	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date8	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date9	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code11	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code12	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code13	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code14	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code15	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code16	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code17	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code18	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code19	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code2	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code20	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code21	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code22	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code23	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code24	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code3	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code4	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code5	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code6	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code7	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code8	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code9	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From9	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru11	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru12	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru13	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru14	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru15	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru16	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru17	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru18	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru19	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru2	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru20	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru21	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru22	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru23	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru24	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru3	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru4	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru5	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru6	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru7	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru8	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_Thru9	string or null <date-time> The occurrence span from for this claim.
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
oper_Provider_Address	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Address2	string or null <= 90 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_City	string or null <= 30 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Federal_ID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_First_Name	string or null <= 25 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Last_Name	string or null <= 35 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_MAID	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_NPI	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Org_Name	string or null <= 512 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Phone	string or null <= 20 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_State	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Taxonomy	string or null <= 10 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
oper_Provider_Zip	string or null <= 32 characters The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: This field is marked as NOT NULL in the database and therefore required by the API.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: This field is marked as NOT NULL in the database and therefore required by the API.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Address	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Address2	string or null <= 90 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Birth_Date	string or null <date-time> For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_City	string or null <= 30 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_First_Name	string or null <= 25 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_ID	string or null <= 32 characters For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Last_Name	string or null <= 35 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Phone	string or null <= 20 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Sex	string or null <= 1 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_State	string or null <= 50 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
patient_Zip	string or null <= 32 characters For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
payToPlan_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Claim_Office_Num	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_ID	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_NAIC	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Name	string or null <= 512 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payToPlan_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Address2	string or null <= 90 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_City	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_State	string or null <= 10 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payTo_Zip	string or null <= 32 characters The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: This field is marked as NOT NULL in the database and therefore required by the API.
provider_Address	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Address2	string or null <= 90 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_City	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Federal_ID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_First_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
provider_Last_Name	string or null <= 30 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_MAID	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_NPI	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Org_Name	string or null <= 512 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Phone	string or null <= 20 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_State	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Taxonomy	string or null <= 10 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
provider_Zip	string or null <= 32 characters For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
ready_To_Process	string or null <= 1 characters Notes if the claim is ready to process out of batch.
received_Date	string or null <date-time> The date this claim was received into the admin system.
ref_Provider_Address	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Address2	string or null <= 90 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_City	string or null <= 30 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Federal_ID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_First_Name	string or null <= 25 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Last_Name	string or null <= 35 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_MAID	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_NPI	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Org_Name	string or null <= 512 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Phone	string or null <= 20 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_State	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Taxonomy	string or null <= 10 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
ref_Provider_Zip	string or null <= 32 characters The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Check_ID	integer or null <int32> Indicates that this claim was part of a Void process.
refund_Claim required	boolean Indicates this claim is part of a refund process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Indicates if the claim is work related. Note: This field is marked as NOT NULL in the database and therefore required by the API.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
rend_Provider_Address	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Address2	string or null <= 90 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_City	string or null <= 30 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Federal_ID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_First_Name	string or null <= 25 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Last_Name	string or null <= 35 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_MAID	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_NPI	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Org_Name	string or null <= 512 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Phone	string or null <= 20 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_State	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Taxonomy	string or null <= 10 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
rend_Provider_Zip	string or null <= 32 characters The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
repriced_Network_ID	string or null <= 10 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Fac_Loc_Address	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Address2	string or null <= 90 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_City	string or null <= 30 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Federal_ID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_First_Name	string or null <= 25 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Last_Name	string or null <= 35 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_MAID	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_NPI	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Org_Name	string or null <= 512 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Phone	string or null <= 20 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_State	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Taxonomy	string or null <= 10 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Fac_Loc_Zip	string or null <= 32 characters The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: This field is marked as NOT NULL in the database and therefore required by the API.
total_COB required	number <double> COB total for all claim detail lines Note: This field is marked as NOT NULL in the database and therefore required by the API.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: This field is marked as NOT NULL in the database and therefore required by the API.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: This field is marked as NOT NULL in the database and therefore required by the API.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double> The monetary amount related to the value code.
value_Amount11	number or null <double> The monetary amount related to the value code.
value_Amount12	number or null <double> The monetary amount related to the value code.
value_Amount13	number or null <double> The monetary amount related to the value code.
value_Amount14	number or null <double> The monetary amount related to the value code.
value_Amount15	number or null <double> The monetary amount related to the value code.
value_Amount16	number or null <double> The monetary amount related to the value code.
value_Amount17	number or null <double> The monetary amount related to the value code.
value_Amount18	number or null <double> The monetary amount related to the value code.
value_Amount19	number or null <double> The monetary amount related to the value code.
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double> The monetary amount related to the value code.
value_Amount21	number or null <double> The monetary amount related to the value code.
value_Amount22	number or null <double> The monetary amount related to the value code.
value_Amount23	number or null <double> The monetary amount related to the value code.
value_Amount24	number or null <double> The monetary amount related to the value code.
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double> The monetary amount related to the value code.
value_Amount6	number or null <double> The monetary amount related to the value code.
value_Amount7	number or null <double> The monetary amount related to the value code.
value_Amount8	number or null <double> The monetary amount related to the value code.
value_Amount9	number or null <double> The monetary amount related to the value code.
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code11	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code12	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code13	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code14	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code15	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code16	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code17	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code18	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code19	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code21	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code22	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code23	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code24	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code6	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code7	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code8	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code9	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
void_Check_ID	integer or null <int32> Indicates that this claim was part of a Refund process.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

207

Success

401

Unauthorized

put/claim-batches/{batchNumber}/claims-batch

Request samples

Payload
C#
JavaScript
curl
Java

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

Response samples

{"data": [{"id": [{"key": "string",
"value": "string"
}
],
"status": 0,
"body": "string"
}
],
"error": {"detail": "string",
"instance": "string",
"status": 0,
"title": "string",
"type": "string"
},
"debug": {"activityID": "string"
}
}

Claim Batch

Create ClaimBatch

path Parameters

header Parameters

Request Body schema: application/jsontext/jsonapplication/*+jsonapplication/jsonrequired

List ClaimBatch

path Parameters

query Parameters

header Parameters

Get ClaimBatch

path Parameters

header Parameters

Update ClaimBatch

path Parameters

header Parameters

Request Body schema: application/jsontext/jsonapplication/*+jsonapplication/jsonrequired

Delete ClaimBatch

path Parameters

header Parameters

Full Delete ClaimBatch Advanced API

path Parameters

query Parameters

header Parameters

Create or Update Batch ClaimBatch

path Parameters

header Parameters

Request Body schema: application/jsontext/jsonapplication/*+jsonapplication/jsonrequired

Request Body schema:
application/json
required

Request Body schema:
application/json
required

Request Body schema:
application/json
required