Claim PreBatches

Create ClaimPreBatch

Creates a new ClaimPreBatch

SecurityapiKeyAuth and bearerAuth

Request

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

claimPreBatch_Key required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
account_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
adjusted_From	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Source	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admit_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
advance_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attended_Physician_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
batch_Claim required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Number required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
billed_Amount	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
calculate_Interest required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Priority	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
closure_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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.
coverage_Start	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
current_Illness_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Code	string or null <= 4 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Quantity	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
death_Cert_Rec_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Type	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
dep_SSDI_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code13	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code14	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code15	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code16	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code17	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code18	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code19	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code20	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code21	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code22	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code23	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code24	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disabled_By_Physician	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
division_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator1	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator2	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator3	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Referral_Given	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
error_Beneficiary	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code1	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code2	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
exhaust_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
expected_Typical_Duration	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ficA_Percent	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
federal_Withheld	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
filing_Indicator	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Ex_Code	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
hearing_Vision_RX_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location3	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location4	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
initial_Treatment_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Alternate_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Employer_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_First_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Last_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Phone	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Policy_Number	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_SSN	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_State	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
job_Type	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Packet_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Day_Worked	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Physician_Warrant_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Seen_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
liability_Injury required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
member_Seq	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occupational required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Date4	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
orthodontics_Treatment required	boolean This flag 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
partial_Disability required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Relationship	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_State	string or null <= 50 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Claim_Office_Num	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_NAIC	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payee_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
physician_Return_To_Work	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
place_Of_Service	string or null <= 5 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Provider	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Year	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission13	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission14	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission15	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission16	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission17	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission18	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission19	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission20	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission21	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission22	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission23	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission24	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
principal_Procedure_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
principal_Procedure_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_First_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Last_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
received_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
referred_By	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Check_ID	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Funding_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
related_To_Accident required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
repriced_Network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
return_To_Work_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
salary_Continuation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sender_ID	string or null <= 15 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Thru	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sick_Time required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
subscriber_ID	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
subscriber_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
trans_837_Control_Num	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
transaction_837 required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Admission	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Bill	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
vacation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
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_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_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_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_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_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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
volume_Override required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

200

Success

401

Unauthorized

post/claim-prebatches

Request samples

Payload
C#
JavaScript
curl
Java

{"claimPreBatch_Key": 0,
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjusted_From": 0,
"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",
"batch_Claim": 0,
"batch_Number": 0,
"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,
"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",
"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",
"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_Beneficiary": "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",
"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",
"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",
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"present_On_Admission14": "s",
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"present_On_Admission17": "s",
"present_On_Admission18": "s",
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"present_On_Admission21": "s",
"present_On_Admission22": "s",
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"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_Org_ID": "string",
"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",
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"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",
"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",
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"ref_Provider_MAID": "string",
"ref_Provider_NPI": "string",
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"ref_Provider_State": "string",
"ref_Provider_Taxonomy": "string",
"ref_Provider_Zip": "string",
"referred_By": "string",
"refund_Check_ID": 0,
"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",
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"rend_Provider_Org_Name": "string",
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"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",
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"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,
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"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_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,
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"value_Amount22": 0.1,
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"value_Amount5": 0.1,
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"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"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",
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"value_Code5": "st",
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"value_Code7": "st",
"value_Code8": "st",
"value_Code9": "st",
"void_Check_ID": 0,
"volume_Override": true,
"waiting_Period_Claim": true
}

Response samples

{"data": {"claimPreBatch_Key": 0,
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjusted_From": 0,
"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",
"batch_Claim": 0,
"batch_Number": 0,
"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,
"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",
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"condition_Code21": "string",
"condition_Code22": "string",
"condition_Code23": "string",
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"condition_Code3": "string",
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"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
"diagnostic_Code12": "string",
"diagnostic_Code13": "string",
"diagnostic_Code14": "string",
"diagnostic_Code15": "string",
"diagnostic_Code16": "string",
"diagnostic_Code17": "string",
"diagnostic_Code18": "string",
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"diagnostic_Code2": "string",
"diagnostic_Code20": "string",
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"diagnostic_Code5": "string",
"diagnostic_Code6": "string",
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"diagnostic_Code8": "string",
"diagnostic_Code9": "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",
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"eCode_Diagnostic_Code12": "string",
"eCode_Diagnostic_Code2": "string",
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"eCode_Diagnostic_Code4": "string",
"eCode_Diagnostic_Code5": "string",
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"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_Beneficiary": "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",
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"insured_Birth_Date": "2019-08-24T14:15:22Z",
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"insured_SSN": "string",
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"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",
"occupational": true,
"occurrence_Code1": "string",
"occurrence_Code10": "string",
"occurrence_Code11": "string",
"occurrence_Code12": "string",
"occurrence_Code13": "string",
"occurrence_Code14": "string",
"occurrence_Code15": "string",
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"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",
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"occurrence_Date8": "2019-08-24T14:15:22Z",
"occurrence_Date9": "2019-08-24T14:15:22Z",
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"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",
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"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",
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"occurrence_Span_Thru24": "2019-08-24T14:15:22Z",
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"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",
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"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",
"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_Org_ID": "string",
"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",
"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_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,
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"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_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_Amount20": 0.1,
"value_Amount21": 0.1,
"value_Amount22": 0.1,
"value_Amount23": 0.1,
"value_Amount24": 0.1,
"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"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_Code20": "st",
"value_Code21": "st",
"value_Code22": "st",
"value_Code23": "st",
"value_Code24": "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 ClaimPreBatch

Lists all ClaimPreBatch

SecurityapiKeyAuth and bearerAuth

Request

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-prebatches

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Get ClaimPreBatch

Gets ClaimPreBatch

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

ClaimPreBatch_Key

required

integer <int32>

ClaimPreBatch Key

header Parameters

vbasoftware-database

required

string

Target database

Responses

200

Success

401

Unauthorized

get/claim-prebatches/{ClaimPreBatch_Key}

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Update ClaimPreBatch

Updates a specific ClaimPreBatch.

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

ClaimPreBatch_Key

required

integer <int32>

ClaimPreBatch Key

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

claimPreBatch_Key required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
account_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
adjusted_From	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Source	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admit_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
advance_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attended_Physician_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
batch_Claim required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Number required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
billed_Amount	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
calculate_Interest required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Priority	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
closure_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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.
coverage_Start	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
current_Illness_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Code	string or null <= 4 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Quantity	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
death_Cert_Rec_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Type	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
dep_SSDI_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code13	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code14	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code15	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code16	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code17	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code18	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code19	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code20	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code21	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code22	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code23	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code24	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disabled_By_Physician	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
division_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator1	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator2	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator3	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Referral_Given	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
error_Beneficiary	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code1	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code2	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
exhaust_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
expected_Typical_Duration	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ficA_Percent	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
federal_Withheld	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
filing_Indicator	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Ex_Code	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
hearing_Vision_RX_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location3	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location4	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
initial_Treatment_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Alternate_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Employer_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_First_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Last_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Phone	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Policy_Number	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_SSN	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_State	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
job_Type	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Packet_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Day_Worked	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Physician_Warrant_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Seen_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
liability_Injury required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
member_Seq	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occupational required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Date4	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
orthodontics_Treatment required	boolean This flag 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
partial_Disability required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Relationship	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_State	string or null <= 50 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Claim_Office_Num	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_NAIC	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payee_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
physician_Return_To_Work	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
place_Of_Service	string or null <= 5 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Provider	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Year	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission13	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission14	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission15	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission16	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission17	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission18	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission19	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission20	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission21	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission22	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission23	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission24	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
principal_Procedure_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
principal_Procedure_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_First_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Last_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
received_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
referred_By	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Check_ID	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Funding_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
related_To_Accident required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
repriced_Network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
return_To_Work_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
salary_Continuation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sender_ID	string or null <= 15 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Thru	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sick_Time required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
subscriber_ID	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
subscriber_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
trans_837_Control_Num	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
transaction_837 required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Admission	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Bill	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
vacation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
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_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_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_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_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_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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
volume_Override required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

200

Success

401

Unauthorized

put/claim-prebatches/{ClaimPreBatch_Key}

Request samples

Payload
C#
JavaScript
curl
Java

{"claimPreBatch_Key": 0,
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjusted_From": 0,
"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",
"batch_Claim": 0,
"batch_Number": 0,
"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,
"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",
"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",
"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",
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"epsdT_Referral_Given": "s",
"entry_Date": "2019-08-24T14:15:22Z",
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"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",
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"initial_Treatment_Date": "2019-08-24T14:15:22Z",
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"insured_Alternate_ID": "string",
"insured_Birth_Date": "2019-08-24T14:15:22Z",
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"insured_Sex": "s",
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"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",
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"months_Of_Treatment": 0,
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"occupational": true,
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"occurrence_Date1": "2019-08-24T14:15:22Z",
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"occurrence_Date2": "2019-08-24T14:15:22Z",
"occurrence_Date20": "2019-08-24T14:15:22Z",
"occurrence_Date21": "2019-08-24T14:15:22Z",
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"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",
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"occurrence_Span_Code20": "string",
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"occurrence_Span_Code24": "string",
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"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",
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"occurrence_Span_From12": "2019-08-24T14:15:22Z",
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"occurrence_Span_From14": "2019-08-24T14:15:22Z",
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"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",
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"occurrence_Span_From6": "2019-08-24T14:15:22Z",
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"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",
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"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",
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"oper_Provider_State": "string",
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"orthodontics_Treatment": true,
"other_Insurance": true,
"other_Procedure_Code1": "string",
"other_Procedure_Code10": "string",
"other_Procedure_Code11": "string",
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"other_Procedure_Date1": "2019-08-24T14:15:22Z",
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"other_Procedure_Date19": "2019-08-24T14:15:22Z",
"other_Procedure_Date2": "2019-08-24T14:15:22Z",
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"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",
"partial_Disability": true,
"patient_Account": "string",
"patient_Address": "string",
"patient_Address2": "string",
"patient_Birth_Date": "2019-08-24T14:15:22Z",
"patient_City": "string",
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"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",
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"payor_Claim_Control_Number": "string",
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"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",
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"present_On_Admission8": "s",
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"present_On_Admission_ECode1": "s",
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"present_On_Admission_ECode11": "s",
"present_On_Admission_ECode12": "s",
"present_On_Admission_ECode2": "s",
"present_On_Admission_ECode3": "s",
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"present_On_Admission_ECode6": "s",
"present_On_Admission_ECode7": "s",
"present_On_Admission_ECode8": "s",
"present_On_Admission_ECode9": "s",
"pricing_Org_ID": "string",
"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",
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"provider_Zip": "string",
"received_Date": "2019-08-24T14:15:22Z",
"ref_Provider_Address": "string",
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"referred_By": "string",
"refund_Check_ID": 0,
"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",
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"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",
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"service_Fac_Loc_Taxonomy": "string",
"service_Fac_Loc_Zip": "string",
"service_Thru": "2019-08-24T14:15:22Z",
"sick_Time": true,
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"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,
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"value_Amount12": 0.1,
"value_Amount13": 0.1,
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"value_Code10": "st",
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"value_Code8": "st",
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"void_Check_ID": 0,
"volume_Override": true,
"waiting_Period_Claim": true
}

Response samples

{"data": {"claimPreBatch_Key": 0,
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjusted_From": 0,
"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",
"batch_Claim": 0,
"batch_Number": 0,
"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,
"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",
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"condition_Code17": "string",
"condition_Code18": "string",
"condition_Code19": "string",
"condition_Code2": "string",
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"condition_Code22": "string",
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"condition_Code24": "string",
"condition_Code3": "string",
"condition_Code4": "string",
"condition_Code5": "string",
"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
"diagnostic_Code12": "string",
"diagnostic_Code13": "string",
"diagnostic_Code14": "string",
"diagnostic_Code15": "string",
"diagnostic_Code16": "string",
"diagnostic_Code17": "string",
"diagnostic_Code18": "string",
"diagnostic_Code19": "string",
"diagnostic_Code2": "string",
"diagnostic_Code20": "string",
"diagnostic_Code21": "string",
"diagnostic_Code22": "string",
"diagnostic_Code23": "string",
"diagnostic_Code24": "string",
"diagnostic_Code3": "string",
"diagnostic_Code4": "string",
"diagnostic_Code5": "string",
"diagnostic_Code6": "string",
"diagnostic_Code7": "string",
"diagnostic_Code8": "string",
"diagnostic_Code9": "string",
"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_Beneficiary": "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",
"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",
"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_Org_ID": "string",
"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",
"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_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,
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"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_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_Amount20": 0.1,
"value_Amount21": 0.1,
"value_Amount22": 0.1,
"value_Amount23": 0.1,
"value_Amount24": 0.1,
"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"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_Code20": "st",
"value_Code21": "st",
"value_Code22": "st",
"value_Code23": "st",
"value_Code24": "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 ClaimPreBatch

Deletes an ClaimPreBatch

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

ClaimPreBatch_Key

required

integer <int32>

ClaimPreBatch Key

header Parameters

vbasoftware-database

required

string

Target database

Responses

204

Success

401

Unauthorized

delete/claim-prebatches/{ClaimPreBatch_Key}

Request samples

C#
JavaScript
curl
Java

Create or Update Batch ClaimPreBatch

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

SecurityapiKeyAuth and bearerAuth

Request

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

Array

claimPreBatch_Key required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
account_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
adjusted_From	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admission_Source	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
admit_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
advance_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
advice_To_Pay required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_DropOff_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Location	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ambulance_PickUp_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
attended_Physician_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
batch_Claim required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
batch_Number required	integer <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
beneficiary_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
bill_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
billed_Amount	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
calculate_Interest required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
capitation_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Priority	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
claim_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
closure_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
condition_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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.
coverage_Start	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
current_Illness_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Code	string or null <= 4 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
drG_Quantity	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
death_Cert_Rec_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
delivery_Type	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
dep_SSDI_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code13	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code14	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code15	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code16	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code17	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code18	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code19	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code20	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code21	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code22	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code23	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code24	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_End_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disability_Type	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
disabled_By_Physician	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
discharge_Hour	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
division_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code10	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code11	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code12	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code5	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code6	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code7	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code8	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
eCode_Diagnostic_Code9	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator1	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator2	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Condition_Indicator3	string or null <= 3 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
epsdT_Referral_Given	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
entry_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
error_Beneficiary	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code1	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code2	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ex_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
exhaust_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
expected_Typical_Duration	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ficA_Percent	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
federal_Withheld	number or null <double> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
filing_Indicator	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
followUp_Ex_Code	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
hearing_Vision_RX_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location3	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
image_File_Location4	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
initial_Treatment_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Address2	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Alternate_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Employer_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_First_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Last_Name	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Phone	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Policy_Number	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_SSN	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_State	string or null <= 64 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
insured_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
job_Type	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Effective_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ltD_Packet_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Day_Worked	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Physician_Warrant_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
last_Seen_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
liability_Injury required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_To	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
member_Seq	string or null <= 2 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occupational required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
occurrence_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Code4	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
occurrence_Date4	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
oper_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
orthodontics_Treatment required	boolean This flag 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
partial_Disability required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
patient_Account	string or null <= 128 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Birth_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Relationship	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Sex	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_State	string or null <= 50 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Status	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
patient_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Claim_Office_Num	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_ID	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_NAIC	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payToPlan_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_City	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payTo_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
payee_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
physician_Return_To_Work	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
place_Of_Service	string or null <= 5 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Provider	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
plan_Year	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission13	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission14	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission15	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission16	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission17	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission18	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission19	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission20	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission21	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission22	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission23	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission24	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode1	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode10	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode11	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode12	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode2	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode3	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode4	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode5	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode6	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode7	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode8	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
present_On_Admission_ECode9	string or null <= 1 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
principal_Procedure_Code	string or null <= 8 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
principal_Procedure_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_First_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Last_Name	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
received_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
ref_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
referred_By	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Check_ID	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
refund_Funding_Key	integer or null <int32> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
related_To_Accident required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Another_Party required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Auto required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
related_To_Employment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
rend_Provider_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
repriced_Network_ID	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
return_To_Work_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
salary_Continuation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sender_ID	string or null <= 15 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Date	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Address2	string or null <= 90 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_City	string or null <= 30 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Federal_ID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_First_Name	string or null <= 25 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Last_Name	string or null <= 35 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_MAID	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_NPI	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Org_Name	string or null <= 512 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Phone	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_State	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Taxonomy	string or null <= 10 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Fac_Loc_Zip	string or null <= 32 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
service_Thru	string or null <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
sick_Time required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
subscriber_ID	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
subscriber_Signature required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
survivor_Benefit required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
third_Party_Payment required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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.
trans_837_Control_Num	string or null <= 9 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
transaction_837 required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. 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 Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Admission	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
type_Of_Bill	string or null <= 6 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_Date	string <date-time> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
update_User	string or null <= 20 characters Archive storage table for tracking initial entry of Claim information. Not to be used externally.
vacation required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
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_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_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_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_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_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> Archive storage table for tracking initial entry of Claim information. Not to be used externally.
volume_Override required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.
waiting_Period_Claim required	boolean Archive storage table for tracking initial entry of Claim information. Not to be used externally. Note: This field is marked as NOT NULL in the database and therefore required by the API.

Responses

207

Success

401

Unauthorized

put/claim-prebatches-batch

Request samples

Payload
C#
JavaScript
curl
Java

[{"claimPreBatch_Key": 0,
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjusted_From": 0,
"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",
"batch_Claim": 0,
"batch_Number": 0,
"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,
"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",
"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",
"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_Beneficiary": "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",
"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",
"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_Org_ID": "string",
"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",
"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_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,
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"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_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_Amount20": 0.1,
"value_Amount21": 0.1,
"value_Amount22": 0.1,
"value_Amount23": 0.1,
"value_Amount24": 0.1,
"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"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_Code20": "st",
"value_Code21": "st",
"value_Code22": "st",
"value_Code23": "st",
"value_Code24": "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 PreBatches

Create ClaimPreBatch

header Parameters

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

List ClaimPreBatch

query Parameters

header Parameters

Get ClaimPreBatch

path Parameters

header Parameters

Update ClaimPreBatch

path Parameters

header Parameters

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

Delete ClaimPreBatch

path Parameters

header Parameters

Create or Update Batch ClaimPreBatch

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