Claims

Create Claim

Creates a new Claim

SecurityapiKeyAuth and bearerAuth

Request

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

claim_Number required	integer <int32> Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
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: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjustment_Claim required	boolean Indicates that this claim was part of an Adjustment process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
admin_Amt	number or null <double> No longer in use.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
batch_Claim	integer or null <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed.
batch_Number	integer or null <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported required	boolean Used in custom integration with ceridian tax services. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported_Date	string or null <date-time> Used in custom integration with ceridian tax services.
check_Batch	integer or null <int32> This is the primary indicator if a claim is "Paid". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
check_ID	integer or null <int32> Holds the Check ID this claim was paid under. References Checks.Check_ID.
check_Number	string or null <= 20 characters No longer in use.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
claim_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
claim_Funded_Status	string or null <= 32 characters Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters
condition_Code11	string or null <= 8 characters
condition_Code12	string or null <= 8 characters
condition_Code13	string or null <= 8 characters
condition_Code14	string or null <= 8 characters
condition_Code15	string or null <= 8 characters
condition_Code16	string or null <= 8 characters
condition_Code17	string or null <= 8 characters
condition_Code18	string or null <= 8 characters
condition_Code19	string or null <= 8 characters
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters
condition_Code21	string or null <= 8 characters
condition_Code22	string or null <= 8 characters
condition_Code23	string or null <= 8 characters
condition_Code24	string or null <= 8 characters
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters
condition_Code9	string or null <= 8 characters
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use. Replaced by Note Services.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters
occurrence_Code11	string or null <= 8 characters
occurrence_Code12	string or null <= 8 characters
occurrence_Code13	string or null <= 8 characters
occurrence_Code14	string or null <= 8 characters
occurrence_Code15	string or null <= 8 characters
occurrence_Code16	string or null <= 8 characters
occurrence_Code17	string or null <= 8 characters
occurrence_Code18	string or null <= 8 characters
occurrence_Code19	string or null <= 8 characters
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters
occurrence_Code21	string or null <= 8 characters
occurrence_Code22	string or null <= 8 characters
occurrence_Code23	string or null <= 8 characters
occurrence_Code24	string or null <= 8 characters
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters
occurrence_Code6	string or null <= 8 characters
occurrence_Code7	string or null <= 8 characters
occurrence_Code8	string or null <= 8 characters
occurrence_Code9	string or null <= 8 characters
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time>
occurrence_Date11	string or null <date-time>
occurrence_Date12	string or null <date-time>
occurrence_Date13	string or null <date-time>
occurrence_Date14	string or null <date-time>
occurrence_Date15	string or null <date-time>
occurrence_Date16	string or null <date-time>
occurrence_Date17	string or null <date-time>
occurrence_Date18	string or null <date-time>
occurrence_Date19	string or null <date-time>
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time>
occurrence_Date21	string or null <date-time>
occurrence_Date22	string or null <date-time>
occurrence_Date23	string or null <date-time>
occurrence_Date24	string or null <date-time>
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time>
occurrence_Date6	string or null <date-time>
occurrence_Date7	string or null <date-time>
occurrence_Date8	string or null <date-time>
occurrence_Date9	string or null <date-time>
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters
occurrence_Span_Code11	string or null <= 8 characters
occurrence_Span_Code12	string or null <= 8 characters
occurrence_Span_Code13	string or null <= 8 characters
occurrence_Span_Code14	string or null <= 8 characters
occurrence_Span_Code15	string or null <= 8 characters
occurrence_Span_Code16	string or null <= 8 characters
occurrence_Span_Code17	string or null <= 8 characters
occurrence_Span_Code18	string or null <= 8 characters
occurrence_Span_Code19	string or null <= 8 characters
occurrence_Span_Code2	string or null <= 8 characters
occurrence_Span_Code20	string or null <= 8 characters
occurrence_Span_Code21	string or null <= 8 characters
occurrence_Span_Code22	string or null <= 8 characters
occurrence_Span_Code23	string or null <= 8 characters
occurrence_Span_Code24	string or null <= 8 characters
occurrence_Span_Code3	string or null <= 8 characters
occurrence_Span_Code4	string or null <= 8 characters
occurrence_Span_Code5	string or null <= 8 characters
occurrence_Span_Code6	string or null <= 8 characters
occurrence_Span_Code7	string or null <= 8 characters
occurrence_Span_Code8	string or null <= 8 characters
occurrence_Span_Code9	string or null <= 8 characters
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time>
occurrence_Span_From11	string or null <date-time>
occurrence_Span_From12	string or null <date-time>
occurrence_Span_From13	string or null <date-time>
occurrence_Span_From14	string or null <date-time>
occurrence_Span_From15	string or null <date-time>
occurrence_Span_From16	string or null <date-time>
occurrence_Span_From17	string or null <date-time>
occurrence_Span_From18	string or null <date-time>
occurrence_Span_From19	string or null <date-time>
occurrence_Span_From2	string or null <date-time>
occurrence_Span_From20	string or null <date-time>
occurrence_Span_From21	string or null <date-time>
occurrence_Span_From22	string or null <date-time>
occurrence_Span_From23	string or null <date-time>
occurrence_Span_From24	string or null <date-time>
occurrence_Span_From3	string or null <date-time>
occurrence_Span_From4	string or null <date-time>
occurrence_Span_From5	string or null <date-time>
occurrence_Span_From6	string or null <date-time>
occurrence_Span_From7	string or null <date-time>
occurrence_Span_From8	string or null <date-time>
occurrence_Span_From9	string or null <date-time>
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time>
occurrence_Span_Thru11	string or null <date-time>
occurrence_Span_Thru12	string or null <date-time>
occurrence_Span_Thru13	string or null <date-time>
occurrence_Span_Thru14	string or null <date-time>
occurrence_Span_Thru15	string or null <date-time>
occurrence_Span_Thru16	string or null <date-time>
occurrence_Span_Thru17	string or null <date-time>
occurrence_Span_Thru18	string or null <date-time>
occurrence_Span_Thru19	string or null <date-time>
occurrence_Span_Thru2	string or null <date-time>
occurrence_Span_Thru20	string or null <date-time>
occurrence_Span_Thru21	string or null <date-time>
occurrence_Span_Thru22	string or null <date-time>
occurrence_Span_Thru23	string or null <date-time>
occurrence_Span_Thru24	string or null <date-time>
occurrence_Span_Thru3	string or null <date-time>
occurrence_Span_Thru4	string or null <date-time>
occurrence_Span_Thru5	string or null <date-time>
occurrence_Span_Thru6	string or null <date-time>
occurrence_Span_Thru7	string or null <date-time>
occurrence_Span_Thru8	string or null <date-time>
occurrence_Span_Thru9	string or null <date-time>
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters Holds the relationship of the patient to the insured.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payment_Status	string or null <= 1 characters No longer in use.
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
processed_Date	string or null <date-time> The date the claim was processed from batch.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
received_Date	string or null <date-time> The date this claim was received into the admin system.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Claim required	boolean Indicates that this claim was part of a Refund process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Employment required	boolean Indicates if the claim is work related. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
remittance_Printed	string or null <= 1 characters No longer in use.
reprice_Printed	string or null <= 1 characters No longer in use.
repriced_Network_ID	string or null <= 50 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
total_COB required	number <double> COB total for all claim detail lines Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double>
value_Amount11	number or null <double>
value_Amount12	number or null <double>
value_Amount13	number or null <double>
value_Amount14	number or null <double>
value_Amount15	number or null <double>
value_Amount16	number or null <double>
value_Amount17	number or null <double>
value_Amount18	number or null <double>
value_Amount19	number or null <double>
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double>
value_Amount21	number or null <double>
value_Amount22	number or null <double>
value_Amount23	number or null <double>
value_Amount24	number or null <double>
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double>
value_Amount6	number or null <double>
value_Amount7	number or null <double>
value_Amount8	number or null <double>
value_Amount9	number or null <double>
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters
value_Code11	string or null <= 2 characters
value_Code12	string or null <= 2 characters
value_Code13	string or null <= 2 characters
value_Code14	string or null <= 2 characters
value_Code15	string or null <= 2 characters
value_Code16	string or null <= 2 characters
value_Code17	string or null <= 2 characters
value_Code18	string or null <= 2 characters
value_Code19	string or null <= 2 characters
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters
value_Code21	string or null <= 2 characters
value_Code22	string or null <= 2 characters
value_Code23	string or null <= 2 characters
value_Code24	string or null <= 2 characters
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters
value_Code6	string or null <= 2 characters
value_Code7	string or null <= 2 characters
value_Code8	string or null <= 2 characters
value_Code9	string or null <= 2 characters
void_Claim required	boolean Indicates that this claim was part of a Void process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.

Responses

200

Success

401

Unauthorized

post/claims

Request samples

Payload
C#
JavaScript
curl
Java

{"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"admission_Date": "2019-08-24T14:15:22Z",
"admission_Diagnostic_Code": "string",
"admission_Hour": "string",
"admission_Source": "string",
"admit_Date": "2019-08-24T14:15:22Z",
"advance_Pay": true,
"advice_To_Pay": true,
"all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
"ambulance_DropOff_Address": "string",
"ambulance_DropOff_Address2": "string",
"ambulance_DropOff_City": "string",
"ambulance_DropOff_Location": "string",
"ambulance_DropOff_Org_Name": "string",
"ambulance_DropOff_State": "string",
"ambulance_DropOff_Zip": "string",
"ambulance_PickUp_Address": "string",
"ambulance_PickUp_Address2": "string",
"ambulance_PickUp_City": "string",
"ambulance_PickUp_Location": "string",
"ambulance_PickUp_State": "string",
"ambulance_PickUp_Zip": "string",
"appliance_Placed_Date": "2019-08-24T14:15:22Z",
"assumed_Care_Date": "2019-08-24T14:15:22Z",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"claim_ID": "string",
"claim_Priority": "s",
"claim_Status": "string",
"claim_Type": "string",
"closure_Effective_Date": "2019-08-24T14:15:22Z",
"condition_Code1": "string",
"condition_Code10": "string",
"condition_Code11": "string",
"condition_Code12": "string",
"condition_Code13": "string",
"condition_Code14": "string",
"condition_Code15": "string",
"condition_Code16": "string",
"condition_Code17": "string",
"condition_Code18": "string",
"condition_Code19": "string",
"condition_Code2": "string",
"condition_Code20": "string",
"condition_Code21": "string",
"condition_Code22": "string",
"condition_Code23": "string",
"condition_Code24": "string",
"condition_Code3": "string",
"condition_Code4": "string",
"condition_Code5": "string",
"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
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"diagnostic_Code_Type": "string",
"disability_Date": "2019-08-24T14:15:22Z",
"disability_End_Date": "2019-08-24T14:15:22Z",
"disability_Type": "string",
"disabled_By_Physician": "2019-08-24T14:15:22Z",
"discharge_Date": "2019-08-24T14:15:22Z",
"discharge_Hour": "string",
"division_ID": "string",
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"eCode_Diagnostic_Code9": "string",
"epsdT_Condition_Indicator1": "str",
"epsdT_Condition_Indicator2": "str",
"epsdT_Condition_Indicator3": "str",
"epsdT_Referral_Given": "s",
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code1": "string",
"ex_Code2": "string",
"ex_Code3": "string",
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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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"image_File_Location3": "string",
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"initial_Treatment_Date": "2019-08-24T14:15:22Z",
"job_Type": "st",
"ltD_Effective_Date": "2019-08-24T14:15:22Z",
"ltD_Packet_Date": "2019-08-24T14:15:22Z",
"last_Day_Worked": "2019-08-24T14:15:22Z",
"last_Physician_Warrant_Date": "2019-08-24T14:15:22Z",
"last_Seen_Date": "2019-08-24T14:15:22Z",
"liability_Injury": true,
"mail_To": "s",
"member_Seq": "st",
"months_Of_Treatment": 0,
"network_ID": "string",
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"occupational": true,
"occurrence_Code1": "string",
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"occurrence_Code2": "string",
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"occurrence_Code22": "string",
"occurrence_Code23": "string",
"occurrence_Code24": "string",
"occurrence_Code3": "string",
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"occurrence_Code5": "string",
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"occurrence_Code8": "string",
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"occurrence_Date1": "2019-08-24T14:15:22Z",
"occurrence_Date10": "2019-08-24T14:15:22Z",
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"occurrence_Date14": "2019-08-24T14:15:22Z",
"occurrence_Date15": "2019-08-24T14:15:22Z",
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"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",
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"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",
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"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",
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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",
"orthodontics_Treatment": true,
"other_Insurance": true,
"other_Procedure_Code1": "string",
"other_Procedure_Code10": "string",
"other_Procedure_Code11": "string",
"other_Procedure_Code12": "string",
"other_Procedure_Code13": "string",
"other_Procedure_Code14": "string",
"other_Procedure_Code15": "string",
"other_Procedure_Code16": "string",
"other_Procedure_Code17": "string",
"other_Procedure_Code18": "string",
"other_Procedure_Code19": "string",
"other_Procedure_Code2": "string",
"other_Procedure_Code20": "string",
"other_Procedure_Code21": "string",
"other_Procedure_Code22": "string",
"other_Procedure_Code23": "string",
"other_Procedure_Code3": "string",
"other_Procedure_Code4": "string",
"other_Procedure_Code5": "string",
"other_Procedure_Code6": "string",
"other_Procedure_Code7": "string",
"other_Procedure_Code8": "string",
"other_Procedure_Code9": "string",
"other_Procedure_Date1": "2019-08-24T14:15:22Z",
"other_Procedure_Date10": "2019-08-24T14:15:22Z",
"other_Procedure_Date11": "2019-08-24T14:15:22Z",
"other_Procedure_Date12": "2019-08-24T14:15:22Z",
"other_Procedure_Date13": "2019-08-24T14:15:22Z",
"other_Procedure_Date14": "2019-08-24T14:15:22Z",
"other_Procedure_Date15": "2019-08-24T14:15:22Z",
"other_Procedure_Date16": "2019-08-24T14:15:22Z",
"other_Procedure_Date17": "2019-08-24T14:15:22Z",
"other_Procedure_Date18": "2019-08-24T14:15:22Z",
"other_Procedure_Date19": "2019-08-24T14:15:22Z",
"other_Procedure_Date2": "2019-08-24T14:15:22Z",
"other_Procedure_Date20": "2019-08-24T14:15:22Z",
"other_Procedure_Date21": "2019-08-24T14:15:22Z",
"other_Procedure_Date22": "2019-08-24T14:15:22Z",
"other_Procedure_Date23": "2019-08-24T14:15:22Z",
"other_Procedure_Date3": "2019-08-24T14:15:22Z",
"other_Procedure_Date4": "2019-08-24T14:15:22Z",
"other_Procedure_Date5": "2019-08-24T14:15:22Z",
"other_Procedure_Date6": "2019-08-24T14:15:22Z",
"other_Procedure_Date7": "2019-08-24T14:15:22Z",
"other_Procedure_Date8": "2019-08-24T14:15:22Z",
"other_Procedure_Date9": "2019-08-24T14:15:22Z",
"override": "s",
"override_Date": "2019-08-24T14:15:22Z",
"override_Network_ID": true,
"override_Payor_Account": true,
"override_User": "string",
"partial_Disability": true,
"patient_Account": "string",
"patient_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"payor_Claim_Control_Number": "string",
"payor_ID": "string",
"physician_Return_To_Work": "2019-08-24T14:15:22Z",
"place_Of_Service": "strin",
"plan_ID": "string",
"plan_Provider": "s",
"plan_Year": "string",
"present_On_Admission1": "s",
"present_On_Admission10": "s",
"present_On_Admission11": "s",
"present_On_Admission12": "s",
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"present_On_Admission9": "s",
"present_On_Admission_ECode1": "s",
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"present_On_Admission_ECode12": "s",
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"pricing_Method": "string",
"pricing_Org_ID": "string",
"pricing_Rate": 0.1,
"principal_Procedure_Code": "string",
"principal_Procedure_Date": "2019-08-24T14:15:22Z",
"prior_Placement_Date": "2019-08-24T14:15:22Z",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"refund_Claim": true,
"refund_Funding_Key": 0,
"related_To_Accident": true,
"related_To_Another_Party": true,
"related_To_Auto": true,
"related_To_Employment": true,
"relinquished_Care_Date": "2019-08-24T14:15:22Z",
"remittance_Printed": "s",
"reprice_Printed": "s",
"repriced_Network_ID": "string",
"return_To_Work_Date": "2019-08-24T14:15:22Z",
"salary_Continuation": true,
"send_Check_To": "s",
"sender_ID": "string",
"service_Date": "2019-08-24T14:15:22Z",
"service_Thru": "2019-08-24T14:15:22Z",
"sick_Time": true,
"statement_From_Date": "2019-08-24T14:15:22Z",
"statement_Thru_Date": "2019-08-24T14:15:22Z",
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"trading_Partner_Key": 0,
"trans_837_Control_Num": "string",
"transaction_837": true,
"transaction_837_ID": "string",
"type_Of_Admission": "string",
"type_Of_Bill": "string",
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string",
"vacation": true,
"value_Amount1": 0.1,
"value_Amount10": 0.1,
"value_Amount11": 0.1,
"value_Amount12": 0.1,
"value_Amount13": 0.1,
"value_Amount14": 0.1,
"value_Amount15": 0.1,
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"value_Amount17": 0.1,
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"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"value_Code1": "st",
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"value_Code11": "st",
"value_Code12": "st",
"value_Code13": "st",
"value_Code14": "st",
"value_Code15": "st",
"value_Code16": "st",
"value_Code17": "st",
"value_Code18": "st",
"value_Code19": "st",
"value_Code2": "st",
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"value_Code5": "st",
"value_Code6": "st",
"value_Code7": "st",
"value_Code8": "st",
"value_Code9": "st",
"void_Claim": true,
"volume_Override": true,
"waiting_Period_Claim": true
}

Response samples

{"data": {"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"admission_Date": "2019-08-24T14:15:22Z",
"admission_Diagnostic_Code": "string",
"admission_Hour": "string",
"admission_Source": "string",
"admit_Date": "2019-08-24T14:15:22Z",
"advance_Pay": true,
"advice_To_Pay": true,
"all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
"ambulance_DropOff_Address": "string",
"ambulance_DropOff_Address2": "string",
"ambulance_DropOff_City": "string",
"ambulance_DropOff_Location": "string",
"ambulance_DropOff_Org_Name": "string",
"ambulance_DropOff_State": "string",
"ambulance_DropOff_Zip": "string",
"ambulance_PickUp_Address": "string",
"ambulance_PickUp_Address2": "string",
"ambulance_PickUp_City": "string",
"ambulance_PickUp_Location": "string",
"ambulance_PickUp_State": "string",
"ambulance_PickUp_Zip": "string",
"appliance_Placed_Date": "2019-08-24T14:15:22Z",
"assumed_Care_Date": "2019-08-24T14:15:22Z",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"claim_ID": "string",
"claim_Priority": "s",
"claim_Status": "string",
"claim_Type": "string",
"closure_Effective_Date": "2019-08-24T14:15:22Z",
"condition_Code1": "string",
"condition_Code10": "string",
"condition_Code11": "string",
"condition_Code12": "string",
"condition_Code13": "string",
"condition_Code14": "string",
"condition_Code15": "string",
"condition_Code16": "string",
"condition_Code17": "string",
"condition_Code18": "string",
"condition_Code19": "string",
"condition_Code2": "string",
"condition_Code20": "string",
"condition_Code21": "string",
"condition_Code22": "string",
"condition_Code23": "string",
"condition_Code24": "string",
"condition_Code3": "string",
"condition_Code4": "string",
"condition_Code5": "string",
"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
"diagnostic_Code12": "string",
"diagnostic_Code13": "string",
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"diagnostic_Code15": "string",
"diagnostic_Code16": "string",
"diagnostic_Code17": "string",
"diagnostic_Code18": "string",
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"diagnostic_Code21": "string",
"diagnostic_Code22": "string",
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"diagnostic_Code3": "string",
"diagnostic_Code4": "string",
"diagnostic_Code5": "string",
"diagnostic_Code6": "string",
"diagnostic_Code7": "string",
"diagnostic_Code8": "string",
"diagnostic_Code9": "string",
"diagnostic_Code_Type": "string",
"disability_Date": "2019-08-24T14:15:22Z",
"disability_End_Date": "2019-08-24T14:15:22Z",
"disability_Type": "string",
"disabled_By_Physician": "2019-08-24T14:15:22Z",
"discharge_Date": "2019-08-24T14:15:22Z",
"discharge_Hour": "string",
"division_ID": "string",
"eCode_Diagnostic_Code": "string",
"eCode_Diagnostic_Code10": "string",
"eCode_Diagnostic_Code11": "string",
"eCode_Diagnostic_Code12": "string",
"eCode_Diagnostic_Code2": "string",
"eCode_Diagnostic_Code3": "string",
"eCode_Diagnostic_Code4": "string",
"eCode_Diagnostic_Code5": "string",
"eCode_Diagnostic_Code6": "string",
"eCode_Diagnostic_Code7": "string",
"eCode_Diagnostic_Code8": "string",
"eCode_Diagnostic_Code9": "string",
"epsdT_Condition_Indicator1": "str",
"epsdT_Condition_Indicator2": "str",
"epsdT_Condition_Indicator3": "str",
"epsdT_Referral_Given": "s",
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code1": "string",
"ex_Code2": "string",
"ex_Code3": "string",
"ex_Code4": "string",
"exhaust_Date": "2019-08-24T14:15:22Z",
"expected_Typical_Duration": 0,
"ficA_Percent": 0.1,
"federal_Withheld": 0.1,
"filing_Indicator": "st",
"followUp_Date": "2019-08-24T14:15:22Z",
"followUp_Ex_Code": "string",
"freq_Code": "string",
"group_ID": "string",
"hearing_Vision_RX_Date": "2019-08-24T14:15:22Z",
"image_File_Location": "string",
"image_File_Location2": "string",
"image_File_Location3": "string",
"image_File_Location4": "string",
"initial_Treatment_Date": "2019-08-24T14:15:22Z",
"job_Type": "st",
"ltD_Effective_Date": "2019-08-24T14:15:22Z",
"ltD_Packet_Date": "2019-08-24T14:15:22Z",
"last_Day_Worked": "2019-08-24T14:15:22Z",
"last_Physician_Warrant_Date": "2019-08-24T14:15:22Z",
"last_Seen_Date": "2019-08-24T14:15:22Z",
"liability_Injury": true,
"mail_To": "s",
"member_Seq": "st",
"months_Of_Treatment": 0,
"network_ID": "string",
"note": "string",
"occupational": true,
"occurrence_Code1": "string",
"occurrence_Code10": "string",
"occurrence_Code11": "string",
"occurrence_Code12": "string",
"occurrence_Code13": "string",
"occurrence_Code14": "string",
"occurrence_Code15": "string",
"occurrence_Code16": "string",
"occurrence_Code17": "string",
"occurrence_Code18": "string",
"occurrence_Code19": "string",
"occurrence_Code2": "string",
"occurrence_Code20": "string",
"occurrence_Code21": "string",
"occurrence_Code22": "string",
"occurrence_Code23": "string",
"occurrence_Code24": "string",
"occurrence_Code3": "string",
"occurrence_Code4": "string",
"occurrence_Code5": "string",
"occurrence_Code6": "string",
"occurrence_Code7": "string",
"occurrence_Code8": "string",
"occurrence_Code9": "string",
"occurrence_Date1": "2019-08-24T14:15:22Z",
"occurrence_Date10": "2019-08-24T14:15:22Z",
"occurrence_Date11": "2019-08-24T14:15:22Z",
"occurrence_Date12": "2019-08-24T14:15:22Z",
"occurrence_Date13": "2019-08-24T14:15:22Z",
"occurrence_Date14": "2019-08-24T14:15:22Z",
"occurrence_Date15": "2019-08-24T14:15:22Z",
"occurrence_Date16": "2019-08-24T14:15:22Z",
"occurrence_Date17": "2019-08-24T14:15:22Z",
"occurrence_Date18": "2019-08-24T14:15:22Z",
"occurrence_Date19": "2019-08-24T14:15:22Z",
"occurrence_Date2": "2019-08-24T14:15:22Z",
"occurrence_Date20": "2019-08-24T14:15:22Z",
"occurrence_Date21": "2019-08-24T14:15:22Z",
"occurrence_Date22": "2019-08-24T14:15:22Z",
"occurrence_Date23": "2019-08-24T14:15:22Z",
"occurrence_Date24": "2019-08-24T14:15:22Z",
"occurrence_Date3": "2019-08-24T14:15:22Z",
"occurrence_Date4": "2019-08-24T14:15:22Z",
"occurrence_Date5": "2019-08-24T14:15:22Z",
"occurrence_Date6": "2019-08-24T14:15:22Z",
"occurrence_Date7": "2019-08-24T14:15:22Z",
"occurrence_Date8": "2019-08-24T14:15:22Z",
"occurrence_Date9": "2019-08-24T14:15:22Z",
"occurrence_Span_Code": "string",
"occurrence_Span_Code10": "string",
"occurrence_Span_Code11": "string",
"occurrence_Span_Code12": "string",
"occurrence_Span_Code13": "string",
"occurrence_Span_Code14": "string",
"occurrence_Span_Code15": "string",
"occurrence_Span_Code16": "string",
"occurrence_Span_Code17": "string",
"occurrence_Span_Code18": "string",
"occurrence_Span_Code19": "string",
"occurrence_Span_Code2": "string",
"occurrence_Span_Code20": "string",
"occurrence_Span_Code21": "string",
"occurrence_Span_Code22": "string",
"occurrence_Span_Code23": "string",
"occurrence_Span_Code24": "string",
"occurrence_Span_Code3": "string",
"occurrence_Span_Code4": "string",
"occurrence_Span_Code5": "string",
"occurrence_Span_Code6": "string",
"occurrence_Span_Code7": "string",
"occurrence_Span_Code8": "string",
"occurrence_Span_Code9": "string",
"occurrence_Span_From": "2019-08-24T14:15:22Z",
"occurrence_Span_From10": "2019-08-24T14:15:22Z",
"occurrence_Span_From11": "2019-08-24T14:15:22Z",
"occurrence_Span_From12": "2019-08-24T14:15:22Z",
"occurrence_Span_From13": "2019-08-24T14:15:22Z",
"occurrence_Span_From14": "2019-08-24T14:15:22Z",
"occurrence_Span_From15": "2019-08-24T14:15:22Z",
"occurrence_Span_From16": "2019-08-24T14:15:22Z",
"occurrence_Span_From17": "2019-08-24T14:15:22Z",
"occurrence_Span_From18": "2019-08-24T14:15:22Z",
"occurrence_Span_From19": "2019-08-24T14:15:22Z",
"occurrence_Span_From2": "2019-08-24T14:15:22Z",
"occurrence_Span_From20": "2019-08-24T14:15:22Z",
"occurrence_Span_From21": "2019-08-24T14:15:22Z",
"occurrence_Span_From22": "2019-08-24T14:15:22Z",
"occurrence_Span_From23": "2019-08-24T14:15:22Z",
"occurrence_Span_From24": "2019-08-24T14:15:22Z",
"occurrence_Span_From3": "2019-08-24T14:15:22Z",
"occurrence_Span_From4": "2019-08-24T14:15:22Z",
"occurrence_Span_From5": "2019-08-24T14:15:22Z",
"occurrence_Span_From6": "2019-08-24T14:15:22Z",
"occurrence_Span_From7": "2019-08-24T14:15:22Z",
"occurrence_Span_From8": "2019-08-24T14:15:22Z",
"occurrence_Span_From9": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru10": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru11": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru12": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru13": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru14": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru15": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru16": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru17": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru18": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru19": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru2": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru20": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru21": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru22": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru23": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru24": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru3": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru4": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru5": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru6": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru7": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru8": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru9": "2019-08-24T14:15:22Z",
"onset_Similar_Illness_Date": "2019-08-24T14:15:22Z",
"orthodontics_Treatment": true,
"other_Insurance": true,
"other_Procedure_Code1": "string",
"other_Procedure_Code10": "string",
"other_Procedure_Code11": "string",
"other_Procedure_Code12": "string",
"other_Procedure_Code13": "string",
"other_Procedure_Code14": "string",
"other_Procedure_Code15": "string",
"other_Procedure_Code16": "string",
"other_Procedure_Code17": "string",
"other_Procedure_Code18": "string",
"other_Procedure_Code19": "string",
"other_Procedure_Code2": "string",
"other_Procedure_Code20": "string",
"other_Procedure_Code21": "string",
"other_Procedure_Code22": "string",
"other_Procedure_Code23": "string",
"other_Procedure_Code3": "string",
"other_Procedure_Code4": "string",
"other_Procedure_Code5": "string",
"other_Procedure_Code6": "string",
"other_Procedure_Code7": "string",
"other_Procedure_Code8": "string",
"other_Procedure_Code9": "string",
"other_Procedure_Date1": "2019-08-24T14:15:22Z",
"other_Procedure_Date10": "2019-08-24T14:15:22Z",
"other_Procedure_Date11": "2019-08-24T14:15:22Z",
"other_Procedure_Date12": "2019-08-24T14:15:22Z",
"other_Procedure_Date13": "2019-08-24T14:15:22Z",
"other_Procedure_Date14": "2019-08-24T14:15:22Z",
"other_Procedure_Date15": "2019-08-24T14:15:22Z",
"other_Procedure_Date16": "2019-08-24T14:15:22Z",
"other_Procedure_Date17": "2019-08-24T14:15:22Z",
"other_Procedure_Date18": "2019-08-24T14:15:22Z",
"other_Procedure_Date19": "2019-08-24T14:15:22Z",
"other_Procedure_Date2": "2019-08-24T14:15:22Z",
"other_Procedure_Date20": "2019-08-24T14:15:22Z",
"other_Procedure_Date21": "2019-08-24T14:15:22Z",
"other_Procedure_Date22": "2019-08-24T14:15:22Z",
"other_Procedure_Date23": "2019-08-24T14:15:22Z",
"other_Procedure_Date3": "2019-08-24T14:15:22Z",
"other_Procedure_Date4": "2019-08-24T14:15:22Z",
"other_Procedure_Date5": "2019-08-24T14:15:22Z",
"other_Procedure_Date6": "2019-08-24T14:15:22Z",
"other_Procedure_Date7": "2019-08-24T14:15:22Z",
"other_Procedure_Date8": "2019-08-24T14:15:22Z",
"other_Procedure_Date9": "2019-08-24T14:15:22Z",
"override": "s",
"override_Date": "2019-08-24T14:15:22Z",
"override_Network_ID": true,
"override_Payor_Account": true,
"override_User": "string",
"partial_Disability": true,
"patient_Account": "string",
"patient_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"payor_Claim_Control_Number": "string",
"payor_ID": "string",
"physician_Return_To_Work": "2019-08-24T14:15:22Z",
"place_Of_Service": "strin",
"plan_ID": "string",
"plan_Provider": "s",
"plan_Year": "string",
"present_On_Admission1": "s",
"present_On_Admission10": "s",
"present_On_Admission11": "s",
"present_On_Admission12": "s",
"present_On_Admission13": "s",
"present_On_Admission14": "s",
"present_On_Admission15": "s",
"present_On_Admission16": "s",
"present_On_Admission17": "s",
"present_On_Admission18": "s",
"present_On_Admission19": "s",
"present_On_Admission2": "s",
"present_On_Admission20": "s",
"present_On_Admission21": "s",
"present_On_Admission22": "s",
"present_On_Admission23": "s",
"present_On_Admission24": "s",
"present_On_Admission3": "s",
"present_On_Admission4": "s",
"present_On_Admission5": "s",
"present_On_Admission6": "s",
"present_On_Admission7": "s",
"present_On_Admission8": "s",
"present_On_Admission9": "s",
"present_On_Admission_ECode1": "s",
"present_On_Admission_ECode10": "s",
"present_On_Admission_ECode11": "s",
"present_On_Admission_ECode12": "s",
"present_On_Admission_ECode2": "s",
"present_On_Admission_ECode3": "s",
"present_On_Admission_ECode4": "s",
"present_On_Admission_ECode5": "s",
"present_On_Admission_ECode6": "s",
"present_On_Admission_ECode7": "s",
"present_On_Admission_ECode8": "s",
"present_On_Admission_ECode9": "s",
"pricing_Method": "string",
"pricing_Org_ID": "string",
"pricing_Rate": 0.1,
"principal_Procedure_Code": "string",
"principal_Procedure_Date": "2019-08-24T14:15:22Z",
"prior_Placement_Date": "2019-08-24T14:15:22Z",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"refund_Claim": true,
"refund_Funding_Key": 0,
"related_To_Accident": true,
"related_To_Another_Party": true,
"related_To_Auto": true,
"related_To_Employment": true,
"relinquished_Care_Date": "2019-08-24T14:15:22Z",
"remittance_Printed": "s",
"reprice_Printed": "s",
"repriced_Network_ID": "string",
"return_To_Work_Date": "2019-08-24T14:15:22Z",
"salary_Continuation": true,
"send_Check_To": "s",
"sender_ID": "string",
"service_Date": "2019-08-24T14:15:22Z",
"service_Thru": "2019-08-24T14:15:22Z",
"sick_Time": true,
"statement_From_Date": "2019-08-24T14:15:22Z",
"statement_Thru_Date": "2019-08-24T14:15:22Z",
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"trading_Partner_Key": 0,
"trans_837_Control_Num": "string",
"transaction_837": true,
"transaction_837_ID": "string",
"type_Of_Admission": "string",
"type_Of_Bill": "string",
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string",
"vacation": true,
"value_Amount1": 0.1,
"value_Amount10": 0.1,
"value_Amount11": 0.1,
"value_Amount12": 0.1,
"value_Amount13": 0.1,
"value_Amount14": 0.1,
"value_Amount15": 0.1,
"value_Amount16": 0.1,
"value_Amount17": 0.1,
"value_Amount18": 0.1,
"value_Amount19": 0.1,
"value_Amount2": 0.1,
"value_Amount20": 0.1,
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"value_Amount22": 0.1,
"value_Amount23": 0.1,
"value_Amount24": 0.1,
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"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"value_Code1": "st",
"value_Code10": "st",
"value_Code11": "st",
"value_Code12": "st",
"value_Code13": "st",
"value_Code14": "st",
"value_Code15": "st",
"value_Code16": "st",
"value_Code17": "st",
"value_Code18": "st",
"value_Code19": "st",
"value_Code2": "st",
"value_Code20": "st",
"value_Code21": "st",
"value_Code22": "st",
"value_Code23": "st",
"value_Code24": "st",
"value_Code3": "st",
"value_Code4": "st",
"value_Code5": "st",
"value_Code6": "st",
"value_Code7": "st",
"value_Code8": "st",
"value_Code9": "st",
"void_Claim": true,
"volume_Override": true,
"waiting_Period_Claim": true
},
"error": {"detail": "string",
"instance": "string",
"status": 0,
"title": "string",
"type": "string"
},
"debug": {"activityID": "string"
}
}

Get Claim

Gets Claim

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

claimNumber

required

integer <int32>

Claim Number

header Parameters

vbasoftware-database

required

string

Target database

Responses

200

Success

401

Unauthorized

get/claims/{claimNumber}

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Update Claim

Updates a specific Claim.

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

claimNumber

required

integer <int32>

Claim Number

header Parameters

vbasoftware-database

required

string

Target database

Request Body schema:
application/json
required

claim_Number required	integer <int32> Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
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: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjustment_Claim required	boolean Indicates that this claim was part of an Adjustment process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
admin_Amt	number or null <double> No longer in use.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
batch_Claim	integer or null <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed.
batch_Number	integer or null <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported required	boolean Used in custom integration with ceridian tax services. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported_Date	string or null <date-time> Used in custom integration with ceridian tax services.
check_Batch	integer or null <int32> This is the primary indicator if a claim is "Paid". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
check_ID	integer or null <int32> Holds the Check ID this claim was paid under. References Checks.Check_ID.
check_Number	string or null <= 20 characters No longer in use.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
claim_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
claim_Funded_Status	string or null <= 32 characters Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters
condition_Code11	string or null <= 8 characters
condition_Code12	string or null <= 8 characters
condition_Code13	string or null <= 8 characters
condition_Code14	string or null <= 8 characters
condition_Code15	string or null <= 8 characters
condition_Code16	string or null <= 8 characters
condition_Code17	string or null <= 8 characters
condition_Code18	string or null <= 8 characters
condition_Code19	string or null <= 8 characters
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters
condition_Code21	string or null <= 8 characters
condition_Code22	string or null <= 8 characters
condition_Code23	string or null <= 8 characters
condition_Code24	string or null <= 8 characters
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters
condition_Code9	string or null <= 8 characters
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use. Replaced by Note Services.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters
occurrence_Code11	string or null <= 8 characters
occurrence_Code12	string or null <= 8 characters
occurrence_Code13	string or null <= 8 characters
occurrence_Code14	string or null <= 8 characters
occurrence_Code15	string or null <= 8 characters
occurrence_Code16	string or null <= 8 characters
occurrence_Code17	string or null <= 8 characters
occurrence_Code18	string or null <= 8 characters
occurrence_Code19	string or null <= 8 characters
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters
occurrence_Code21	string or null <= 8 characters
occurrence_Code22	string or null <= 8 characters
occurrence_Code23	string or null <= 8 characters
occurrence_Code24	string or null <= 8 characters
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters
occurrence_Code6	string or null <= 8 characters
occurrence_Code7	string or null <= 8 characters
occurrence_Code8	string or null <= 8 characters
occurrence_Code9	string or null <= 8 characters
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time>
occurrence_Date11	string or null <date-time>
occurrence_Date12	string or null <date-time>
occurrence_Date13	string or null <date-time>
occurrence_Date14	string or null <date-time>
occurrence_Date15	string or null <date-time>
occurrence_Date16	string or null <date-time>
occurrence_Date17	string or null <date-time>
occurrence_Date18	string or null <date-time>
occurrence_Date19	string or null <date-time>
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time>
occurrence_Date21	string or null <date-time>
occurrence_Date22	string or null <date-time>
occurrence_Date23	string or null <date-time>
occurrence_Date24	string or null <date-time>
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time>
occurrence_Date6	string or null <date-time>
occurrence_Date7	string or null <date-time>
occurrence_Date8	string or null <date-time>
occurrence_Date9	string or null <date-time>
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters
occurrence_Span_Code11	string or null <= 8 characters
occurrence_Span_Code12	string or null <= 8 characters
occurrence_Span_Code13	string or null <= 8 characters
occurrence_Span_Code14	string or null <= 8 characters
occurrence_Span_Code15	string or null <= 8 characters
occurrence_Span_Code16	string or null <= 8 characters
occurrence_Span_Code17	string or null <= 8 characters
occurrence_Span_Code18	string or null <= 8 characters
occurrence_Span_Code19	string or null <= 8 characters
occurrence_Span_Code2	string or null <= 8 characters
occurrence_Span_Code20	string or null <= 8 characters
occurrence_Span_Code21	string or null <= 8 characters
occurrence_Span_Code22	string or null <= 8 characters
occurrence_Span_Code23	string or null <= 8 characters
occurrence_Span_Code24	string or null <= 8 characters
occurrence_Span_Code3	string or null <= 8 characters
occurrence_Span_Code4	string or null <= 8 characters
occurrence_Span_Code5	string or null <= 8 characters
occurrence_Span_Code6	string or null <= 8 characters
occurrence_Span_Code7	string or null <= 8 characters
occurrence_Span_Code8	string or null <= 8 characters
occurrence_Span_Code9	string or null <= 8 characters
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time>
occurrence_Span_From11	string or null <date-time>
occurrence_Span_From12	string or null <date-time>
occurrence_Span_From13	string or null <date-time>
occurrence_Span_From14	string or null <date-time>
occurrence_Span_From15	string or null <date-time>
occurrence_Span_From16	string or null <date-time>
occurrence_Span_From17	string or null <date-time>
occurrence_Span_From18	string or null <date-time>
occurrence_Span_From19	string or null <date-time>
occurrence_Span_From2	string or null <date-time>
occurrence_Span_From20	string or null <date-time>
occurrence_Span_From21	string or null <date-time>
occurrence_Span_From22	string or null <date-time>
occurrence_Span_From23	string or null <date-time>
occurrence_Span_From24	string or null <date-time>
occurrence_Span_From3	string or null <date-time>
occurrence_Span_From4	string or null <date-time>
occurrence_Span_From5	string or null <date-time>
occurrence_Span_From6	string or null <date-time>
occurrence_Span_From7	string or null <date-time>
occurrence_Span_From8	string or null <date-time>
occurrence_Span_From9	string or null <date-time>
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time>
occurrence_Span_Thru11	string or null <date-time>
occurrence_Span_Thru12	string or null <date-time>
occurrence_Span_Thru13	string or null <date-time>
occurrence_Span_Thru14	string or null <date-time>
occurrence_Span_Thru15	string or null <date-time>
occurrence_Span_Thru16	string or null <date-time>
occurrence_Span_Thru17	string or null <date-time>
occurrence_Span_Thru18	string or null <date-time>
occurrence_Span_Thru19	string or null <date-time>
occurrence_Span_Thru2	string or null <date-time>
occurrence_Span_Thru20	string or null <date-time>
occurrence_Span_Thru21	string or null <date-time>
occurrence_Span_Thru22	string or null <date-time>
occurrence_Span_Thru23	string or null <date-time>
occurrence_Span_Thru24	string or null <date-time>
occurrence_Span_Thru3	string or null <date-time>
occurrence_Span_Thru4	string or null <date-time>
occurrence_Span_Thru5	string or null <date-time>
occurrence_Span_Thru6	string or null <date-time>
occurrence_Span_Thru7	string or null <date-time>
occurrence_Span_Thru8	string or null <date-time>
occurrence_Span_Thru9	string or null <date-time>
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters Holds the relationship of the patient to the insured.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payment_Status	string or null <= 1 characters No longer in use.
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
processed_Date	string or null <date-time> The date the claim was processed from batch.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
received_Date	string or null <date-time> The date this claim was received into the admin system.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Claim required	boolean Indicates that this claim was part of a Refund process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Employment required	boolean Indicates if the claim is work related. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
remittance_Printed	string or null <= 1 characters No longer in use.
reprice_Printed	string or null <= 1 characters No longer in use.
repriced_Network_ID	string or null <= 50 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
total_COB required	number <double> COB total for all claim detail lines Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double>
value_Amount11	number or null <double>
value_Amount12	number or null <double>
value_Amount13	number or null <double>
value_Amount14	number or null <double>
value_Amount15	number or null <double>
value_Amount16	number or null <double>
value_Amount17	number or null <double>
value_Amount18	number or null <double>
value_Amount19	number or null <double>
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double>
value_Amount21	number or null <double>
value_Amount22	number or null <double>
value_Amount23	number or null <double>
value_Amount24	number or null <double>
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double>
value_Amount6	number or null <double>
value_Amount7	number or null <double>
value_Amount8	number or null <double>
value_Amount9	number or null <double>
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters
value_Code11	string or null <= 2 characters
value_Code12	string or null <= 2 characters
value_Code13	string or null <= 2 characters
value_Code14	string or null <= 2 characters
value_Code15	string or null <= 2 characters
value_Code16	string or null <= 2 characters
value_Code17	string or null <= 2 characters
value_Code18	string or null <= 2 characters
value_Code19	string or null <= 2 characters
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters
value_Code21	string or null <= 2 characters
value_Code22	string or null <= 2 characters
value_Code23	string or null <= 2 characters
value_Code24	string or null <= 2 characters
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters
value_Code6	string or null <= 2 characters
value_Code7	string or null <= 2 characters
value_Code8	string or null <= 2 characters
value_Code9	string or null <= 2 characters
void_Claim required	boolean Indicates that this claim was part of a Void process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.

Responses

200

Success

401

Unauthorized

put/claims/{claimNumber}

Request samples

Payload
C#
JavaScript
curl
Java

{"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"admission_Date": "2019-08-24T14:15:22Z",
"admission_Diagnostic_Code": "string",
"admission_Hour": "string",
"admission_Source": "string",
"admit_Date": "2019-08-24T14:15:22Z",
"advance_Pay": true,
"advice_To_Pay": true,
"all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
"ambulance_DropOff_Address": "string",
"ambulance_DropOff_Address2": "string",
"ambulance_DropOff_City": "string",
"ambulance_DropOff_Location": "string",
"ambulance_DropOff_Org_Name": "string",
"ambulance_DropOff_State": "string",
"ambulance_DropOff_Zip": "string",
"ambulance_PickUp_Address": "string",
"ambulance_PickUp_Address2": "string",
"ambulance_PickUp_City": "string",
"ambulance_PickUp_Location": "string",
"ambulance_PickUp_State": "string",
"ambulance_PickUp_Zip": "string",
"appliance_Placed_Date": "2019-08-24T14:15:22Z",
"assumed_Care_Date": "2019-08-24T14:15:22Z",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"claim_ID": "string",
"claim_Priority": "s",
"claim_Status": "string",
"claim_Type": "string",
"closure_Effective_Date": "2019-08-24T14:15:22Z",
"condition_Code1": "string",
"condition_Code10": "string",
"condition_Code11": "string",
"condition_Code12": "string",
"condition_Code13": "string",
"condition_Code14": "string",
"condition_Code15": "string",
"condition_Code16": "string",
"condition_Code17": "string",
"condition_Code18": "string",
"condition_Code19": "string",
"condition_Code2": "string",
"condition_Code20": "string",
"condition_Code21": "string",
"condition_Code22": "string",
"condition_Code23": "string",
"condition_Code24": "string",
"condition_Code3": "string",
"condition_Code4": "string",
"condition_Code5": "string",
"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
"diagnostic_Code12": "string",
"diagnostic_Code13": "string",
"diagnostic_Code14": "string",
"diagnostic_Code15": "string",
"diagnostic_Code16": "string",
"diagnostic_Code17": "string",
"diagnostic_Code18": "string",
"diagnostic_Code19": "string",
"diagnostic_Code2": "string",
"diagnostic_Code20": "string",
"diagnostic_Code21": "string",
"diagnostic_Code22": "string",
"diagnostic_Code23": "string",
"diagnostic_Code24": "string",
"diagnostic_Code3": "string",
"diagnostic_Code4": "string",
"diagnostic_Code5": "string",
"diagnostic_Code6": "string",
"diagnostic_Code7": "string",
"diagnostic_Code8": "string",
"diagnostic_Code9": "string",
"diagnostic_Code_Type": "string",
"disability_Date": "2019-08-24T14:15:22Z",
"disability_End_Date": "2019-08-24T14:15:22Z",
"disability_Type": "string",
"disabled_By_Physician": "2019-08-24T14:15:22Z",
"discharge_Date": "2019-08-24T14:15:22Z",
"discharge_Hour": "string",
"division_ID": "string",
"eCode_Diagnostic_Code": "string",
"eCode_Diagnostic_Code10": "string",
"eCode_Diagnostic_Code11": "string",
"eCode_Diagnostic_Code12": "string",
"eCode_Diagnostic_Code2": "string",
"eCode_Diagnostic_Code3": "string",
"eCode_Diagnostic_Code4": "string",
"eCode_Diagnostic_Code5": "string",
"eCode_Diagnostic_Code6": "string",
"eCode_Diagnostic_Code7": "string",
"eCode_Diagnostic_Code8": "string",
"eCode_Diagnostic_Code9": "string",
"epsdT_Condition_Indicator1": "str",
"epsdT_Condition_Indicator2": "str",
"epsdT_Condition_Indicator3": "str",
"epsdT_Referral_Given": "s",
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code1": "string",
"ex_Code2": "string",
"ex_Code3": "string",
"ex_Code4": "string",
"exhaust_Date": "2019-08-24T14:15:22Z",
"expected_Typical_Duration": 0,
"ficA_Percent": 0.1,
"federal_Withheld": 0.1,
"filing_Indicator": "st",
"followUp_Date": "2019-08-24T14:15:22Z",
"followUp_Ex_Code": "string",
"freq_Code": "string",
"group_ID": "string",
"hearing_Vision_RX_Date": "2019-08-24T14:15:22Z",
"image_File_Location": "string",
"image_File_Location2": "string",
"image_File_Location3": "string",
"image_File_Location4": "string",
"initial_Treatment_Date": "2019-08-24T14:15:22Z",
"job_Type": "st",
"ltD_Effective_Date": "2019-08-24T14:15:22Z",
"ltD_Packet_Date": "2019-08-24T14:15:22Z",
"last_Day_Worked": "2019-08-24T14:15:22Z",
"last_Physician_Warrant_Date": "2019-08-24T14:15:22Z",
"last_Seen_Date": "2019-08-24T14:15:22Z",
"liability_Injury": true,
"mail_To": "s",
"member_Seq": "st",
"months_Of_Treatment": 0,
"network_ID": "string",
"note": "string",
"occupational": true,
"occurrence_Code1": "string",
"occurrence_Code10": "string",
"occurrence_Code11": "string",
"occurrence_Code12": "string",
"occurrence_Code13": "string",
"occurrence_Code14": "string",
"occurrence_Code15": "string",
"occurrence_Code16": "string",
"occurrence_Code17": "string",
"occurrence_Code18": "string",
"occurrence_Code19": "string",
"occurrence_Code2": "string",
"occurrence_Code20": "string",
"occurrence_Code21": "string",
"occurrence_Code22": "string",
"occurrence_Code23": "string",
"occurrence_Code24": "string",
"occurrence_Code3": "string",
"occurrence_Code4": "string",
"occurrence_Code5": "string",
"occurrence_Code6": "string",
"occurrence_Code7": "string",
"occurrence_Code8": "string",
"occurrence_Code9": "string",
"occurrence_Date1": "2019-08-24T14:15:22Z",
"occurrence_Date10": "2019-08-24T14:15:22Z",
"occurrence_Date11": "2019-08-24T14:15:22Z",
"occurrence_Date12": "2019-08-24T14:15:22Z",
"occurrence_Date13": "2019-08-24T14:15:22Z",
"occurrence_Date14": "2019-08-24T14:15:22Z",
"occurrence_Date15": "2019-08-24T14:15:22Z",
"occurrence_Date16": "2019-08-24T14:15:22Z",
"occurrence_Date17": "2019-08-24T14:15:22Z",
"occurrence_Date18": "2019-08-24T14:15:22Z",
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"occurrence_Date21": "2019-08-24T14:15:22Z",
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"occurrence_Date9": "2019-08-24T14:15:22Z",
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"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",
"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",
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"occurrence_Span_Thru": "2019-08-24T14:15:22Z",
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"occurrence_Span_Thru9": "2019-08-24T14:15:22Z",
"onset_Similar_Illness_Date": "2019-08-24T14:15:22Z",
"orthodontics_Treatment": true,
"other_Insurance": true,
"other_Procedure_Code1": "string",
"other_Procedure_Code10": "string",
"other_Procedure_Code11": "string",
"other_Procedure_Code12": "string",
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"other_Procedure_Code16": "string",
"other_Procedure_Code17": "string",
"other_Procedure_Code18": "string",
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"other_Procedure_Code6": "string",
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"other_Procedure_Code8": "string",
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"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",
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"other_Procedure_Date21": "2019-08-24T14:15:22Z",
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"other_Procedure_Date3": "2019-08-24T14:15:22Z",
"other_Procedure_Date4": "2019-08-24T14:15:22Z",
"other_Procedure_Date5": "2019-08-24T14:15:22Z",
"other_Procedure_Date6": "2019-08-24T14:15:22Z",
"other_Procedure_Date7": "2019-08-24T14:15:22Z",
"other_Procedure_Date8": "2019-08-24T14:15:22Z",
"other_Procedure_Date9": "2019-08-24T14:15:22Z",
"override": "s",
"override_Date": "2019-08-24T14:15:22Z",
"override_Network_ID": true,
"override_Payor_Account": true,
"override_User": "string",
"partial_Disability": true,
"patient_Account": "string",
"patient_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"payor_Claim_Control_Number": "string",
"payor_ID": "string",
"physician_Return_To_Work": "2019-08-24T14:15:22Z",
"place_Of_Service": "strin",
"plan_ID": "string",
"plan_Provider": "s",
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"present_On_Admission1": "s",
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"pricing_Method": "string",
"pricing_Org_ID": "string",
"pricing_Rate": 0.1,
"principal_Procedure_Code": "string",
"principal_Procedure_Date": "2019-08-24T14:15:22Z",
"prior_Placement_Date": "2019-08-24T14:15:22Z",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"refund_Claim": true,
"refund_Funding_Key": 0,
"related_To_Accident": true,
"related_To_Another_Party": true,
"related_To_Auto": true,
"related_To_Employment": true,
"relinquished_Care_Date": "2019-08-24T14:15:22Z",
"remittance_Printed": "s",
"reprice_Printed": "s",
"repriced_Network_ID": "string",
"return_To_Work_Date": "2019-08-24T14:15:22Z",
"salary_Continuation": true,
"send_Check_To": "s",
"sender_ID": "string",
"service_Date": "2019-08-24T14:15:22Z",
"service_Thru": "2019-08-24T14:15:22Z",
"sick_Time": true,
"statement_From_Date": "2019-08-24T14:15:22Z",
"statement_Thru_Date": "2019-08-24T14:15:22Z",
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"trading_Partner_Key": 0,
"trans_837_Control_Num": "string",
"transaction_837": true,
"transaction_837_ID": "string",
"type_Of_Admission": "string",
"type_Of_Bill": "string",
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string",
"vacation": true,
"value_Amount1": 0.1,
"value_Amount10": 0.1,
"value_Amount11": 0.1,
"value_Amount12": 0.1,
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"value_Amount7": 0.1,
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"value_Code1": "st",
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"value_Code8": "st",
"value_Code9": "st",
"void_Claim": true,
"volume_Override": true,
"waiting_Period_Claim": true
}

Response samples

{"data": {"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"admission_Date": "2019-08-24T14:15:22Z",
"admission_Diagnostic_Code": "string",
"admission_Hour": "string",
"admission_Source": "string",
"admit_Date": "2019-08-24T14:15:22Z",
"advance_Pay": true,
"advice_To_Pay": true,
"all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
"ambulance_DropOff_Address": "string",
"ambulance_DropOff_Address2": "string",
"ambulance_DropOff_City": "string",
"ambulance_DropOff_Location": "string",
"ambulance_DropOff_Org_Name": "string",
"ambulance_DropOff_State": "string",
"ambulance_DropOff_Zip": "string",
"ambulance_PickUp_Address": "string",
"ambulance_PickUp_Address2": "string",
"ambulance_PickUp_City": "string",
"ambulance_PickUp_Location": "string",
"ambulance_PickUp_State": "string",
"ambulance_PickUp_Zip": "string",
"appliance_Placed_Date": "2019-08-24T14:15:22Z",
"assumed_Care_Date": "2019-08-24T14:15:22Z",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"claim_ID": "string",
"claim_Priority": "s",
"claim_Status": "string",
"claim_Type": "string",
"closure_Effective_Date": "2019-08-24T14:15:22Z",
"condition_Code1": "string",
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"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",
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"disability_Date": "2019-08-24T14:15:22Z",
"disability_End_Date": "2019-08-24T14:15:22Z",
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"disabled_By_Physician": "2019-08-24T14:15:22Z",
"discharge_Date": "2019-08-24T14:15:22Z",
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"epsdT_Condition_Indicator1": "str",
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"epsdT_Condition_Indicator3": "str",
"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",
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"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",
"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,
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"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",
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"onset_Similar_Illness_Date": "2019-08-24T14:15:22Z",
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"other_Procedure_Date9": "2019-08-24T14:15:22Z",
"override": "s",
"override_Date": "2019-08-24T14:15:22Z",
"override_Network_ID": true,
"override_Payor_Account": true,
"override_User": "string",
"partial_Disability": true,
"patient_Account": "string",
"patient_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
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"payment_Status": "s",
"payor_Claim_Control_Number": "string",
"payor_ID": "string",
"physician_Return_To_Work": "2019-08-24T14:15:22Z",
"place_Of_Service": "strin",
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"present_On_Admission_ECode12": "s",
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"present_On_Admission_ECode3": "s",
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"pricing_Method": "string",
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"principal_Procedure_Code": "string",
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"prior_Placement_Date": "2019-08-24T14:15:22Z",
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"prosthesis_Replacement": true,
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"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"refund_Claim": true,
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"related_To_Accident": true,
"related_To_Another_Party": true,
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"related_To_Employment": true,
"relinquished_Care_Date": "2019-08-24T14:15:22Z",
"remittance_Printed": "s",
"reprice_Printed": "s",
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"return_To_Work_Date": "2019-08-24T14:15:22Z",
"salary_Continuation": true,
"send_Check_To": "s",
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"service_Date": "2019-08-24T14:15:22Z",
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"sick_Time": true,
"statement_From_Date": "2019-08-24T14:15:22Z",
"statement_Thru_Date": "2019-08-24T14:15:22Z",
"subscriber_ID": "string",
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"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
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},
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}

Delete Claim

Deletes an Claim

SecurityapiKeyAuth and bearerAuth

Request

path Parameters

claimNumber

required

integer <int32>

Claim Number

header Parameters

vbasoftware-database

required

string

Target database

Responses

204

Success

401

Unauthorized

delete/claims/{claimNumber}

Request samples

C#
JavaScript
curl
Java

Create or Update Batch Claim

Create or Update multiple Claim 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

claim_Number required	integer <int32> Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
abF_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
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: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
accident_Date	string or null <date-time> The date of accident.
account_Key	integer or null <int32> For claim funding, indicates the payor/account this claim would be paid from.
adjustment_Claim required	boolean Indicates that this claim was part of an Adjustment process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
admin_Amt	number or null <double> No longer in use.
admission_Date	string or null <date-time> For institutional Claims, holds the Admission Date.
admission_Diagnostic_Code	string or null <= 8 characters The admission diagnosis code if applicable for this claim.
admission_Hour	string or null <= 8 characters For institutional Claims, holds the Admission Hour.
admission_Source	string or null <= 8 characters For institutional Claims, holds the Admission Source.
admit_Date	string or null <date-time> Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
advance_Pay required	boolean Indicates if this claim, for disability, can be processed and paid in advance of that service dates. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
advice_To_Pay required	boolean Notes this claim is advice to pay and will not go through funding. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
all_Docs_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
ambulance_DropOff_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Org_Name	string or null <= 512 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_DropOff_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Address2	string or null <= 90 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_City	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Location	string or null <= 64 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_State	string or null <= 10 characters If the claim utlized ambulance services (submitted via 837), we track that here.
ambulance_PickUp_Zip	string or null <= 32 characters If the claim utlized ambulance services (submitted via 837), we track that here.
appliance_Placed_Date	string or null <date-time> The date the orthodontic appliance was placed.
assumed_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
attended_Physician_Date	string or null <date-time> This identifies the date the member first visited the Physician. This field, in combination with Disabled by Physician Date and Last Day Worked, create the Disability Date for the Member.
auto_Flex required	boolean Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
batch_Claim	integer or null <int32> This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed.
batch_Number	integer or null <int32> This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed.
beneficiary_ID	string or null <= 20 characters Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
cliA_Number	string or null <= 32 characters No longer in use.
calculate_Interest required	boolean Notes if interest was calculated for this claim as part of adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
capitation_Claim required	boolean Indicates if this claim is capitated. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported required	boolean Used in custom integration with ceridian tax services. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
ceridian_Exported_Date	string or null <date-time> Used in custom integration with ceridian tax services.
check_Batch	integer or null <int32> This is the primary indicator if a claim is "Paid". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
check_ID	integer or null <int32> Holds the Check ID this claim was paid under. References Checks.Check_ID.
check_Number	string or null <= 20 characters No longer in use.
claim_837_COB	string or null <= 1 characters For 837 transactions, indicates COB has been submitted.
claim_Exported required	boolean Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
claim_Exported_Date	string or null <date-time> Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
claim_Funded_Status	string or null <= 32 characters Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
claim_ID	string or null <= 32 characters An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
claim_Priority	string or null <= 1 characters For 837 transactions, indicates the submitted claim priority.
claim_Status	string or null <= 8 characters The status of the claim. Valid values reside in the ClaimStatus table.
claim_Type	string or null <= 20 characters Notes the claim type for this claim. References ClaimType.Claim_Type.
closure_Effective_Date	string or null <date-time> This is an information only field that allows the tracking of the Closure Effective Date.
condition_Code1	string or null <= 8 characters The Condition Code value for this claim.
condition_Code10	string or null <= 8 characters
condition_Code11	string or null <= 8 characters
condition_Code12	string or null <= 8 characters
condition_Code13	string or null <= 8 characters
condition_Code14	string or null <= 8 characters
condition_Code15	string or null <= 8 characters
condition_Code16	string or null <= 8 characters
condition_Code17	string or null <= 8 characters
condition_Code18	string or null <= 8 characters
condition_Code19	string or null <= 8 characters
condition_Code2	string or null <= 8 characters The Condition Code value for this claim.
condition_Code20	string or null <= 8 characters
condition_Code21	string or null <= 8 characters
condition_Code22	string or null <= 8 characters
condition_Code23	string or null <= 8 characters
condition_Code24	string or null <= 8 characters
condition_Code3	string or null <= 8 characters The Condition Code value for this claim.
condition_Code4	string or null <= 8 characters The Condition Code value for this claim.
condition_Code5	string or null <= 8 characters The Condition Code value for this claim.
condition_Code6	string or null <= 8 characters The Condition Code value for this claim.
condition_Code7	string or null <= 8 characters The Condition Code value for this claim.
condition_Code8	string or null <= 8 characters
condition_Code9	string or null <= 8 characters
coverage_Start	string or null <date-time> The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
current_Illness_Date	string or null <date-time> The current illness date for this claim.
drG_Code	string or null <= 4 characters The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
drG_Quantity	number or null <double> The quantity associated with this DRG value.
death_Cert_Rec_Date	string or null <date-time> Information field used in custom processing and reporting.
delivery_Date	string or null <date-time> This identifies the date of delivery for disability due to pregnancy.
delivery_Type	string or null <= 1 characters This will identify the type of delivery that is performed as a result of pregnancy.
dep_SSDI_End_Date	string or null <date-time> This is an information only field that allows the tracking of Dependent SSI End Date.
diagnostic_Code1	string or null <= 8 characters An assigned diagnostic code for this claim. This field, in the absence of a corresponding diagnosis pointer from a claim service line, indicates the primary diagnosis.
diagnostic_Code10	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code11	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code12	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code13	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code14	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code15	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code16	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code17	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code18	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code19	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code2	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code20	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code21	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code22	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code23	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code24	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code3	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code4	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code5	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code6	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code7	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code8	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code9	string or null <= 8 characters An assigned diagnostic code for this claim.
diagnostic_Code_Type required	string [ 1 .. 16 ] characters Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
disability_Date	string or null <date-time> The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
disability_End_Date	string or null <date-time> Information field used in custom processing and reporting.
disability_Type	string or null <= 20 characters Used to identify the type of disability (Injury or Illness).
disabled_By_Physician	string or null <date-time> This identifies the date the member was disabled by the Physician. This field, in combination with First Attended Physician Date and Last Day Worked, create the Disability Date for the Member.
discharge_Date	string or null <date-time> Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
discharge_Hour	string or null <= 8 characters For institutional Claims, holds the Discharge Hour.
division_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
eCode_Diagnostic_Code	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code10	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code11	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code12	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code2	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code3	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code4	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code5	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code6	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code7	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code8	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
eCode_Diagnostic_Code9	string or null <= 8 characters The external cause of injury code for this claim, if applicable.
epsdT_Condition_Indicator1	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator2	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Condition_Indicator3	string or null <= 3 characters Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
epsdT_Referral_Given	string or null <= 1 characters Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
entry_Date	string <date-time> Date when the record was first added to the system.
entry_User	string or null <= 20 characters User that first added the record to the system.
ex_Code1	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code2	string or null <= 6 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code3	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
ex_Code4	string or null <= 8 characters A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
exhaust_Date	string or null <date-time> This is the Exhaust Date of the members Disability.
expected_Typical_Duration	integer or null <int32> Expected Typical Duration (ETD) is the duration of disability identified by the MDA based on the type of job the member has as well as the diagnosis of the disability.
ficA_Percent	number or null <double> This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
federal_Withheld	number or null <double> This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
filing_Indicator	string or null <= 2 characters No longer in use.
followUp_Date	string or null <date-time> This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
followUp_Ex_Code	string or null <= 6 characters This will place a follow-up ex code on each payment to allow the user to categorize what type of follow-up is being performed.
freq_Code	string or null <= 8 characters Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
group_ID	string or null <= 20 characters The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
hearing_Vision_RX_Date	string or null <date-time> Information field used in custom processing and reporting.
image_File_Location	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location2	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location3	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
image_File_Location4	string or null <= 128 characters Stores a reference, if applicable, to an image or document associated with this claim.
initial_Treatment_Date	string or null <date-time> Information field to track the initial treatment date for this claim.
job_Type	string or null <= 2 characters This is the job classification for the member going on disability.
ltD_Effective_Date	string or null <date-time> This is an information only field that holds the date the member went on Long-Term Disability.
ltD_Packet_Date	string or null <date-time> This is an information only field that tracks the date the Long-Term Disability Packet was sent.
last_Day_Worked	string or null <date-time> This identifies the date the member last attended work prior to going on disability. This field, in combination with First Attended Physician Date and Disabled by Physician, create the Disability Date for the Member.
last_Physician_Warrant_Date	string or null <date-time> This is an information only field that allows for the tracking of the Physician Warrant Date.
last_Seen_Date	string or null <date-time> Information field to track the last time a phyician was seen at the time of this claim submission.
liability_Injury required	boolean This is an information only field that identifies if this disability is a liability injury. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
mail_To	string or null <= 1 characters Notes if the payment should be mailed to an entity other than the "Send_Check_To".
member_Seq	string or null <= 2 characters The Member Sequence of the patient for this claim.
months_Of_Treatment	integer or null <int32> The number of months the orthodontic treatment will be.
network_ID	string or null <= 10 characters Indicates the network this claim was paid against. If this value is NULL, the claim is considered "Out of Network".
note	string or null <= 24 characters No longer in use. Replaced by Note Services.
occupational required	boolean Notes if the disability is related to the patiens occupation. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
occurrence_Code1	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code10	string or null <= 8 characters
occurrence_Code11	string or null <= 8 characters
occurrence_Code12	string or null <= 8 characters
occurrence_Code13	string or null <= 8 characters
occurrence_Code14	string or null <= 8 characters
occurrence_Code15	string or null <= 8 characters
occurrence_Code16	string or null <= 8 characters
occurrence_Code17	string or null <= 8 characters
occurrence_Code18	string or null <= 8 characters
occurrence_Code19	string or null <= 8 characters
occurrence_Code2	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code20	string or null <= 8 characters
occurrence_Code21	string or null <= 8 characters
occurrence_Code22	string or null <= 8 characters
occurrence_Code23	string or null <= 8 characters
occurrence_Code24	string or null <= 8 characters
occurrence_Code3	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code4	string or null <= 8 characters The Occurrence Code value for this claim.
occurrence_Code5	string or null <= 8 characters
occurrence_Code6	string or null <= 8 characters
occurrence_Code7	string or null <= 8 characters
occurrence_Code8	string or null <= 8 characters
occurrence_Code9	string or null <= 8 characters
occurrence_Date1	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date10	string or null <date-time>
occurrence_Date11	string or null <date-time>
occurrence_Date12	string or null <date-time>
occurrence_Date13	string or null <date-time>
occurrence_Date14	string or null <date-time>
occurrence_Date15	string or null <date-time>
occurrence_Date16	string or null <date-time>
occurrence_Date17	string or null <date-time>
occurrence_Date18	string or null <date-time>
occurrence_Date19	string or null <date-time>
occurrence_Date2	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date20	string or null <date-time>
occurrence_Date21	string or null <date-time>
occurrence_Date22	string or null <date-time>
occurrence_Date23	string or null <date-time>
occurrence_Date24	string or null <date-time>
occurrence_Date3	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date4	string or null <date-time> The Occurrence Date associated to the assigned Occurrence Codes.
occurrence_Date5	string or null <date-time>
occurrence_Date6	string or null <date-time>
occurrence_Date7	string or null <date-time>
occurrence_Date8	string or null <date-time>
occurrence_Date9	string or null <date-time>
occurrence_Span_Code	string or null <= 8 characters The occurrence span indicator for the Occurrence Span From and Thru dates.
occurrence_Span_Code10	string or null <= 8 characters
occurrence_Span_Code11	string or null <= 8 characters
occurrence_Span_Code12	string or null <= 8 characters
occurrence_Span_Code13	string or null <= 8 characters
occurrence_Span_Code14	string or null <= 8 characters
occurrence_Span_Code15	string or null <= 8 characters
occurrence_Span_Code16	string or null <= 8 characters
occurrence_Span_Code17	string or null <= 8 characters
occurrence_Span_Code18	string or null <= 8 characters
occurrence_Span_Code19	string or null <= 8 characters
occurrence_Span_Code2	string or null <= 8 characters
occurrence_Span_Code20	string or null <= 8 characters
occurrence_Span_Code21	string or null <= 8 characters
occurrence_Span_Code22	string or null <= 8 characters
occurrence_Span_Code23	string or null <= 8 characters
occurrence_Span_Code24	string or null <= 8 characters
occurrence_Span_Code3	string or null <= 8 characters
occurrence_Span_Code4	string or null <= 8 characters
occurrence_Span_Code5	string or null <= 8 characters
occurrence_Span_Code6	string or null <= 8 characters
occurrence_Span_Code7	string or null <= 8 characters
occurrence_Span_Code8	string or null <= 8 characters
occurrence_Span_Code9	string or null <= 8 characters
occurrence_Span_From	string or null <date-time> The occurrence span from for this claim.
occurrence_Span_From10	string or null <date-time>
occurrence_Span_From11	string or null <date-time>
occurrence_Span_From12	string or null <date-time>
occurrence_Span_From13	string or null <date-time>
occurrence_Span_From14	string or null <date-time>
occurrence_Span_From15	string or null <date-time>
occurrence_Span_From16	string or null <date-time>
occurrence_Span_From17	string or null <date-time>
occurrence_Span_From18	string or null <date-time>
occurrence_Span_From19	string or null <date-time>
occurrence_Span_From2	string or null <date-time>
occurrence_Span_From20	string or null <date-time>
occurrence_Span_From21	string or null <date-time>
occurrence_Span_From22	string or null <date-time>
occurrence_Span_From23	string or null <date-time>
occurrence_Span_From24	string or null <date-time>
occurrence_Span_From3	string or null <date-time>
occurrence_Span_From4	string or null <date-time>
occurrence_Span_From5	string or null <date-time>
occurrence_Span_From6	string or null <date-time>
occurrence_Span_From7	string or null <date-time>
occurrence_Span_From8	string or null <date-time>
occurrence_Span_From9	string or null <date-time>
occurrence_Span_Thru	string or null <date-time> The occurrence span thru for this claim.
occurrence_Span_Thru10	string or null <date-time>
occurrence_Span_Thru11	string or null <date-time>
occurrence_Span_Thru12	string or null <date-time>
occurrence_Span_Thru13	string or null <date-time>
occurrence_Span_Thru14	string or null <date-time>
occurrence_Span_Thru15	string or null <date-time>
occurrence_Span_Thru16	string or null <date-time>
occurrence_Span_Thru17	string or null <date-time>
occurrence_Span_Thru18	string or null <date-time>
occurrence_Span_Thru19	string or null <date-time>
occurrence_Span_Thru2	string or null <date-time>
occurrence_Span_Thru20	string or null <date-time>
occurrence_Span_Thru21	string or null <date-time>
occurrence_Span_Thru22	string or null <date-time>
occurrence_Span_Thru23	string or null <date-time>
occurrence_Span_Thru24	string or null <date-time>
occurrence_Span_Thru3	string or null <date-time>
occurrence_Span_Thru4	string or null <date-time>
occurrence_Span_Thru5	string or null <date-time>
occurrence_Span_Thru6	string or null <date-time>
occurrence_Span_Thru7	string or null <date-time>
occurrence_Span_Thru8	string or null <date-time>
occurrence_Span_Thru9	string or null <date-time>
onset_Similar_Illness_Date	string or null <date-time> Notes the date of the original illness if this claim is associated to that illness.
orthodontics_Treatment required	boolean When this flag is checked, it indicates the dental claim is for orthodontics. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Insurance required	boolean Indicates if other insurance is applicable on this claim. This indicator unlocks COB amount fields on the ClaimDetail (service line). Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
other_Procedure_Code1	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code10	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code11	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code12	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code13	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code14	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code15	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code16	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code17	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code18	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code19	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code2	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code20	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code21	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code22	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code23	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code3	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code4	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code5	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code6	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code7	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code8	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Code9	string or null <= 8 characters Additional procedure code (ICD10 Diagnosis) values for this claim submission.
other_Procedure_Date1	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date10	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date11	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date12	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date13	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date14	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date15	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date16	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date17	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date18	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date19	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date2	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date20	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date21	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date22	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date23	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date3	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date4	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date5	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date6	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date7	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date8	string or null <date-time> Date associated with the additional procedure code.
other_Procedure_Date9	string or null <date-time> Date associated with the additional procedure code.
override	string or null <= 1 characters No longer in use.
override_Date	string or null <date-time> No longer in use.
override_Network_ID required	boolean This indicator lets the system know that the front end user has assigned this network ID and not adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_Payor_Account required	boolean Users can choose the payor from the More Information screen and this flag prevents adjudication from using the expected payor. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
override_User	string or null <= 16 characters No longer in use.
partial_Disability required	boolean This will identify if this is a partial disability payment. Partial Disability payments have additional tax and payment rules applied during adjudication. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Account	string or null <= 128 characters For the servicing provider, this indicates the patient account identifier in their practice management system.
patient_Reason_for_Visit_Diagnostic_Code1	string or null <= 8 characters Reason for Visit code on Diagnosis Code 1
patient_Reason_for_Visit_Diagnostic_Code2	string or null <= 8 characters Reason for Visit code on Diagnosis Code 2
patient_Reason_for_Visit_Diagnostic_Code3	string or null <= 8 characters Reason for Visit code on Diagnosis Code 3
patient_Relationship	string or null <= 8 characters Holds the relationship of the patient to the insured.
patient_Signature required	boolean Indicates if the patient signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
patient_Signature_Date	string or null <date-time> Indicates the date of the patient signature being collected.
patient_Status	string or null <= 8 characters For institutional Claims, holds the Patient Status.
payee_ID	string or null <= 20 characters The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
payment_Status	string or null <= 1 characters No longer in use.
payor_Claim_Control_Number	string or null <= 64 characters A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
payor_ID	string or null <= 20 characters For claim funding, indicates the payor/account this claim would be paid from.
physician_Return_To_Work	string or null <date-time> This is the Return to Work date identified by the Physician at the start of disability. This may or may not be the actual date the member returns to work.
place_Of_Service	string or null <= 5 characters Some transactions hold the Place of Service at the header but typically this value is empty and the ClaimDetail.Place_Of_Service is used for each service line. This value is not used in standard processing.
plan_ID	string or null <= 20 characters Holds the plan the patient is enrolled in and that benefits are assigned.
plan_Provider	string or null <= 1 characters No longer in use.
plan_Year	string or null <= 8 characters Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
present_On_Admission1	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 1.
present_On_Admission10	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 10.
present_On_Admission11	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 11.
present_On_Admission12	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 12.
present_On_Admission13	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 13.
present_On_Admission14	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 14.
present_On_Admission15	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 15.
present_On_Admission16	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 16.
present_On_Admission17	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 17.
present_On_Admission18	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 18.
present_On_Admission19	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 19.
present_On_Admission2	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 2.
present_On_Admission20	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 20.
present_On_Admission21	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 21.
present_On_Admission22	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 22.
present_On_Admission23	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 23.
present_On_Admission24	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 24.
present_On_Admission3	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 3.
present_On_Admission4	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 4.
present_On_Admission5	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 5.
present_On_Admission6	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 6.
present_On_Admission7	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 7.
present_On_Admission8	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 8.
present_On_Admission9	string or null <= 1 characters Indicates if the patient was present on admission for diagnosis 9.
present_On_Admission_ECode1	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 1.
present_On_Admission_ECode10	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 10.
present_On_Admission_ECode11	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 11.
present_On_Admission_ECode12	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 12.
present_On_Admission_ECode2	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 2.
present_On_Admission_ECode3	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 3.
present_On_Admission_ECode4	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 4.
present_On_Admission_ECode5	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 5.
present_On_Admission_ECode6	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 6.
present_On_Admission_ECode7	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 7.
present_On_Admission_ECode8	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 8.
present_On_Admission_ECode9	string or null <= 1 characters Indicates if the patient was present for the external cause of injury diagnosis 9.
pricing_Method	string or null <= 8 characters For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
pricing_Org_ID	string or null <= 50 characters The ID of the pricing organization. Data is obtained in segment HCP04 on an 837.
pricing_Rate	number or null <double> The rate associated with the reprice method (Pricing_Method).
principal_Procedure_Code	string or null <= 8 characters The principal procedure (ICD10 Diagnosis) for this claim submission.
principal_Procedure_Date	string or null <date-time> The principal procedure date.
prior_Placement_Date	string or null <date-time> The date of a previous prosthetic or crown applied, if there was one.
processed_Date	string or null <date-time> The date the claim was processed from batch.
prosthesis_Replacement required	boolean This flag indicates if this claim is for the replacement of a prosthesis. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
provider_ID	string or null <= 20 characters The provider ID of the servicing provider. References Provider.Provider_ID.
qpA_Method	string or null <= 1 characters Overrides the QPA Method set on the Plan for this claim.
received_Date	string or null <date-time> The date this claim was received into the admin system.
referred_By	string or null <= 30 characters Information field to track if a referral was sent for this claim.
refund_Claim required	boolean Indicates that this claim was part of a Refund process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
refund_Funding_Key	integer or null <int32> If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
related_To_Accident required	boolean Indicates if the claim is related to a non-car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Another_Party required	boolean Indicates if the claim was casued by a third party. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Auto required	boolean Indicates if the claim is related to a car accident. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
related_To_Employment required	boolean Indicates if the claim is work related. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
relinquished_Care_Date	string or null <date-time> Information field used in custom processing and reporting.
remittance_Printed	string or null <= 1 characters No longer in use.
reprice_Printed	string or null <= 1 characters No longer in use.
repriced_Network_ID	string or null <= 50 characters As part of reprice claim submissions (via 837), this will hold the repricing network.
return_To_Work_Date	string or null <date-time> This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
salary_Continuation required	boolean This flag identifies that there is salary continuation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
send_Check_To	string or null <= 1 characters Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
sender_ID	string or null <= 15 characters The Sender ID sent inbound for x12 (837) transactions.
service_Date	string or null <date-time> The earliest Service_Date of all service lines on this claim.
service_Thru	string or null <date-time> The latest Service_Thru for all service lines on this claim.
sick_Time required	boolean This flag identifies that there is sick time during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
statement_From_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
statement_Thru_Date	string or null <date-time> For Institutional Claims, holds the Statement Date.
subscriber_ID	string or null <= 9 characters The Subscriber ID of the patient for this claim.
subscriber_Signature required	boolean Indicates if the insured signature has been collected. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
survivor_Benefit required	boolean Indicates if Survivor Benefit was applied for this disability payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
third_Party_Payment required	boolean For disability, indicates if this professional claim is a 3rd party payment (typically related to alimony, garnishment, etc.) Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
total_COB required	number <double> COB total for all claim detail lines Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
trading_Partner_Key	integer or null <int32> No longer in use.
trans_837_Control_Num	string or null <= 9 characters For 837 transactions, this is the control number assgined by the submitter.
transaction_837 required	boolean Indicates this is a claim entered by an inbound 837. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
transaction_837_ID	string or null <= 30 characters For 837 transactions, this holds the transaction ID assigned by the submission.
type_Of_Admission	string or null <= 6 characters The Admission Type associated to this claim.
type_Of_Bill	string or null <= 6 characters The Bill Type associated to this claim. References BillType.Type_Of_Bill.
update_Date	string <date-time> Date when the record was last updated in the system.
update_User	string or null <= 20 characters User that last updated the record in the system.
vacation required	boolean This flag identifies that there is vacation during this disability. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
value_Amount1	number or null <double> The monetary amount related to the value code.
value_Amount10	number or null <double>
value_Amount11	number or null <double>
value_Amount12	number or null <double>
value_Amount13	number or null <double>
value_Amount14	number or null <double>
value_Amount15	number or null <double>
value_Amount16	number or null <double>
value_Amount17	number or null <double>
value_Amount18	number or null <double>
value_Amount19	number or null <double>
value_Amount2	number or null <double> The monetary amount related to the value code.
value_Amount20	number or null <double>
value_Amount21	number or null <double>
value_Amount22	number or null <double>
value_Amount23	number or null <double>
value_Amount24	number or null <double>
value_Amount3	number or null <double> The monetary amount related to the value code.
value_Amount4	number or null <double> The monetary amount related to the value code.
value_Amount5	number or null <double>
value_Amount6	number or null <double>
value_Amount7	number or null <double>
value_Amount8	number or null <double>
value_Amount9	number or null <double>
value_Code1	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code10	string or null <= 2 characters
value_Code11	string or null <= 2 characters
value_Code12	string or null <= 2 characters
value_Code13	string or null <= 2 characters
value_Code14	string or null <= 2 characters
value_Code15	string or null <= 2 characters
value_Code16	string or null <= 2 characters
value_Code17	string or null <= 2 characters
value_Code18	string or null <= 2 characters
value_Code19	string or null <= 2 characters
value_Code2	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code20	string or null <= 2 characters
value_Code21	string or null <= 2 characters
value_Code22	string or null <= 2 characters
value_Code23	string or null <= 2 characters
value_Code24	string or null <= 2 characters
value_Code3	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code4	string or null <= 2 characters The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
value_Code5	string or null <= 2 characters
value_Code6	string or null <= 2 characters
value_Code7	string or null <= 2 characters
value_Code8	string or null <= 2 characters
value_Code9	string or null <= 2 characters
void_Claim required	boolean Indicates that this claim was part of a Void process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
volume_Override required	boolean Notes that the benefit amount, for disability claims, has been manually overridden. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
waiting_Period_Claim required	boolean Indicates if this disability payment is a waiting period payment. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.

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put/claims-batch

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[{"claim_Number": 0,
"abF_Exported": true,
"abF_Exported_Date": "2019-08-24T14:15:22Z",
"aeoB_Claim": true,
"accident_Date": "2019-08-24T14:15:22Z",
"account_Key": 0,
"adjustment_Claim": true,
"admin_Amt": 0.1,
"admission_Date": "2019-08-24T14:15:22Z",
"admission_Diagnostic_Code": "string",
"admission_Hour": "string",
"admission_Source": "string",
"admit_Date": "2019-08-24T14:15:22Z",
"advance_Pay": true,
"advice_To_Pay": true,
"all_Docs_Rec_Date": "2019-08-24T14:15:22Z",
"ambulance_DropOff_Address": "string",
"ambulance_DropOff_Address2": "string",
"ambulance_DropOff_City": "string",
"ambulance_DropOff_Location": "string",
"ambulance_DropOff_Org_Name": "string",
"ambulance_DropOff_State": "string",
"ambulance_DropOff_Zip": "string",
"ambulance_PickUp_Address": "string",
"ambulance_PickUp_Address2": "string",
"ambulance_PickUp_City": "string",
"ambulance_PickUp_Location": "string",
"ambulance_PickUp_State": "string",
"ambulance_PickUp_Zip": "string",
"appliance_Placed_Date": "2019-08-24T14:15:22Z",
"assumed_Care_Date": "2019-08-24T14:15:22Z",
"attended_Physician_Date": "2019-08-24T14:15:22Z",
"auto_Flex": true,
"batch_Claim": 0,
"batch_Number": 0,
"beneficiary_ID": "string",
"cliA_Number": "string",
"calculate_Interest": true,
"capitation_Claim": true,
"ceridian_Exported": true,
"ceridian_Exported_Date": "2019-08-24T14:15:22Z",
"check_Batch": 0,
"check_ID": 0,
"check_Number": "string",
"claim_837_COB": "s",
"claim_Exported": true,
"claim_Exported_Date": "2019-08-24T14:15:22Z",
"claim_Funded_Status": "string",
"claim_ID": "string",
"claim_Priority": "s",
"claim_Status": "string",
"claim_Type": "string",
"closure_Effective_Date": "2019-08-24T14:15:22Z",
"condition_Code1": "string",
"condition_Code10": "string",
"condition_Code11": "string",
"condition_Code12": "string",
"condition_Code13": "string",
"condition_Code14": "string",
"condition_Code15": "string",
"condition_Code16": "string",
"condition_Code17": "string",
"condition_Code18": "string",
"condition_Code19": "string",
"condition_Code2": "string",
"condition_Code20": "string",
"condition_Code21": "string",
"condition_Code22": "string",
"condition_Code23": "string",
"condition_Code24": "string",
"condition_Code3": "string",
"condition_Code4": "string",
"condition_Code5": "string",
"condition_Code6": "string",
"condition_Code7": "string",
"condition_Code8": "string",
"condition_Code9": "string",
"coverage_Start": "2019-08-24T14:15:22Z",
"current_Illness_Date": "2019-08-24T14:15:22Z",
"drG_Code": "stri",
"drG_Quantity": 0.1,
"death_Cert_Rec_Date": "2019-08-24T14:15:22Z",
"delivery_Date": "2019-08-24T14:15:22Z",
"delivery_Type": "s",
"dep_SSDI_End_Date": "2019-08-24T14:15:22Z",
"diagnostic_Code1": "string",
"diagnostic_Code10": "string",
"diagnostic_Code11": "string",
"diagnostic_Code12": "string",
"diagnostic_Code13": "string",
"diagnostic_Code14": "string",
"diagnostic_Code15": "string",
"diagnostic_Code16": "string",
"diagnostic_Code17": "string",
"diagnostic_Code18": "string",
"diagnostic_Code19": "string",
"diagnostic_Code2": "string",
"diagnostic_Code20": "string",
"diagnostic_Code21": "string",
"diagnostic_Code22": "string",
"diagnostic_Code23": "string",
"diagnostic_Code24": "string",
"diagnostic_Code3": "string",
"diagnostic_Code4": "string",
"diagnostic_Code5": "string",
"diagnostic_Code6": "string",
"diagnostic_Code7": "string",
"diagnostic_Code8": "string",
"diagnostic_Code9": "string",
"diagnostic_Code_Type": "string",
"disability_Date": "2019-08-24T14:15:22Z",
"disability_End_Date": "2019-08-24T14:15:22Z",
"disability_Type": "string",
"disabled_By_Physician": "2019-08-24T14:15:22Z",
"discharge_Date": "2019-08-24T14:15:22Z",
"discharge_Hour": "string",
"division_ID": "string",
"eCode_Diagnostic_Code": "string",
"eCode_Diagnostic_Code10": "string",
"eCode_Diagnostic_Code11": "string",
"eCode_Diagnostic_Code12": "string",
"eCode_Diagnostic_Code2": "string",
"eCode_Diagnostic_Code3": "string",
"eCode_Diagnostic_Code4": "string",
"eCode_Diagnostic_Code5": "string",
"eCode_Diagnostic_Code6": "string",
"eCode_Diagnostic_Code7": "string",
"eCode_Diagnostic_Code8": "string",
"eCode_Diagnostic_Code9": "string",
"epsdT_Condition_Indicator1": "str",
"epsdT_Condition_Indicator2": "str",
"epsdT_Condition_Indicator3": "str",
"epsdT_Referral_Given": "s",
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code1": "string",
"ex_Code2": "string",
"ex_Code3": "string",
"ex_Code4": "string",
"exhaust_Date": "2019-08-24T14:15:22Z",
"expected_Typical_Duration": 0,
"ficA_Percent": 0.1,
"federal_Withheld": 0.1,
"filing_Indicator": "st",
"followUp_Date": "2019-08-24T14:15:22Z",
"followUp_Ex_Code": "string",
"freq_Code": "string",
"group_ID": "string",
"hearing_Vision_RX_Date": "2019-08-24T14:15:22Z",
"image_File_Location": "string",
"image_File_Location2": "string",
"image_File_Location3": "string",
"image_File_Location4": "string",
"initial_Treatment_Date": "2019-08-24T14:15:22Z",
"job_Type": "st",
"ltD_Effective_Date": "2019-08-24T14:15:22Z",
"ltD_Packet_Date": "2019-08-24T14:15:22Z",
"last_Day_Worked": "2019-08-24T14:15:22Z",
"last_Physician_Warrant_Date": "2019-08-24T14:15:22Z",
"last_Seen_Date": "2019-08-24T14:15:22Z",
"liability_Injury": true,
"mail_To": "s",
"member_Seq": "st",
"months_Of_Treatment": 0,
"network_ID": "string",
"note": "string",
"occupational": true,
"occurrence_Code1": "string",
"occurrence_Code10": "string",
"occurrence_Code11": "string",
"occurrence_Code12": "string",
"occurrence_Code13": "string",
"occurrence_Code14": "string",
"occurrence_Code15": "string",
"occurrence_Code16": "string",
"occurrence_Code17": "string",
"occurrence_Code18": "string",
"occurrence_Code19": "string",
"occurrence_Code2": "string",
"occurrence_Code20": "string",
"occurrence_Code21": "string",
"occurrence_Code22": "string",
"occurrence_Code23": "string",
"occurrence_Code24": "string",
"occurrence_Code3": "string",
"occurrence_Code4": "string",
"occurrence_Code5": "string",
"occurrence_Code6": "string",
"occurrence_Code7": "string",
"occurrence_Code8": "string",
"occurrence_Code9": "string",
"occurrence_Date1": "2019-08-24T14:15:22Z",
"occurrence_Date10": "2019-08-24T14:15:22Z",
"occurrence_Date11": "2019-08-24T14:15:22Z",
"occurrence_Date12": "2019-08-24T14:15:22Z",
"occurrence_Date13": "2019-08-24T14:15:22Z",
"occurrence_Date14": "2019-08-24T14:15:22Z",
"occurrence_Date15": "2019-08-24T14:15:22Z",
"occurrence_Date16": "2019-08-24T14:15:22Z",
"occurrence_Date17": "2019-08-24T14:15:22Z",
"occurrence_Date18": "2019-08-24T14:15:22Z",
"occurrence_Date19": "2019-08-24T14:15:22Z",
"occurrence_Date2": "2019-08-24T14:15:22Z",
"occurrence_Date20": "2019-08-24T14:15:22Z",
"occurrence_Date21": "2019-08-24T14:15:22Z",
"occurrence_Date22": "2019-08-24T14:15:22Z",
"occurrence_Date23": "2019-08-24T14:15:22Z",
"occurrence_Date24": "2019-08-24T14:15:22Z",
"occurrence_Date3": "2019-08-24T14:15:22Z",
"occurrence_Date4": "2019-08-24T14:15:22Z",
"occurrence_Date5": "2019-08-24T14:15:22Z",
"occurrence_Date6": "2019-08-24T14:15:22Z",
"occurrence_Date7": "2019-08-24T14:15:22Z",
"occurrence_Date8": "2019-08-24T14:15:22Z",
"occurrence_Date9": "2019-08-24T14:15:22Z",
"occurrence_Span_Code": "string",
"occurrence_Span_Code10": "string",
"occurrence_Span_Code11": "string",
"occurrence_Span_Code12": "string",
"occurrence_Span_Code13": "string",
"occurrence_Span_Code14": "string",
"occurrence_Span_Code15": "string",
"occurrence_Span_Code16": "string",
"occurrence_Span_Code17": "string",
"occurrence_Span_Code18": "string",
"occurrence_Span_Code19": "string",
"occurrence_Span_Code2": "string",
"occurrence_Span_Code20": "string",
"occurrence_Span_Code21": "string",
"occurrence_Span_Code22": "string",
"occurrence_Span_Code23": "string",
"occurrence_Span_Code24": "string",
"occurrence_Span_Code3": "string",
"occurrence_Span_Code4": "string",
"occurrence_Span_Code5": "string",
"occurrence_Span_Code6": "string",
"occurrence_Span_Code7": "string",
"occurrence_Span_Code8": "string",
"occurrence_Span_Code9": "string",
"occurrence_Span_From": "2019-08-24T14:15:22Z",
"occurrence_Span_From10": "2019-08-24T14:15:22Z",
"occurrence_Span_From11": "2019-08-24T14:15:22Z",
"occurrence_Span_From12": "2019-08-24T14:15:22Z",
"occurrence_Span_From13": "2019-08-24T14:15:22Z",
"occurrence_Span_From14": "2019-08-24T14:15:22Z",
"occurrence_Span_From15": "2019-08-24T14:15:22Z",
"occurrence_Span_From16": "2019-08-24T14:15:22Z",
"occurrence_Span_From17": "2019-08-24T14:15:22Z",
"occurrence_Span_From18": "2019-08-24T14:15:22Z",
"occurrence_Span_From19": "2019-08-24T14:15:22Z",
"occurrence_Span_From2": "2019-08-24T14:15:22Z",
"occurrence_Span_From20": "2019-08-24T14:15:22Z",
"occurrence_Span_From21": "2019-08-24T14:15:22Z",
"occurrence_Span_From22": "2019-08-24T14:15:22Z",
"occurrence_Span_From23": "2019-08-24T14:15:22Z",
"occurrence_Span_From24": "2019-08-24T14:15:22Z",
"occurrence_Span_From3": "2019-08-24T14:15:22Z",
"occurrence_Span_From4": "2019-08-24T14:15:22Z",
"occurrence_Span_From5": "2019-08-24T14:15:22Z",
"occurrence_Span_From6": "2019-08-24T14:15:22Z",
"occurrence_Span_From7": "2019-08-24T14:15:22Z",
"occurrence_Span_From8": "2019-08-24T14:15:22Z",
"occurrence_Span_From9": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru10": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru11": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru12": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru13": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru14": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru15": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru16": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru17": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru18": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru19": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru2": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru20": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru21": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru22": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru23": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru24": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru3": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru4": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru5": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru6": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru7": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru8": "2019-08-24T14:15:22Z",
"occurrence_Span_Thru9": "2019-08-24T14:15:22Z",
"onset_Similar_Illness_Date": "2019-08-24T14:15:22Z",
"orthodontics_Treatment": true,
"other_Insurance": true,
"other_Procedure_Code1": "string",
"other_Procedure_Code10": "string",
"other_Procedure_Code11": "string",
"other_Procedure_Code12": "string",
"other_Procedure_Code13": "string",
"other_Procedure_Code14": "string",
"other_Procedure_Code15": "string",
"other_Procedure_Code16": "string",
"other_Procedure_Code17": "string",
"other_Procedure_Code18": "string",
"other_Procedure_Code19": "string",
"other_Procedure_Code2": "string",
"other_Procedure_Code20": "string",
"other_Procedure_Code21": "string",
"other_Procedure_Code22": "string",
"other_Procedure_Code23": "string",
"other_Procedure_Code3": "string",
"other_Procedure_Code4": "string",
"other_Procedure_Code5": "string",
"other_Procedure_Code6": "string",
"other_Procedure_Code7": "string",
"other_Procedure_Code8": "string",
"other_Procedure_Code9": "string",
"other_Procedure_Date1": "2019-08-24T14:15:22Z",
"other_Procedure_Date10": "2019-08-24T14:15:22Z",
"other_Procedure_Date11": "2019-08-24T14:15:22Z",
"other_Procedure_Date12": "2019-08-24T14:15:22Z",
"other_Procedure_Date13": "2019-08-24T14:15:22Z",
"other_Procedure_Date14": "2019-08-24T14:15:22Z",
"other_Procedure_Date15": "2019-08-24T14:15:22Z",
"other_Procedure_Date16": "2019-08-24T14:15:22Z",
"other_Procedure_Date17": "2019-08-24T14:15:22Z",
"other_Procedure_Date18": "2019-08-24T14:15:22Z",
"other_Procedure_Date19": "2019-08-24T14:15:22Z",
"other_Procedure_Date2": "2019-08-24T14:15:22Z",
"other_Procedure_Date20": "2019-08-24T14:15:22Z",
"other_Procedure_Date21": "2019-08-24T14:15:22Z",
"other_Procedure_Date22": "2019-08-24T14:15:22Z",
"other_Procedure_Date23": "2019-08-24T14:15:22Z",
"other_Procedure_Date3": "2019-08-24T14:15:22Z",
"other_Procedure_Date4": "2019-08-24T14:15:22Z",
"other_Procedure_Date5": "2019-08-24T14:15:22Z",
"other_Procedure_Date6": "2019-08-24T14:15:22Z",
"other_Procedure_Date7": "2019-08-24T14:15:22Z",
"other_Procedure_Date8": "2019-08-24T14:15:22Z",
"other_Procedure_Date9": "2019-08-24T14:15:22Z",
"override": "s",
"override_Date": "2019-08-24T14:15:22Z",
"override_Network_ID": true,
"override_Payor_Account": true,
"override_User": "string",
"partial_Disability": true,
"patient_Account": "string",
"patient_Reason_for_Visit_Diagnostic_Code1": "string",
"patient_Reason_for_Visit_Diagnostic_Code2": "string",
"patient_Reason_for_Visit_Diagnostic_Code3": "string",
"patient_Relationship": "string",
"patient_Signature": true,
"patient_Signature_Date": "2019-08-24T14:15:22Z",
"patient_Status": "string",
"payee_ID": "string",
"payment_Status": "s",
"payor_Claim_Control_Number": "string",
"payor_ID": "string",
"physician_Return_To_Work": "2019-08-24T14:15:22Z",
"place_Of_Service": "strin",
"plan_ID": "string",
"plan_Provider": "s",
"plan_Year": "string",
"present_On_Admission1": "s",
"present_On_Admission10": "s",
"present_On_Admission11": "s",
"present_On_Admission12": "s",
"present_On_Admission13": "s",
"present_On_Admission14": "s",
"present_On_Admission15": "s",
"present_On_Admission16": "s",
"present_On_Admission17": "s",
"present_On_Admission18": "s",
"present_On_Admission19": "s",
"present_On_Admission2": "s",
"present_On_Admission20": "s",
"present_On_Admission21": "s",
"present_On_Admission22": "s",
"present_On_Admission23": "s",
"present_On_Admission24": "s",
"present_On_Admission3": "s",
"present_On_Admission4": "s",
"present_On_Admission5": "s",
"present_On_Admission6": "s",
"present_On_Admission7": "s",
"present_On_Admission8": "s",
"present_On_Admission9": "s",
"present_On_Admission_ECode1": "s",
"present_On_Admission_ECode10": "s",
"present_On_Admission_ECode11": "s",
"present_On_Admission_ECode12": "s",
"present_On_Admission_ECode2": "s",
"present_On_Admission_ECode3": "s",
"present_On_Admission_ECode4": "s",
"present_On_Admission_ECode5": "s",
"present_On_Admission_ECode6": "s",
"present_On_Admission_ECode7": "s",
"present_On_Admission_ECode8": "s",
"present_On_Admission_ECode9": "s",
"pricing_Method": "string",
"pricing_Org_ID": "string",
"pricing_Rate": 0.1,
"principal_Procedure_Code": "string",
"principal_Procedure_Date": "2019-08-24T14:15:22Z",
"prior_Placement_Date": "2019-08-24T14:15:22Z",
"processed_Date": "2019-08-24T14:15:22Z",
"prosthesis_Replacement": true,
"provider_ID": "string",
"qpA_Method": "s",
"received_Date": "2019-08-24T14:15:22Z",
"referred_By": "string",
"refund_Claim": true,
"refund_Funding_Key": 0,
"related_To_Accident": true,
"related_To_Another_Party": true,
"related_To_Auto": true,
"related_To_Employment": true,
"relinquished_Care_Date": "2019-08-24T14:15:22Z",
"remittance_Printed": "s",
"reprice_Printed": "s",
"repriced_Network_ID": "string",
"return_To_Work_Date": "2019-08-24T14:15:22Z",
"salary_Continuation": true,
"send_Check_To": "s",
"sender_ID": "string",
"service_Date": "2019-08-24T14:15:22Z",
"service_Thru": "2019-08-24T14:15:22Z",
"sick_Time": true,
"statement_From_Date": "2019-08-24T14:15:22Z",
"statement_Thru_Date": "2019-08-24T14:15:22Z",
"subscriber_ID": "string",
"subscriber_Signature": true,
"survivor_Benefit": true,
"third_Party_Payment": true,
"total_COB": 0.1,
"trading_Partner_Key": 0,
"trans_837_Control_Num": "string",
"transaction_837": true,
"transaction_837_ID": "string",
"type_Of_Admission": "string",
"type_Of_Bill": "string",
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string",
"vacation": true,
"value_Amount1": 0.1,
"value_Amount10": 0.1,
"value_Amount11": 0.1,
"value_Amount12": 0.1,
"value_Amount13": 0.1,
"value_Amount14": 0.1,
"value_Amount15": 0.1,
"value_Amount16": 0.1,
"value_Amount17": 0.1,
"value_Amount18": 0.1,
"value_Amount19": 0.1,
"value_Amount2": 0.1,
"value_Amount20": 0.1,
"value_Amount21": 0.1,
"value_Amount22": 0.1,
"value_Amount23": 0.1,
"value_Amount24": 0.1,
"value_Amount3": 0.1,
"value_Amount4": 0.1,
"value_Amount5": 0.1,
"value_Amount6": 0.1,
"value_Amount7": 0.1,
"value_Amount8": 0.1,
"value_Amount9": 0.1,
"value_Code1": "st",
"value_Code10": "st",
"value_Code11": "st",
"value_Code12": "st",
"value_Code13": "st",
"value_Code14": "st",
"value_Code15": "st",
"value_Code16": "st",
"value_Code17": "st",
"value_Code18": "st",
"value_Code19": "st",
"value_Code2": "st",
"value_Code20": "st",
"value_Code21": "st",
"value_Code22": "st",
"value_Code23": "st",
"value_Code24": "st",
"value_Code3": "st",
"value_Code4": "st",
"value_Code5": "st",
"value_Code6": "st",
"value_Code7": "st",
"value_Code8": "st",
"value_Code9": "st",
"void_Claim": true,
"volume_Override": true,
"waiting_Period_Claim": true
}
]

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"
}
}

List ClaimTimeline

Lists all ClaimTimeline

SecurityapiKeyAuth and bearerAuth

Request

query Parameters

batch-id required	integer <int32> Batch ID
batch-claim-id required	integer <int32> Batch Claim ID

header Parameters

vbasoftware-database

required

string

Target database

Responses

200

Success

401

Unauthorized

get/claim-timeline

Request samples

C#
JavaScript
curl
Java

Response samples

No sample

Claims

Create Claim

header Parameters

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

Get Claim

path Parameters

header Parameters

Update Claim

path Parameters

header Parameters

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

Delete Claim

path Parameters

header Parameters

Create or Update Batch Claim

header Parameters

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

List ClaimTimeline

query Parameters

header Parameters

Request Body schema:
application/json
required

Request Body schema:
application/json
required

Request Body schema:
application/json
required