Comma separated string to sort by. Each sort field can be followed by :asc or :desc to specify sort direction, ascending is default. E.g., 'Property1:desc,Property2:asc,Property3:asc' sorts Property1 in descending order, Property2 in ascending, and Property3 in ascending.
header Parameters
vbasoftware-database
required
string
Target database
Responses
200
Success
401
Unauthorized
get/company-data
Request samples
C#
JavaScript
curl
Java
Response samples
200
No sample
Get CompanyData
Gets CompanyData
SecurityapiKeyAuth and bearerAuth
Request
path Parameters
keyValue
required
integer <int32>
Key Value
header Parameters
vbasoftware-database
required
string
Target database
Responses
200
Success
401
Unauthorized
get/company-data/{keyValue}
Request samples
C#
JavaScript
curl
Java
Response samples
200
No sample
Update CompanyData
Updates a specific CompanyData.
SecurityapiKeyAuth and bearerAuth
Request
path Parameters
keyValue
required
integer <int32>
Key Value
header Parameters
vbasoftware-database
required
string
Target database
Request Body schema:
required
key_Value
required
integer <int32>
This value is always 1 and there can only be a single record in the CompanyData table. Note: This field is marked as NOT NULL in the database and therefore required by the API.
apC_Schedule
string or null <= 16 characters
Default APC Schedule to be used
asO_Percentage
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
accident_Review_Ex_Code
string or null <= 6 characters
When a Diagnosis Code is marked as an Accident, or a Plan Benefit is marked as an accident and the Diagnosis Code is not marked as an accident, trigger this Ex Code
accident_Review_Plan_Benefit_Ex_Code
string or null <= 6 characters
When a Plan Benefit is marked as an accident and the Diagnosis Code is not marked as an accident, trigger this Ex Code
additional_Invoice_Rates
required
boolean
No longer used in the system Note: This field is marked as NOT NULL in the database and therefore required by the API.
address
string or null <= 60 characters
Address of the Company.
address2
string or null <= 128 characters
Line 2 of the Client's address.
adv_Password_Req
required
boolean
Requires passwords to have 3 of the following: Uppercase Letter, Lowercase Letter, Number, Special Character Note: This field is marked as NOT NULL in the database and therefore required by the API.
age_Disenroll_Reason
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
allow_Apostrophe_In_Name
required
boolean
Whether or not the Apostrophe is allowed in Provider or Member names Note: This field is marked as NOT NULL in the database and therefore required by the API.
allow_Checks_Post_Date
required
boolean
This option will allow for post dated checks. Note: This field is marked as NOT NULL in the database and therefore required by the API.
allow_Claim_Benefit_Override
required
boolean
Allows Benefit Override Note: This field is marked as NOT NULL in the database and therefore required by the API.
allow_Max_At_Subscriber
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
allow_OOP_On_Override
required
boolean
When selected, OOP will be calculated even when overridden Note: This field is marked as NOT NULL in the database and therefore required by the API.
allow_Zero_Billed
string or null <= 1 characters
This options allows claims to be process with a '0.00' billed amount.
anesthesia_By_Fee_Sched
required
boolean
When selected, use the matching under Anesthesia for Fee Schedules when an Anastesia Procedure Code/Modifier is present. Note: This field is marked as NOT NULL in the database and therefore required by the API.
anesthesia_Round_Precision
integer or null <int32>
The precision of rounding used for Anesthesia Units Note: The database will apply a default value of 0 for this field if a value is not provided.
anesthesia_Round_Type
string or null <= 16 characters
The type of rounding used for Anesthesia Units
apply_Multiple_Benefit_ExCode_Manual
required
boolean
If Ex Code is set and all benefits match, set to the first benefit code and set the Ex Code. If Apply_Multiple_Benefit_ExCode_Manual is set to 1 (checked) then the ex code is applied as a Manual ex code, which is not cleared on future adjudications and requires a client to manually clear it Note: This field is marked as NOT NULL in the database and therefore required by the API.
authReview_Full_Path
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
authReview_Object
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
auth_Code_Closed
string or null <= 8 characters
If after processing a claim, there are no more remaining units left for an Auth that was used on the claim, set the Auth Code on the Auth to this Code
auth_Code_Pay_Amt_Zero
string or null <= 8 characters
When a claim with an auth has a payable amount of zero
auth_Code_Reopen
string or null <= 8 characters
If after returning a claim to batch, if there are remaining units left for an Auth that was used on the claim, set the Auth Code on the Auth to this Code
auth_Code_Under_Auth_Amt
string or null <= 8 characters
When a claim with an auth has a payable amount under the approved amount on the auth
auth_Over_Unit_Split_Ex_Code
string or null <= 8 characters
Ex Code to use when spliting Authorizations
auth_Penalty_Ex_Code
string or null <= 6 characters
If filled out and an Auth Penalty is found, insert the Ex Code
auto_Adj_Return_To_Batch
required
boolean
This flag indicates claims being returned to batch will be automatically adjudicated. Note: This field is marked as NOT NULL in the database and therefore required by the API.
auto_Pay_Capitated_Claims
required
boolean
Auto pays Capitated claims and Creates a Check Batch Note: This field is marked as NOT NULL in the database and therefore required by the API.
auto_Process_Adjustment_Backout
required
boolean
Whether or not to automatically process the Backout of a claim after an adjustment Note: This field is marked as NOT NULL in the database and therefore required by the API.
auto_Term_Plan_On_Gateway_Request
required
boolean
This is a flag indicating that when a Gateway request for coverage is confirmed, if the member has an existing plan of the same plan type, it will be termed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
bR_Domain_Name
string or null <= 256 characters
For Bold Reports integration, this identifies the Domain Name. Used only by VBA developers, not for client use.
bR_Site_Name
string or null <= 256 characters
For Bold Reports integration, this identifies the Site Name. Used only by VBA developers, not for client use.
bR_Site_Secret
string or null <= 256 characters
For Bold Reports integration, this identifies the Site Secret. Used only by VBA developers, not for client use.
bR_Site_User
string or null <= 256 characters
For Bold Reports integration, this identifies the Site User. Used only by VBA developers, not for client use.
baseLoadFg
boolean or null
Whether or not BaseLoad is turned on
baseLoadPass
string or null <= 256 characters
BaseLoad Password
baseLoadServiceDateFlag
required
boolean
This flag denotes whether or not to include the Service Date within the BaseLoad XML sent to BaseLoad Note: This field is marked as NOT NULL in the database and therefore required by the API.
baseLoadURL
string or null <= 8000 characters
BaseLoad URL
baseLoadUser
string or null <= 256 characters
BaseLoad User ID
beneficiary_AgeLimit
number or null <double>
Minimum Age for a Beneficiary
beneficiary_Age_Ex_Code
string or null <= 8 characters
This pend code will be applied when the beneficiary age defined on the enrollment is invalid.
benefit_Cascade_Ex_Code
string or null <= 8 characters
This Informational Ex Code will be applied to a claim detail line when the benefit is defined as cascading in the plan and the necessary criteria have been met to cascade the benefits.
benefit_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
bridged_Tooth_Ex_Code
string or null <= 8 characters
This pend code will be applied when the tooth number on the claim is found to have been previously bridged.
caS_Segment_Ben_Match
required
boolean
This flag indicates that the adjudication benefit matching will use custom logic for CAS assignments from inbound 837 files. This option is set and controlled by VBA developers and not for client use. Note: This field is marked as NOT NULL in the database and therefore required by the API.
cliA_Certificate_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim when a CLIA certificate is required and the provider record does not have CLIA certification.
cmO_Installed
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
cap_By_Service_Line
required
boolean
Claim will error if number of the Claim has Mixed Capitation Service Lines unless this is checked. Note: This field is marked as NOT NULL in the database and therefore required by the API.
cap_Disenroll_Adj_Reason
string or null <= 8 characters
Default Capitation Disenroll Adjustment reason
cap_Enroll_Adj_Reason
string or null <= 8 characters
Default Capitation Enroll Adjustment reason
cap_Enrolled_By
integer or null <int32>
This setting defines the Enrollment date the application uses for Calculating a Capitated Providers payment.
cap_Enrolled_Thru
integer or null <int32>
This setting defines the Enrollment date the application uses for Calculating a Capitated Providers payment.
cap_In_Accum
boolean or null
Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of False for this field if a value is not provided.
capitated_Service_Ex_Code
string or null <= 8 characters
This Informational Ex Code will be applied to a claim detail line when services are Capitated.
case_Default_Report
required
string [ 1 .. 256 ] characters
The Default Case Report when using the Case Report functionality from Case Update Note: This field is marked as NOT NULL in the database and therefore required by the API.
cash_Value_Default
integer or null <int32>
Default Issue Duratoin Value for Cash Type
checkPayeeAddressFlag
required
boolean
When selected, if the payee address is not filled out, error the claim Note: This field is marked as NOT NULL in the database and therefore required by the API.
check_Stock_Location
string or null <= 128 characters
Not used in system configuration. Used on external and/or custom procedures.
checks_Max_Post_Date
integer or null <int32>
Adds an error during the Check Wizard if the Check Date exceeds the threshold set here
city
string or null <= 20 characters
City of the Company's address.
claimUpload_Date
string or null <date-time>
Not used in system configuration. Used on external and/or custom procedures.
claimUpload_File_Location
string or null <= 128 characters
Not used in system configuration. Used on external and/or custom procedures.
claimUpload_Schedule
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Age_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim in which the age definitions of the plan are exceeded.
claim_Allowed_Billed_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Amt_Ex_Code
string or null <= 6 characters
This pend code will be applied when the claim billed amount exceeds the user max defined on the user information.
claim_Auth_Denied_Ex_Code
string or null <= 6 characters
If Filled out and an Auth Status is Denied, insert the Ex Code
claim_Auth_Details_Err_Ex
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Auth_Diff_Mem_Ex
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Auth_Diff_Prov_Ex
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Auth_Exceeded_Ex_Code
string or null <= 6 characters
If Filled out and the Auth has exceeded the Approved, insert the Ex Code
claim_Auth_Invalid_Date_Ex
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Auth_Not_Approved_Ex
string or null <= 6 characters
If Filled out and an Auth status is Not Approved, insert the Ex Code
claim_Auth_Proc_Exceeded_Ex_Code
string or null <= 8 characters
If filled out and the number of Approved Procedure Units is exceeded, insert the Ex Code
claim_Auth_Reqd_Ex_Code
string or null <= 6 characters
If filled out and an Auth is required, insert the Ex Code
claim_Ben_Not_Found_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Cov_In_Net_Only_Ex_Code
string or null <= 6 characters
Checking this indicates the Benefit is covered only when services are rendered using an In-Network provider.
claim_Days_Allowed
number or null <double>
Number of claim days allowed.
claim_Dead_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim for a member whose enrollment record indicates they are deceased.
claim_Ded_Credit_OON_Used_Ex_Code
string or null <= 8 characters
This Ex Code is used when Deductible Credit is used for the claim Out of Network
claim_Ded_Credit_PPO_Used_Ex_Code
string or null <= 8 characters
This Ex Code is used when Deductible Credit is used for the claim in Network
claim_Denied_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Diagnosis_Age_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Age is outside the range for the Diagnosis
claim_Diagnosis_Gender_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Gender is not a valid Gender for the Diagnosis
claim_Dup_Error_Ex_Code
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Error_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Exceed_Daily_CoPay_Max_Ex_Code
string or null <= 8 characters
if the CoPay has been adjusted due to previous CoPay amounts, Trigger this Ex Code
claim_Exceed_Injury_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Exceed_Lifetime_Ex_Code
string or null <= 6 characters
This Ex Code is used when the claim exceeds a Lifetime Max Payable
claim_Exceed_Lifetime_OON_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Lifetime Max Payable Out of Network has been exceeded
claim_Exceed_Lifetime_PPO_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Lifetime Max Payable In Network has been exceeded
claim_Exceed_Maximum_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Exceed_PerDiem_Ex_Code
string or null <= 6 characters
This Informational Ex Code will be applied to a claim when the Per-Diem amount defined on the provider record has been exceeded.
claim_Fee_Sched_Error_Ex
string or null <= 6 characters
This pend code will be applied to a claim when the provider record indicates a fee schedule is required but no fee schedule is assigned to the provider.
claim_Lag_Error_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Late_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim that exceeds the timely filing limits set.
claim_Life_Benefit_Met_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Life Claim exceeds the Benefits Maximum
claim_Life_Plan_Met_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Life Claim exceeds the Plan Maximum
claim_No_Prov_Fee_Sched
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_No_Rate_Fee_Ex_Code
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Not_Adult_Dependent
string or null <= 6 characters
This pend code will be applied to a claim when the date of service exceeds the date on the enrollment record for dependent coverage.
claim_Not_At_Place_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Not_By_Prov_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
claim_Not_Cov_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a non-covered claim.
claim_Not_Enrolled_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim that comes in for a member that is not enrolled for the date of service.
claim_Not_Enrolled_Ex_Code_Null_Use_Pre_Post
required
boolean
When selected, instead of using the Not Enrolled Ex Code, put the Pre and Post Enrolled Ex Codes instead Note: This field is marked as NOT NULL in the database and therefore required by the API.
claim_Not_Enrolled_Post_Ex_Code
string or null <= 8 characters
This Denial Ex Code will deny a claim if services are after the enrollment date.
claim_Not_Enrolled_Pre_Ex_Code
string or null <= 8 characters
This Denial Ex Code will deny a claim if services are prior to the enrollment date.
claim_Not_Student_Ex_Code
string or null <= 6 characters
This pend code will be applied to a claim when the date of service exceeds the date on the enrollment record for student coverage.
claim_Other_Coverage_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Authorization has Other Coverage Primary selected
claim_Over_Max_Ex_Code
string or null <= 6 characters
This Ex Code is used when the claim exceeds an Annual Max Payable
claim_Over_Max_OON_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Annual Max Payable Out of Network has been exceeded
claim_Over_Max_PPO_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Annual Max Payable In Network has been exceeded
claim_Pend_Age_Max
integer or null <int32>
Trigger the Claim Age Ex Code when the Age of the Patient is above this value
claim_Pend_Age_Min
integer or null <int32>
Trigger the Claim Age Ex Code when the Age of the Patient is below this value
claim_Pend_Amount
number or null <double>
Trigger the Claim Amt Ex Code when the Claim Payable exceeds this amount
claim_Procedure_Age_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim when the procedure code/diagnosis code is defined for a specific age.
claim_Procedure_Gender_Ex_Code
string or null <= 6 characters
This Denial Ex Code will deny a claim when the procedure code/diagnosis code is defined for a specific gender.
claim_Service_Date_Range
integer or null <int32>
If outside the payable date range (this value represents days ahead from date of adjudication), error
claim_Service_Outside_Enrollment_Ex_Code
string or null <= 6 characters
When a Service Thru date happens outside the normal plan end date
claim_Splits_Plan_Year_Ex_Code
string or null <= 8 characters
This Ex Code is used when multiple Plan Years found
class_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
clear_Auth_Penalty_ExCode
required
boolean
A flag indicating that any Auth Penalty Ex Code will be removed from a claim line if it has an auth associated. Note: This field is marked as NOT NULL in the database and therefore required by the API.
client_ID
string or null <= 6 characters
Client's 3 character ID
client_Name
string or null <= 90 characters
Not used in system configuration. Used on external and/or custom procedures.
coIns_Max_Ex_Code
string or null <= 8 characters
This Informational Ex Code will be applied to a claim when the Subscriber level Coinsurance has been met for the family. An Info code must be applied as a claim detail line may have a partial denial. A deny code will deny the entire line.
coIns_Max_Ex_Code_Member
string or null <= 8 characters
This Informational Ex Code will be applied to a claim when the Member Coinsurance has been satisfied. An Info code must be applied as a claim detail line may have a partial denial. A Deny code would deny the entire detail line.
coPay_By_Billed
required
boolean
Co-Pay based on Billed Amount rather than Plan_Price Note: This field is marked as NOT NULL in the database and therefore required by the API.
cogito_App_Client_ID
string or null <= 128 characters
The app client ID associated with the user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
cogito_App_Client_Secret
string or null <= 256 characters
The app client Secret associated with the user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
cogito_User_Pool_ID
string or null <= 64 characters
The ID of the Amazon Cognito user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
combined_Notes_Report_Fg
required
boolean
When this flag is set to yes, the notes report from the Notes screen will remove the page breaks Note: This field is marked as NOT NULL in the database and therefore required by the API.
comm_Disenroll_Adj_Reason
string or null <= 8 characters
Default Commisssion Disenroll Adjustment Reason
comm_Enroll_Adj_Reason
string or null <= 8 characters
Default Commisssion Enroll Adjustment Reason
comm_Enrolled_By
integer or null <int32>
Default Commisssion Enrolled By value
comm_Enrolled_Thru
integer or null <int32>
Default Commisssion Enrolled Thru value
company_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
company_Short
string or null <= 4 characters
Client ID of the Client
company_Start_Date
string or null <date-time>
The date used to avoid using data prior to the date the company starts with VBA.
context4_ClmUcrPct
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_ClmUcrPct_OON
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_FeeSelector
string or null <= 8 characters
The type of Fee for Context4 Pricing
context4_FeeSelector_OON
string or null <= 8 characters
The type of Fee for Context4 Pricing when OON
context4_MedicarePct
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_MedicarePct_OON
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_Password
string or null <= 128 characters
The Password for Context4 Pricing
context4_PayorType
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
context4_PayorType_OON
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_PctOfChg
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_PctOfChg_OON
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
context4_PlanPriceNotGreaterBilledFg
required
boolean
When set, if Plan Price exceeds Billed Price, set Plan Price equal to Billed Price for Context4 Note: This field is marked as NOT NULL in the database and therefore required by the API.
context4_SendBillingAddressFg
required
boolean
Whether or not the Billing Address information is sent to Context4 Note: This field is marked as NOT NULL in the database and therefore required by the API.
context4_UserID
string or null <= 128 characters
The User ID for Context4 Pricing
context4_WebURI
string or null <= 256 characters
The WebURI for Context4 Pricing
context4_WebURI_Delete
string or null <= 256 characters
The Delete WebURI for Context4 Pricing
copay_Ex_Code
string or null <= 6 characters
The Ex Code to apply when adjudicating a claim that has a copay greater than zero.
country_ID
string or null <= 8 characters
Default Country
credential_By_Payee
required
boolean
Flag to create a row in office location of the provider's practice with data from the corresponding payee record instead of provider. Note: This field is marked as NOT NULL in the database and therefore required by the API.
credentialing
string or null <= 1 characters
When selected, turn on Credentialing
crowned_Tooth_Ex_Code
string or null <= 8 characters
This pend code will be applied when the tooth number on the claim is found to have been previously crowned.
currency_Format
string or null <= 20 characters
Used for currency format when saving to Excel in Formatted
dB_Version_Date
string or null <date-time>
Not used in system configuration. Used on external and/or custom procedures.
drG_Schedule
string or null <= 16 characters
Selection this option will set the default DRG schedule.
database_Version
string or null <= 32 characters
Stores the latest Release Version
date_Format
string or null <= 20 characters
Date format used when saving reports as formatted Excel
deductible_Ex_Code
string or null <= 6 characters
The Ex Code to apply when adjudicating a claim that has a deductible greater than zero.
deductible_Max_Ex_Code
string or null <= 8 characters
This Informational Ex Code will be applied to a claim when the Subscriber level deductible has been met for the family. An Info code must be applied as a claim detail line may have a partial denial. A deny code will deny the entire line.
deductible_Max_Ex_Code_Member
string or null <= 8 characters
This Informational Ex Code will be applied to a claim when the Member Deductible has been satisfied. An Info code must be applied as a claim detail line may have a partial denial. A Deny code would deny the entire detail line.
default_1099_Flag
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
default_Auth_Code
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
default_Check_Stock
integer or null <int32>
Defines the default check stock.
default_Currency_ID
string or null <= 16 characters
Default Currency to be used
default_EOB_Report
integer or null <int32>
Defines the default EOB report.
default_Federal_Tax
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
default_Federal_Tax_Day_Limit
integer or null <int32>
Default limit to when Federal Tax applies
default_Federal_Tax_Pct
number or null <double>
The default Federal Tax percentage
default_Federal_Wage_Limit
number or null <double>
Default limit to the amount of wages that can be used to calculate Federal Tax
default_ID_Card_Request_Type
string or null <= 16 characters
Indicates the desired default format for generated IDs.
default_Invoice_ReportDefinition_Key
integer or null <int32>
A part of invoice Process Automation
default_Login_Sound
string or null <= 255 characters
Sets the default login sound.
default_Medicare_Tax_Day_Limit
integer or null <int32>
Default limit to when Medicare Tax applies
default_Medicare_Wage_Limit
number or null <double>
Default limit to the amount of wages that can be used to calculate Medicare Tax
default_Pay_Date_Range
integer or null <int32>
Used to calculate the Check Paid Date
default_Payor_ID
string or null <= 10 characters
Payor ID that is defaulted to.
default_SS_Tax_Day_Limit
integer or null <int32>
Default limit to when Social Security Tax applies
default_SS_Wage_Limit
number or null <double>
Default limit to the amount of wages that can be used to calculate Social Security Tax
default_State_Tax_Day_Limit
integer or null <int32>
Default limit to when State Tax applies
default_State_Wage_Limit
number or null <double>
Default limit to the amount of wages that can be used to calculate State Tax
dental_ATP_Paid_Date_Type
string or null <= 32 characters
Holds the selected setting for ATP Paid Date on Dental Claims (Standard or by Processed Date)
diagnostic_Code_Type_Default
required
string [ 1 .. 16 ] characters
Default Diagnostic Code Type for Disability and Life claims Note: This field is marked as NOT NULL in the database and therefore required by the API.
disallow_Spec_Char_In_Plan_ID
required
boolean
This flag disallows special characters to be used in the Plan ID column. Note: This field is marked as NOT NULL in the database and therefore required by the API.
disconnect_Call_Notes_From_Claim_Provider
required
boolean
This is a flag indicating that when viewing notes from Call Tracking, provider and claim notes associated with the call record will not be displayed. Note: This field is marked as NOT NULL in the database and therefore required by the API.
disenroll_Adj_Reason
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
disenroll_Auth_Code
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
display_PPO_Null_Network
required
boolean
When selected, if the claim is Out of Network, show zero dollars in the PPO Discount Note: This field is marked as NOT NULL in the database and therefore required by the API.
division_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
dup_Password_Days
integer or null <int32>
Sets the number of days before a password may be duplicated (reused).
duplicateMaster_Key
integer or null <int32>
Choose the applicable duplicate rule for the application. See Duplicate Sets in Claim Services > Claim Configuration to maintain the Duplicate Rule options.
edI_Installed
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
eoB_Disclaimer
string or null
Not used in system configuration. Used on external and/or custom procedures.
eoB_Report_Location
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
eR_Place_Of_Service
string or null <= 5 characters
Choose the applicable place of service for emergency room services.
enforce_MFA
required
boolean
Note: This field is marked as NOT NULL in the database and therefore required by the API.
enroll_Adj_Reason
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
entry_Date
string <date-time>
Date when the record was added to the system.
entry_User
string or null <= 20 characters
User that first added the record to the system.
error_Invalid_Diag
required
boolean
Checking this box will cause claims to error if an invalid Diagnosis Code is billed. Left unchecked with a deny Ex Code selected the line item will automatically deny. Note: This field is marked as NOT NULL in the database and therefore required by the API.
error_Invalid_Proc
required
boolean
Checking this box will cause claims to error if an invalid Procedure Code is billed. Left unchecked with a deny Ex Code selected the line item will automatically deny. Note: This field is marked as NOT NULL in the database and therefore required by the API.
error_Multiple_Plan_Years
required
boolean
When selected, if there are multiple Plan Years found, error instead of triggering Claim Splits Plan Year Ex Code Note: This field is marked as NOT NULL in the database and therefore required by the API.
error_Paid_To_Provider
boolean or null
If selected and there's no Payee assigned to the Provider, set Send_Check_To Provider Note: The database will apply a default value of False for this field if a value is not provided.
error_Termed_Provider
required
boolean
Checking this box will cause claims to error if a Termed Provider is selected. Left unchecked with a deny Ex Code selected the claim will automatically deny. Note: This field is marked as NOT NULL in the database and therefore required by the API.
exceed_Exhaust_Date_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Service Date exceeds the Exhause Date on a Disability Claim
exceed_Return_To_Work_Ex_Code
string or null <= 8 characters
This pend code will be applied when the claim date of service exceeds the date defined as the return to work day on the disability claim.
exceeds_PaidThrough_Ex_Code
string or null <= 8 characters
This pend code will be applied when the claim date of service exceeds the paid through date defined on the member record.
extended_Term_Default
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
fax_Country_Code
string or null <= 8 characters
Country Code for the fax number of the Subscriber.
fax_Number
string or null <= 20 characters
Fax number of the Client.
federal_ID
string or null <= 20 characters
Not used in system configuration. Used on external and/or custom procedures.
fee_Sched_Match_Claim_Year
required
boolean
No longer used in the system Note: This field is marked as NOT NULL in the database and therefore required by the API.
fee_Schedule_Ex_Codes_Manual
required
boolean
When this is checked, Fee Schedule Ex Codes from the FeeSched and FeeSchedDetail tables will be added as MANUAL ex codes. This means adjudication will not wipe these away at the start of adjudication. Note: This field is marked as NOT NULL in the database and therefore required by the API.
fee_Schedule_Exact_Match_Fg
required
boolean
Whether or not the Modifiers of a Fee Schedule have to match exact Note: This field is marked as NOT NULL in the database and therefore required by the API.
filled_Tooth_Ex_Code
string or null <= 8 characters
Ex Code to set when the member has Filled a Tooth
first_Benefit_Auto_Selected_Ex_Code
string or null <= 6 characters
Ex code that is added when a benefit code is automatically selected on a claim detail where multiple benefit codes all match with equivalent payment details
flex_Claim_After_Grace_Period_Ex_Code
string or null <= 8 characters
This Ex Code is used when a Flex Claim is submitted after the Grace period
flex_Claim_After_Submit_Period_Ex_Code
string or null <= 8 characters
This Ex Code is used when a Flex Claim is submitted after the Submission period
flex_Claim_Funds_Exhausted_Ex_Code
string or null <= 8 characters
This Ex Code is used when the Flex Claim has exceeded the balance
force_Call_Track_Note
required
boolean
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
force_Claim_Rec_Date
required
boolean
If selected, the claim must have a Received_Date, ELSE it will Error Note: This field is marked as NOT NULL in the database and therefore required by the API.
force_Claim_Sub_ID
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
force_Latest_Enrollment
required
boolean
Use Latest Enrollment Note: This field is marked as NOT NULL in the database and therefore required by the API.
force_Leading_Zero_On_Rev_Code
required
boolean
If selected and the procedure code is only 3 length, add a zero to verify the procedure code Note: This field is marked as NOT NULL in the database and therefore required by the API.
full_Backout_On_Void_Distribution
required
boolean
When selected, Add all the backout Distribution records when voiding a check Note: This field is marked as NOT NULL in the database and therefore required by the API.
full_Month_Billing
required
string = 1 characters
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
generate_Comm_Date
string or null <date-time>
Used to stop other users from generating invoices while another user is generating commissions.
generate_Comm_User
string or null <= 16 characters
Used to stop other users from generating invoices while another user is generating commissions.
generate_Inv_Date
string or null <date-time>
Used to stop other users from generating invoices while another user is generating invoices
generate_Inv_User
string or null <= 16 characters
Used to stop other users from generating invoices while another user is generating invoices
generate_Negative_Inv
required
boolean
Check this checkbox to allow for a negative invoice to create. This will also allow a $0 invoice to create. Note: This field is marked as NOT NULL in the database and therefore required by the API.
generate_PremDist_After
string or null <date-time>
When Generating Invoices, look for distributions after this date
global_CMU_ID
string or null <= 16 characters
Not used in system configuration. Used on external and/or custom procedures.
grace_Logins
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
group_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
iD_Card_Location
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
ivR_CS_Country_Code
string or null <= 8 characters
Country Code for IVR or Customer Service number.
ivR_CS_Phone_Number
string or null <= 20 characters
IVR or Customer Service number of the Client.
ignore_Care_Management_Hierarchy_Fg
required
boolean
Overrides Case Manager Hierarchy and allows the assigning of cases up or down Note: This field is marked as NOT NULL in the database and therefore required by the API.
ignore_Claim_Funding_Status_Change_Msg
required
boolean
This is a flag indicating that when changing a claims status in Claim Funding, no message will display warning the user of the existing status. Note: This field is marked as NOT NULL in the database and therefore required by the API.
inactive_Payee_Ex_Code
string or null <= 6 characters
When a claim has a Provider using a Payee that is marked as inactive
include_Invalid_Enrollments
required
boolean
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
inv_Grace_Period
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
inv_Grace_Period_Type
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
invalid_Diag_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Diagnosis Code is invalid
invalid_Proc_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Procedure Code is invalid
invoice_Close_Adj_Reason
integer or null <int32>
Default reason for Invoice Closed
invoice_Enrolled_By
required
integer <int32>
Date used when configuring Enrolled By Date for Invoices Note: This field is marked as NOT NULL in the database and therefore required by the API.
invoice_Enrolled_Thru
integer or null <int32>
Date used when configuring Enrolled Thru Date for Invoices
invoice_Grace_Ex_Code
string or null <= 6 characters
Not used in system configuration. Used on external and/or custom procedures.
invoice_Grace_Period
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
invoice_Remit_Account_Key
integer or null <int32>
Default Invoice Remit Account
invoice_Remit_Address1
string or null <= 128 characters
Default Invoice Remit Address
invoice_Remit_Address2
string or null <= 128 characters
Default Invoice Remit Address2
invoice_Remit_City
string or null <= 32 characters
Default Invoice Remit City
invoice_Remit_Country_Code
string or null <= 8 characters
Default Invoice Remit Country Code
invoice_Remit_Country_ID
string or null <= 8 characters
Default Invoice Remit Country
invoice_Remit_Name
string or null <= 128 characters
Default Invoice Remit Name
invoice_Remit_Phone_Number
string or null <= 32 characters
Default Invoice Remit Phone Number
invoice_Remit_State
string or null <= 2 characters
Default Invoice Remit State
invoice_Remit_Zip_Code
string or null <= 32 characters
Default Invoice Remit Zip Code
lag_Time
required
integer <int32>
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
last_Age_Disenroll
string or null <date-time>
Not used in system configuration. Used on external and/or custom procedures.
last_Authorization
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
last_Billing
string or null <date-time>
Not used in system configuration. Used on external and/or custom procedures.
last_Case_Number
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
last_Check_Batch
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
last_Claim_Number
number or null <double>
Used to determine the next Claim Number
last_Day_Worked_Range
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
last_Encounter
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
last_Invoice
number or null <double>
Filled out after an Invoice is generated, likely used for reporting or as a reference
lock_Auth_Review
required
boolean
If selected, only the user that created the Auth Review can update the Auth Review Note: This field is marked as NOT NULL in the database and therefore required by the API.
lock_Auth_Review_All
required
boolean
When this is checked, Auth Reviews cannot be updated or modified by anyone. They can still be added. Note: This field is marked as NOT NULL in the database and therefore required by the API.
log_BaseLoad_Call
required
boolean
Flag that enables the logging of calls to Baseload for provider information Note: This field is marked as NOT NULL in the database and therefore required by the API.
logo_File
string or null <= 128 characters
Stores the file location for logos.
long_State_Names
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
mail_AuthMode
integer or null <int32>
Client's e-mail server AuthMode (Not sure, just passed in as general settings)
mail_Password
string or null <= 64 characters
Client's e-mail server Password
mail_Port
integer or null <int32>
Client's e-mail server Port
mail_Server
string or null <= 128 characters
Client's e-mail server
mail_Use_SSL
required
boolean
Client's e-mail server SSL setting Note: This field is marked as NOT NULL in the database and therefore required by the API.
mail_User
string or null <= 64 characters
Client's e-mail server User Name
medicare_On_Benefit
required
string = 1 characters
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
member_Address_DOB_Not_Reqd
required
boolean
This flag indicates if a full address and date of birth are not required when creating a new member Note: This field is marked as NOT NULL in the database and therefore required by the API.
member_Match_By_Name_BirthDate
required
boolean
When selected, adjudication will attempt to match a patient on their First Name, Last Name and Birth Date Note: This field is marked as NOT NULL in the database and therefore required by the API.
modifier_Not_Eff_Ex_Code
string or null <= 8 characters
This Denial Ex Code will deny a claim when the modifier entered is not listed as active on the modifier table.
multiple_Auth_Ex_Code
string or null <= 6 characters
If filled out and there are multiple Auths that are valid, insert the Ex Code
name
string or null <= 60 characters
Name of the Company.
network_Does_Not_Match_Repriced_Network_Ex_Code
string or null <= 6 characters
When the Network ID on the claim does not match what the system would have selected, throw this ex code
new_Member_Reason
integer or null <int32>
Reason for the new Member.
note_Attachment_DB
required
boolean
If selected, Note Attachments will be saved to the Database instead of in a local file location Note: This field is marked as NOT NULL in the database and therefore required by the API.
note_Attachment_Local_Default
string or null <= 255 characters
Indicates the local location for note attachments. When a note attachment is opened, it will make a copy from the remote location to the local location before opening the file.
note_Attachment_Remote_Default
string or null <= 255 characters
Indicates the remote location where note attachments will be saved. A network location should be populated at this location.
ooP_Max_Ex_Code
string or null <= 8 characters
This Ex Code is used when the claim exceeds the OOP Maximum
ooP_Max_Ex_Code_Member
string or null <= 8 characters
This Informational Ex Code will be applied to a claim when the Member level out of pocket has been exceeded.
out_Of_Net_Ex_Code
string or null <= 8 characters
This Informational Ex Code will be applied to all claims processed as out of network.
overpayment_Deduction_Type
string or null <= 8 characters
Override's the default Deduction Type of 502
pcP_Only_Ex_Code
string or null <= 8 characters
This Ex Code is used when a Benefit is marked PCP Only and the Member does not have a valid PCP
partial_Cap
required
boolean
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
password_Expiration
integer or null <int32>
Sets the number of days before password expiration.
password_Minimum
integer or null <int32>
Sets the minimum length required for application passwords.
pay_Period_Start_Date
string or null <date-time>
This date is used to calculate the Bill From and Bill Thru dates for invoices using the Calendar Payroll type of Billing Cycle.
payment_Proration
required
boolean
Whether or not invoices will be prorated Note: This field is marked as NOT NULL in the database and therefore required by the API.
phone_Country_Code
string or null <= 8 characters
Country Code for the phone number of the Subscriber.
phone_Format
string or null <= 20 characters
Phone format used when saving reports as formatted Excel
phone_Number
string or null <= 20 characters
Phone number of the Client.
place_Code_Not_Setup_Ex_Code
string or null <= 6 characters
This Ex Code is used when a Place Code is not valid for an Auth, Benefit, Co Ins or Co Pay
planBenefit_Override_Network_ID
string or null <= 10 characters
When Always Pay In Network is checked, if this is filled out and the claim is currently out of network, change the Network ID to this value.
plan_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
policy_Forfeiture_Grace_Period
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
policy_Forfeiture_Grace_Period_Type
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
premium_Proration
required
boolean
This flag denotes whether or not Premiums will be prorated when a Member Disenrolls Note: This field is marked as NOT NULL in the database and therefore required by the API.
prevent_Suspense_Release_By_Process_User
required
boolean
Flag to prevent the same user that processed a claim from releasing it from Claim Suspended status. Note: This field is marked as NOT NULL in the database and therefore required by the API.
primary_Account_Key
integer or null <int32>
This defines the primary bank account.
process_Auths_When_Pended
required
boolean
When this flag is set to yes, adjudication will process Auths on Pended claims. Note: This field is marked as NOT NULL in the database and therefore required by the API.
process_Auto_COB
required
boolean
Identifies that the check run process will now create Auto-COB claims if the Secondary member information is configured on a MemberInsruance record. Note: This field is marked as NOT NULL in the database and therefore required by the API.
processing_Mode
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
prof_ATP_Paid_Date_Type
string or null <= 32 characters
Holds the selected setting for ATP Paid Date on Professional Claims (Standard or by Processed Date)
prosthesis_Tooth_Ex_Code
string or null <= 8 characters
Ex Code to set when the member has used a Prosthesis Tooth
protect_Alternate_ID
required
boolean
This flag indicates the alternate ID on the member update screen cannot be changed Note: This field is marked as NOT NULL in the database and therefore required by the API.
provider_Auth_Exempt_Procedure_Ex_Code
string or null <= 8 characters
If a provider is exempt from Authorizations, throw this ex code
provider_Not_Active_Auth_Code
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
pulled_Tooth_Ex_Code
string or null <= 8 characters
This pend code will be applied when the tooth number on the claim is found to have been previously pulled.
qpA_Method_1_Ex_Code
string or null <= 6 characters
Ex Code to be applied to claims that use QPA Method 1
qpA_Method_2_Ex_Code
string or null <= 6 characters
Ex Code to be applied to claims that use QPA Method 2
rX_ATP_Paid_Date_Type
string or null <= 32 characters
Default value for an RX Claim's Paid Date: Service Date, Fill Date or Prescription Date
reduced_Paid_Up_Default
integer or null <int32>
Default Issue Duratoin Value for RPU Type
reins_Split_Claim
required
boolean
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
repetitive_Payment
boolean or null
If set to yes, bring up the list of Repetitive Payments on a timer
repriced_Line
string or null <= 64 characters
Not used in system configuration. Used on external and/or custom procedures.
request_ID_Card_Prompt_Enrollment
required
boolean
If checked, when the user updates a member record, prompt the user if they want to request a new ID Card. Note: This field is marked as NOT NULL in the database and therefore required by the API.
request_Provider_Email
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
request_Reassess_Email
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
restrict_NPI_Federal_ID
required
boolean
This flag indicates the NPI and Federal ID fields on a Provider record have length restrictions of 10/9 characters respectively Note: This field is marked as NOT NULL in the database and therefore required by the API.
return_To_Work_Range
integer or null <int32>
Defined Return to Work Range for a disability claim
scanned_Images_Folder
string or null <= 255 characters
Indicates the file location where scanned images are kept.
set_Paid_Through
required
boolean
If selected, set the Paid Through Date once an invoice is closed Note: This field is marked as NOT NULL in the database and therefore required by the API.
single_Refund_Check_Batch
required
boolean
If selected put all refunds into the same Check Batch Note: This field is marked as NOT NULL in the database and therefore required by the API.
state
string or null <= 2 characters
State of the Company's address.
subscriber_ID_Format
string or null <= 20 characters
Not used in system configuration. Used on external and/or custom procedures.
subscriber_Length
number or null <double>
Not used in system configuration. Used on external and/or custom procedures.
system_Idle
integer or null <int32>
Enter the time, in seconds, that will be allowed to elapse before the application closes.
tax_Control_Location
string or null <= 255 characters
Not used in system configuration. Used on external and/or custom procedures.
tax_On_Adjudcation_Date_Fg
required
boolean
Whether Tax is calculated on date of adjudication or Service Date of claim Note: This field is marked as NOT NULL in the database and therefore required by the API.
temporary_Save_Criteria_Count
integer or null <int32>
How many rows in the criteria table to temporarily save
termed_Provider_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Provider's Term Date is before the Service Date
toll_Free_Country_Code
string or null <= 8 characters
Country Code for the toll free phone number of the Client.
toll_Free_Phone_Number
string or null <= 20 characters
Toll free phone number of the Client.
tooth_Activity_Ex_Code
string or null <= 8 characters
This pend code will be applied when the tooth number on the claim is found to have previous tooth activity.
tooth_Chart_Type
string or null <= 8 characters
Choose the applicable tooth chart for the application.
uB92_ATP_Paid_Date_Type
string or null <= 32 characters
Holds the selected setting for ATP Paid Date on Institutional Claims (Standard or by Processed Date)
uC_Price_Used_Ex_Code
string or null <= 8 characters
This Ex Code is used when Usual and Customary is used.
uC_Unit_Mulitply
required
boolean
Whether or not the Plan Price is multiplied by number of units for Usual and Customary Note: This field is marked as NOT NULL in the database and therefore required by the API.
unassigned_Provider
string or null <= 8 characters
Not used in system configuration. Used on external and/or custom procedures.
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.
useGreaterUserAmountLimit_Fg
required
boolean
Whether or not to validate User Amount Limits for Payable or Total Payable Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Auth_Over_Unit_Split
required
boolean
Whether or not to split Authorizations Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Change_Data_Capture
required
boolean
No longer used in the system Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Commission_Cluster_Hierarchy
required
boolean
Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Currency
required
boolean
Whether or not to use the Default Currency Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Disability_From_Date
required
boolean
When selected, Disability Claims will be verified to be within the payable date range and if not, the claim will not process. Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Expanded_Notes
required
boolean
Fills out NoteReference among other things for Notes Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_First_Match_Pricing
required
boolean
Use first Fee Schedule match found Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Other_Name
string or null <= 1 characters
Not used in system configuration. Used on external and/or custom procedures.
use_Primary_Diag_Match
required
boolean
If selected, during Age Restrictions, only look at the left most Diag Pointer on a Claim Line Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Primary_Diag_Match_Capitation
required
boolean
When determining Include Excludes for Capitation Diagnosis Codes, if set to yes, only look at the first pointer. Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Salary
required
boolean
Not used in system configuration. Used on external and/or custom procedures. Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Tax_Control
required
boolean
Whether or not to use the Tax Control object rather than adjudication Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_VBASoftware_2
required
boolean
Notes that this client is no longer utilizing Legacy VBASoftware. Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_VBAdjudicate_2
required
boolean
This is a flag indicating if this database (client) is utilizing new serverless adjudication. This flag will drive old adjudication to not pickup claims for example, or tell VBASoftware that the "Adjudicate" button on claims goes a different route. Note: This field is marked as NOT NULL in the database and therefore required by the API.
use_Zip_Code_Auto_Populate
required
boolean
Whether or not Zip Code with auto poulate city/state based on Zip Code Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaDataIntegration
required
boolean
Whether or not VBADataintegration is on or not Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaDataIntegration_DBMS
string or null <= 128 characters
DBMS setup information for VBA Data Integration
vbaDataIntegration_DBParm
string or null <= 1024 characters
DBMS setup information for VBA Data Integration
vbaDataIntegration_Database
string or null <= 128 characters
Database setup information for VBA Data Integration
vbaDataIntegration_Server
string or null <= 128 characters
Server setup information for VBA Data Integration
vbaGateway
required
boolean
Whether or not this is a Gateway client Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaGateway_DBMS
string or null <= 128 characters
Gateway's DBMS
vbaGateway_DBParm
string or null <= 1024 characters
Gateway's Database Parameters
vbaGateway_Database
string or null <= 128 characters
Gateway's Database
vbaGateway_SFTP_Host
string or null <= 256 characters
Gateway's SFTP Host
vbaGateway_SFTP_LogFile
string or null <= 256 characters
Gateway's SFTP LogFile
vbaGateway_SFTP_MLST
required
boolean
Gateway's SFTP MLST Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaGateway_SFTP_Passive
required
boolean
Gateway's SFTP Passive Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaGateway_SFTP_Password
string or null <= 256 characters
Gateway's SFTP Password
vbaGateway_SFTP_Port
integer or null <int32>
Gateway's SFTP Port
vbaGateway_SFTP_Protocol
integer or null <int32>
Gateway's SFTP Protocol
vbaGateway_SFTP_User
string or null <= 64 characters
Gateway's SFTP User ID
vbaGateway_Server
string or null <= 128 characters
Gateway's Server
vbapI_Adjudicate_Client_Code
string or null <= 32 characters
System Configuration Values used by VBA Engineers.
vbapI_Adjudicate_Client_ID
string or null <= 32 characters
System Configuration Values used by VBA Engineers.
vbapI_Adjudicate_Database
string or null <= 64 characters
System Configuration Values used by VBA Engineers.
vbapI_ClaimQueue_URL
string or null <= 1024 characters
For internal Developer use only.
vbapI_Client_Code
string or null <= 32 characters
For internal Developer use only.
vbapI_Field_Masking_Enabled
required
boolean
Identifies if Field Masking is enabled. This is a VBAPI setting so does not impact Legacy VBASoftware. Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbapI_IP_Whitelist
required
boolean
Indicates if the client has IP Whitelisting enabled for accessing APIs. If enabled, IP Addresses will be added to the IPWhitelist table. Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaReport_Event_Timer
integer or null <int32>
Timer for kicking off VBA Report to see if an Event is ready to be Processed
vbaReport_Mail_AuthMode
integer or null <int32>
Client's Process Automation Auth Mode (Not sure, just passed in as general settings)
vbaReport_Mail_Password
string or null <= 64 characters
Client's Process Automation Password
vbaReport_Mail_Port
integer or null <int32>
Client's Process Automation server Port
vbaReport_Mail_Server
string or null <= 128 characters
Client's Process Automation server
vbaReport_Mail_Use_SSL
required
boolean
Client's Process Automation SSL Setting Note: This field is marked as NOT NULL in the database and therefore required by the API.
vbaReport_Mail_User
string or null <= 64 characters
Client's Process Automation User Name
vbaReport_SO_Count
integer or null <int32>
Value retrieved in VbA Report, nothing done with it
vbaReport_Series_Timer
integer or null <int32>
Timer for kicking off VBA Report to see if a Series is ready to be Processed
vbaReport_Status
string or null <= 32 characters
Current Status of VBAReport (Pause, Stop, Running)
vbaReport_Timer
integer or null <int32>
Timer for kicking off VBA Report to see if a Report is ready to be Processed
vbAdjudicate_SO_Count
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
vbAdjudicate_Status
string or null <= 32 characters
Current Status of Adjudication (Pause, Stop, Running)
vbAdjudicate_Timer
integer or null <int32>
Not used in system configuration. Used on external and/or custom procedures.
validate_Federal_ID_On_Auth
required
boolean
Whether or not to validate Authorizations based on Federal ID Note: This field is marked as NOT NULL in the database and therefore required by the API.
validate_Provider_On_Auth
required
boolean
If set to yes, the Provider must match on the Claim with the Auth Note: This field is marked as NOT NULL in the database and therefore required by the API.
void_Backout_Use_Current_Date
required
boolean
When used, a Void backout will use today's date instead of processed date Note: This field is marked as NOT NULL in the database and therefore required by the API.
volume_Max_Met_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Maximum Volume is used to lower the Volume to maximum
volume_Min_Met_Ex_Code
string or null <= 6 characters
This Ex Code is used when the Minimum Volume is used to raise the Volume to minimum
workflow_Execute_Count
integer or null <int32>
This indicates how many workflows will be executed per iteration from VBAdjudicateGovernor
zelis_EOBCode_Not_Found_Ex_Code
string or null <= 6 characters
Default EOB Code not found ex code used when one is not sent for Zelis
zelis_EditCode_Not_Found_Ex_Code
string or null <= 6 characters
Default Edit Code not found ex code used when one is not sent for Zelis
zelis_In_Network_Ex_Code
string or null <= 6 characters
When the Zelis In Network Ex Code is set, and the Ex Code is on the claim and sent to Zelis, the claim will always be sent as "In Network" regardless if the claim is In or Out of Network
zelis_Login
string or null <= 128 characters
Login information for Zelis Repricing API
zelis_Password
string or null <= 128 characters
Password information for Zelis Repricing API
zelis_Poll
required
boolean
Whether or not the system should be polling Zelis Repricing Note: This field is marked as NOT NULL in the database and therefore required by the API.
zelis_Poll_Testing
required
boolean
Indicates if Zelis Polling is "In Testing". When "In Testing", polling activity will fire for the first call to Zelis only, so that Zelis has the claim, then not make any additional polling entries until the client indicates the test is complete. Disabling this will then proceed to make new polling entries on claims in QUEUED and INPROCESS as normal. Note: This field is marked as NOT NULL in the database and therefore required by the API.
zelis_URL
string or null <= 1024 characters
URL used to connect to the Zelis Cost Containment System