BranchesEncounterClaim

benefits_assigned_to_provider
Type: boolean
required
billable_status
Type: stringenum
required
values
- BILLABLE
- NOT_BILLABLE
billing_provider
Type: object
required
- address
  Type: object
  required
- npi
  Type: string
  min length:
  1
  required
- tax_id
  Type: string
  min length:
  1
  required
- first_name
  Type: string | null
- last_name
  Type: string | null
- organization_name
  Type: string | null
- provider_commercial_license_type
  Type: string | null
- secondary_identification
- taxonomy_code
  Type: string | null
- propertyName
  Type: anything
created_at
Type: stringFormat: date-time
required

the date-time notation as defined by RFC 3339, section 5.6, for example, 2017-07-21T17:32:28Z
date_of_service
Type: string | null
required
diagnoses
Type: array object[]
required
- code
  Type: string
  min length:
  1
  required
- code_type
  Type: stringenum
  required
  values
  ABF
  ABJ
  ABK
  APR
  BF
- name
  Type: string
- present_on_admission_indicator
  Type: stringenum
  values
  YES
  NO
  UNKNOWN
  NOT_APPLICABLE
- propertyName
  Type: anything
id
Type: string
required
last_checked_at
Type: string | nullFormat: date-time
required

the date-time notation as defined by RFC 3339, section 5.6, for example, 2017-07-21T17:32:28Z
original_payer_claim_control_number
Type: string | null
required
patient
Type: object
required
- address
  Type: object
  required
- date_of_birth
  Type: string
  min length:
  1
  required
- external_id
  Type: string
  min length:
  1
  required
- first_name
  Type: string
  min length:
  1
  required
- gender
  Type: stringenum
  required
  values
  male
  female
  other
  not_given
  unknown
- last_name
  Type: string
  min length:
  1
  required
- auto_charge_consent
  Type: boolean
- email
  Type: string
- email_consent
  Type: boolean
- non_insurance_payers
  Type: array string[]
- non_insurance_payers_info
  Type: array
- phone_consent
  Type: boolean
- phone_numbers
  Type: array
- propertyName
  Type: anything
patient_authorized_release
Type: boolean
required
patient_control_number
Type: string
required
payer_id
Type: string | null
required
payer_name
Type: string | null
required
place_of_service_code
Type: string
required
processing_ended_at
Type: string | nullFormat: date-time
required

the date-time notation as defined by RFC 3339, section 5.6, for example, 2017-07-21T17:32:28Z
processing_started_at
Type: string | nullFormat: date-time
required

the date-time notation as defined by RFC 3339, section 5.6, for example, 2017-07-21T17:32:28Z
provider_accepts_assignment
Type: boolean
required
rendering_provider
Type: object
required
- npi
  Type: string
  min length:
  1
  required
- address
  Type: object | null
- first_name
  Type: string | null
- last_name
  Type: string | null
- organization_name
  Type: string | null
- secondary_identification
- taxonomy_code
  Type: string | null
- propertyName
  Type: anything
responsible_party
Type: stringenum
required
values
- INSURANCE_PAY
- SELF_PAY
- UNKNOWN
resubmission_action
Type: string | null
required
resubmission_original_claim_id
Type: string | null
required
service_facility
Type: object | null
required
- address
  Type: object
  required
- organization_name
  Type: string
  min length:
  1
  required
- mammography_certification_number
  Type: string
- npi
  Type: string
- secondary_identification
  Type: string
- service_facility_id
  Type: string
- propertyName
  Type: anything
service_lines
Type: array object[]
required
- diagnosis_pointers
  Type: array integer[]
  required
- procedure_code
  Type: string
  min length:
  1
  required
- quantity
  required
  Type: number
- units
  Type: stringenum
  required
  values
  MJ
  UN
- charge_amount_cents
  Type: integer
  
  Integer numbers.
- date_of_service
  Type: string
- description
  Type: string
- drug_identification
- end_date_of_service
  Type: string
- external_id
  Type: string
- has_epsdt_indicator
  Type: boolean
- has_family_planning_indicator
  Type: boolean
- modifiers
  Type: array string[]
- note
  Type: string
- ordering_provider
- place_of_service_code
  Type: stringenum
  values
  10
  11
  12
  13
  14
- prior_authorization_number
  Type: string
- test_results
  Type: array
- propertyName
  Type: anything
status
Type: string · BranchesEncounterClaimStatusenum
required
values
- draft
- submitted_to_payer
- missing_information
- submission_bounced
- not_billable
status_changed_at
Type: stringFormat: date-time
required

the date-time notation as defined by RFC 3339, section 5.6, for example, 2017-07-21T17:32:28Z
stedi_transaction_ids
Type: array string[]
required
subscriber_primary
Type: object | null
required
- first_name
  Type: string
  min length:
  1
  required
- gender
  Type: stringenum
  required
  values
  male
  female
  other
  not_given
  unknown
- insurance_card
  Type: object
  required
- last_name
  Type: string
  min length:
  1
  required
- patient_relationship_to_subscriber_code
  Type: stringenum
  required
  values
  10
  15
  17
  18
  19
- address
  Type: object
- date_of_birth
  Type: string
- propertyName
  Type: anything