| Name | Description | Type | Additional information |
|---|---|---|---|
| payType |
The pay type 1 Manual or 2 Auto |
integer |
None. |
| claimPaymentType |
The claim payment type 1 - payments 2 - reversal 3 - adjustment 4 - cancelled claims |
integer |
None. |
| claimNumber |
The claim number to uniquely identify a claim |
integer |
None. |
| subClaimNumber | integer |
None. |
|
| externalSystemClaimNumber |
The external system claim number |
string |
None. |
| externalSystemGroupId | string |
None. |
|
| externalSystemOfficeId | string |
None. |
|
| externalSystemBatchId | string |
None. |
|
| accountNumber |
The account number |
integer |
None. |
| vendor |
The service provider number |
integer |
None. |
| microFilmNumber |
The microfilm number |
string |
None. |
| medicareNumber |
The patient's medicare number |
string |
None. |
| patient |
The patient's name |
string |
None. |
| patientDateOfBirth |
The patient's date of birth |
string |
None. |
| patientGender |
The patient's gender |
integer |
None. |
| serviceDate |
The date of service |
string |
None. |
| siteNumber |
The site number |
integer |
None. |
| location |
The location |
integer |
None. |
| serviceCodeClaimed |
The service code billed |
integer |
None. |
| unitsClaimed |
The units billed |
integer |
None. |
| serviceCodePaid |
The service code paid |
integer |
None. |
| unitsPaid |
The units paid |
integer |
None. |
| originalPayment |
The original payment |
decimal number |
None. |
| serviceCodeAdjusted |
The adjusted code |
integer |
None. |
| unitsAdjusted |
The adjusted unit |
integer |
None. |
| currentPayment |
This payment |
decimal number |
None. |
| serviceProviderType |
The service provider type |
integer |
None. |
| ucrn |
The UCRN |
string |
None. |
| zone |
The zone |
string |
None. |
| claimMessages |
List of claim messages in English |
Collection of string |
None. |
| claimMessagesF |
List of claim messages in French |
Collection of string |
None. |