@vbasoftware/vbapi-vbasoftware-typescript-axios 1.20230208.2 → 1.20230225.1

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
@@ -21,1525 +21,1525 @@
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  */
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  export interface ClaimBatch {
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  /**
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- *
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+ * This value, in combination with Batch_Claim, creates a unique identifier for each claim that is maintained in both batch and processed. 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.
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  * @type {number}
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  * @memberof ClaimBatch
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  */
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  'batch_Number': number;
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  /**
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- *
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+ * This value, in combination with Batch_Number, creates a unique identifier for each claim that is maintained in both batch and processed. 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.
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  * @type {number}
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  * @memberof ClaimBatch
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  */
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  'batch_Claim': number;
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  /**
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- *
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+ * 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'aeoB_Claim': boolean;
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  /**
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- *
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+ * The date of accident.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'accident_Date'?: string | null;
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  /**
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- *
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+ * For claim funding, indicates the payor/account this claim would be paid from.
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  * @type {number}
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  * @memberof ClaimBatch
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  */
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  'account_Key'?: number | null;
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  /**
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- *
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+ * Indicates that this claim was part of an Adjustment process.
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  * @type {number}
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  * @memberof ClaimBatch
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  */
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  'adjusted_From'?: number | null;
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  /**
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- *
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+ * Indicates this claim is 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'adjustment_Claim': boolean;
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  /**
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- *
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+ * For institutional Claims, holds the Admission Date.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'admission_Date'?: string | null;
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  /**
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- *
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+ * The admission diagnosis code if applicable for this claim.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'admission_Diagnostic_Code'?: string | null;
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  /**
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- *
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+ * For institutional Claims, holds the Admission Hour.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'admission_Hour'?: string | null;
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  /**
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- *
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+ * For institutional Claims, holds the Admission Source.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'admission_Source'?: string | null;
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  /**
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- *
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+ * Used to identify the date the member was admitted to the Hospital if hospitalized as part of this disability.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'admit_Date'?: string | null;
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  /**
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- *
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+ * 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'advance_Pay': boolean;
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  /**
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- *
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+ * 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'advice_To_Pay': boolean;
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  /**
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- *
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+ * Information field used in custom processing and reporting.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'all_Docs_Rec_Date'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_Address'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_Address2'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_City'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_Location'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_Org_Name'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_State'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_DropOff_Zip'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_Address'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_Address2'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_City'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_Location'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_State'?: string | null;
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  /**
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- *
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+ * If the claim utlized ambulance services (submitted via 837), we track that here.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'ambulance_PickUp_Zip'?: string | null;
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  /**
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- *
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+ * The date the orthodontic appliance was placed.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'appliance_Placed_Date'?: string | null;
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  /**
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- *
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+ * Information field used in custom processing and reporting.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'assumed_Care_Date'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Address'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Address2'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_City'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Federal_ID'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_First_Name'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Last_Name'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_MAID'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_NPI'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Org_Name'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Phone'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_State'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Taxonomy'?: string | null;
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  /**
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- *
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+ * The attending provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attend_Provider_Zip'?: string | null;
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  /**
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- *
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+ * 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.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'attended_Physician_Date'?: string | null;
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  /**
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- *
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+ * For flex claims, notes that this claim was auto-created by adjudication based on 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'auto_Flex': boolean;
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  /**
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- *
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+ * Flagged when a claim has gone through the baseload provider matching service. 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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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'baseloadLookup': boolean;
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  /**
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- *
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+ * Notes the beneficiary for Life & Disability claims. References the MemberBeneficiary.Beneficiary_ID.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'beneficiary_ID'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Address'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Address2'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_City'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Federal_ID'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_First_Name'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Last_Name'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_MAID'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_NPI'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Org_Name'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Phone'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_State'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Taxonomy'?: string | null;
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  /**
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- *
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+ * The billing provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'bill_Provider_Zip'?: string | null;
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  /**
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- *
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+ * Holds the claim level billed amount that is used for balancing the claim detail billed_price values. If different, throws an error.
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  * @type {number}
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  * @memberof ClaimBatch
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  */
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  'billed_Amount'?: number | null;
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  /**
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- *
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+ * No longer in use.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'cliA_Number'?: string | null;
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  /**
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- *
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+ * 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'calculate_Interest': boolean;
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  /**
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- *
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+ * 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.
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  * @type {boolean}
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  * @memberof ClaimBatch
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  */
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  'capitation_Claim': boolean;
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  /**
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- *
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+ * For 837 transactions, indicates COB has been submitted.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'claim_837_COB'?: string | null;
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  /**
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- *
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+ * An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'claim_ID'?: string | null;
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  /**
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- *
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+ * For 837 transactions, indicates the submitted claim priority.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'claim_Priority'?: string | null;
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  /**
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- *
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+ * The status of the claim. Valid values reside in the ClaimStatus table.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'claim_Status'?: string | null;
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  /**
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- *
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+ * Notes the claim type for this claim. References ClaimType.Claim_Type.
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  * @type {string}
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  * @memberof ClaimBatch
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  */
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  'claim_Type'?: string | null;
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  /**
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- *
438
+ * This is an information only field that allows the tracking of the Closure Effective Date.
439
439
  * @type {string}
440
440
  * @memberof ClaimBatch
441
441
  */
442
442
  'closure_Effective_Date'?: string | null;
443
443
  /**
444
- *
444
+ * The Condition Code value for this claim.
445
445
  * @type {string}
446
446
  * @memberof ClaimBatch
447
447
  */
448
448
  'condition_Code1'?: string | null;
449
449
  /**
450
- *
450
+ * The Condition Code value for this claim.
451
451
  * @type {string}
452
452
  * @memberof ClaimBatch
453
453
  */
454
454
  'condition_Code2'?: string | null;
455
455
  /**
456
- *
456
+ * The Condition Code value for this claim.
457
457
  * @type {string}
458
458
  * @memberof ClaimBatch
459
459
  */
460
460
  'condition_Code3'?: string | null;
461
461
  /**
462
- *
462
+ * The Condition Code value for this claim.
463
463
  * @type {string}
464
464
  * @memberof ClaimBatch
465
465
  */
466
466
  'condition_Code4'?: string | null;
467
467
  /**
468
- *
468
+ * The Condition Code value for this claim.
469
469
  * @type {string}
470
470
  * @memberof ClaimBatch
471
471
  */
472
472
  'condition_Code5'?: string | null;
473
473
  /**
474
- *
474
+ * The Condition Code value for this claim.
475
475
  * @type {string}
476
476
  * @memberof ClaimBatch
477
477
  */
478
478
  'condition_Code6'?: string | null;
479
479
  /**
480
- *
480
+ * The Condition Code value for this claim.
481
481
  * @type {string}
482
482
  * @memberof ClaimBatch
483
483
  */
484
484
  'condition_Code7'?: string | null;
485
485
  /**
486
- *
486
+ * Allows the user to flag a claim to ignore Context4Health service results and stick to core adjudication edits. 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.
487
487
  * @type {boolean}
488
488
  * @memberof ClaimBatch
489
489
  */
490
490
  'context4_Override': boolean;
491
491
  /**
492
- *
492
+ * The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
493
493
  * @type {string}
494
494
  * @memberof ClaimBatch
495
495
  */
496
496
  'coverage_Start'?: string | null;
497
497
  /**
498
- *
498
+ * The current illness date for this claim.
499
499
  * @type {string}
500
500
  * @memberof ClaimBatch
501
501
  */
502
502
  'current_Illness_Date'?: string | null;
503
503
  /**
504
- *
504
+ * The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
505
505
  * @type {string}
506
506
  * @memberof ClaimBatch
507
507
  */
508
508
  'drG_Code'?: string | null;
509
509
  /**
510
- *
510
+ * The quantity associated with this DRG value.
511
511
  * @type {number}
512
512
  * @memberof ClaimBatch
513
513
  */
514
514
  'drG_Quantity'?: number | null;
515
515
  /**
516
- *
516
+ * Information field used in custom processing and reporting.
517
517
  * @type {string}
518
518
  * @memberof ClaimBatch
519
519
  */
520
520
  'death_Cert_Rec_Date'?: string | null;
521
521
  /**
522
- *
522
+ * This identifies the date of delivery for disability due to pregnancy.
523
523
  * @type {string}
524
524
  * @memberof ClaimBatch
525
525
  */
526
526
  'delivery_Date'?: string | null;
527
527
  /**
528
- *
528
+ * This will identify the type of delivery that is performed as a result of pregnancy.
529
529
  * @type {string}
530
530
  * @memberof ClaimBatch
531
531
  */
532
532
  'delivery_Type'?: string | null;
533
533
  /**
534
- *
534
+ * This is an information only field that allows the tracking of Dependent SSI End Date.
535
535
  * @type {string}
536
536
  * @memberof ClaimBatch
537
537
  */
538
538
  'dep_SSDI_End_Date'?: string | null;
539
539
  /**
540
- *
540
+ * 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.
541
541
  * @type {string}
542
542
  * @memberof ClaimBatch
543
543
  */
544
544
  'diagnostic_Code1'?: string | null;
545
545
  /**
546
- *
546
+ * An assigned diagnostic code for this claim.
547
547
  * @type {string}
548
548
  * @memberof ClaimBatch
549
549
  */
550
550
  'diagnostic_Code10'?: string | null;
551
551
  /**
552
- *
552
+ * An assigned diagnostic code for this claim.
553
553
  * @type {string}
554
554
  * @memberof ClaimBatch
555
555
  */
556
556
  'diagnostic_Code11'?: string | null;
557
557
  /**
558
- *
558
+ * An assigned diagnostic code for this claim.
559
559
  * @type {string}
560
560
  * @memberof ClaimBatch
561
561
  */
562
562
  'diagnostic_Code12'?: string | null;
563
563
  /**
564
- *
564
+ * An assigned diagnostic code for this claim.
565
565
  * @type {string}
566
566
  * @memberof ClaimBatch
567
567
  */
568
568
  'diagnostic_Code13'?: string | null;
569
569
  /**
570
- *
570
+ * An assigned diagnostic code for this claim.
571
571
  * @type {string}
572
572
  * @memberof ClaimBatch
573
573
  */
574
574
  'diagnostic_Code14'?: string | null;
575
575
  /**
576
- *
576
+ * An assigned diagnostic code for this claim.
577
577
  * @type {string}
578
578
  * @memberof ClaimBatch
579
579
  */
580
580
  'diagnostic_Code15'?: string | null;
581
581
  /**
582
- *
582
+ * An assigned diagnostic code for this claim.
583
583
  * @type {string}
584
584
  * @memberof ClaimBatch
585
585
  */
586
586
  'diagnostic_Code16'?: string | null;
587
587
  /**
588
- *
588
+ * An assigned diagnostic code for this claim.
589
589
  * @type {string}
590
590
  * @memberof ClaimBatch
591
591
  */
592
592
  'diagnostic_Code17'?: string | null;
593
593
  /**
594
- *
594
+ * An assigned diagnostic code for this claim.
595
595
  * @type {string}
596
596
  * @memberof ClaimBatch
597
597
  */
598
598
  'diagnostic_Code18'?: string | null;
599
599
  /**
600
- *
600
+ * An assigned diagnostic code for this claim.
601
601
  * @type {string}
602
602
  * @memberof ClaimBatch
603
603
  */
604
604
  'diagnostic_Code19'?: string | null;
605
605
  /**
606
- *
606
+ * An assigned diagnostic code for this claim.
607
607
  * @type {string}
608
608
  * @memberof ClaimBatch
609
609
  */
610
610
  'diagnostic_Code2'?: string | null;
611
611
  /**
612
- *
612
+ * An assigned diagnostic code for this claim.
613
613
  * @type {string}
614
614
  * @memberof ClaimBatch
615
615
  */
616
616
  'diagnostic_Code20'?: string | null;
617
617
  /**
618
- *
618
+ * An assigned diagnostic code for this claim.
619
619
  * @type {string}
620
620
  * @memberof ClaimBatch
621
621
  */
622
622
  'diagnostic_Code21'?: string | null;
623
623
  /**
624
- *
624
+ * An assigned diagnostic code for this claim.
625
625
  * @type {string}
626
626
  * @memberof ClaimBatch
627
627
  */
628
628
  'diagnostic_Code22'?: string | null;
629
629
  /**
630
- *
630
+ * An assigned diagnostic code for this claim.
631
631
  * @type {string}
632
632
  * @memberof ClaimBatch
633
633
  */
634
634
  'diagnostic_Code23'?: string | null;
635
635
  /**
636
- *
636
+ * An assigned diagnostic code for this claim.
637
637
  * @type {string}
638
638
  * @memberof ClaimBatch
639
639
  */
640
640
  'diagnostic_Code24'?: string | null;
641
641
  /**
642
- *
642
+ * An assigned diagnostic code for this claim.
643
643
  * @type {string}
644
644
  * @memberof ClaimBatch
645
645
  */
646
646
  'diagnostic_Code3'?: string | null;
647
647
  /**
648
- *
648
+ * An assigned diagnostic code for this claim.
649
649
  * @type {string}
650
650
  * @memberof ClaimBatch
651
651
  */
652
652
  'diagnostic_Code4'?: string | null;
653
653
  /**
654
- *
654
+ * An assigned diagnostic code for this claim.
655
655
  * @type {string}
656
656
  * @memberof ClaimBatch
657
657
  */
658
658
  'diagnostic_Code5'?: string | null;
659
659
  /**
660
- *
660
+ * An assigned diagnostic code for this claim.
661
661
  * @type {string}
662
662
  * @memberof ClaimBatch
663
663
  */
664
664
  'diagnostic_Code6'?: string | null;
665
665
  /**
666
- *
666
+ * An assigned diagnostic code for this claim.
667
667
  * @type {string}
668
668
  * @memberof ClaimBatch
669
669
  */
670
670
  'diagnostic_Code7'?: string | null;
671
671
  /**
672
- *
672
+ * An assigned diagnostic code for this claim.
673
673
  * @type {string}
674
674
  * @memberof ClaimBatch
675
675
  */
676
676
  'diagnostic_Code8'?: string | null;
677
677
  /**
678
- *
678
+ * An assigned diagnostic code for this claim.
679
679
  * @type {string}
680
680
  * @memberof ClaimBatch
681
681
  */
682
682
  'diagnostic_Code9'?: string | null;
683
683
  /**
684
- *
684
+ * Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
685
685
  * @type {string}
686
686
  * @memberof ClaimBatch
687
687
  */
688
688
  'diagnostic_Code_Type': string;
689
689
  /**
690
- *
690
+ * The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
691
691
  * @type {string}
692
692
  * @memberof ClaimBatch
693
693
  */
694
694
  'disability_Date'?: string | null;
695
695
  /**
696
- *
696
+ * Information field used in custom processing and reporting.
697
697
  * @type {string}
698
698
  * @memberof ClaimBatch
699
699
  */
700
700
  'disability_End_Date'?: string | null;
701
701
  /**
702
- *
702
+ * Used to identify the type of disability (Injury or Illness).
703
703
  * @type {string}
704
704
  * @memberof ClaimBatch
705
705
  */
706
706
  'disability_Type'?: string | null;
707
707
  /**
708
- *
708
+ * 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.
709
709
  * @type {string}
710
710
  * @memberof ClaimBatch
711
711
  */
712
712
  'disabled_By_Physician'?: string | null;
713
713
  /**
714
- *
714
+ * Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
715
715
  * @type {string}
716
716
  * @memberof ClaimBatch
717
717
  */
718
718
  'discharge_Date'?: string | null;
719
719
  /**
720
- *
720
+ * For institutional Claims, holds the Discharge Hour.
721
721
  * @type {string}
722
722
  * @memberof ClaimBatch
723
723
  */
724
724
  'discharge_Hour'?: string | null;
725
725
  /**
726
- *
726
+ * The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
727
727
  * @type {string}
728
728
  * @memberof ClaimBatch
729
729
  */
730
730
  'division_ID'?: string | null;
731
731
  /**
732
- *
732
+ * The external cause of injury code for this claim, if applicable.
733
733
  * @type {string}
734
734
  * @memberof ClaimBatch
735
735
  */
736
736
  'eCode_Diagnostic_Code'?: string | null;
737
737
  /**
738
- *
738
+ * The external cause of injury code for this claim, if applicable.
739
739
  * @type {string}
740
740
  * @memberof ClaimBatch
741
741
  */
742
742
  'eCode_Diagnostic_Code10'?: string | null;
743
743
  /**
744
- *
744
+ * The external cause of injury code for this claim, if applicable.
745
745
  * @type {string}
746
746
  * @memberof ClaimBatch
747
747
  */
748
748
  'eCode_Diagnostic_Code11'?: string | null;
749
749
  /**
750
- *
750
+ * The external cause of injury code for this claim, if applicable.
751
751
  * @type {string}
752
752
  * @memberof ClaimBatch
753
753
  */
754
754
  'eCode_Diagnostic_Code12'?: string | null;
755
755
  /**
756
- *
756
+ * The external cause of injury code for this claim, if applicable.
757
757
  * @type {string}
758
758
  * @memberof ClaimBatch
759
759
  */
760
760
  'eCode_Diagnostic_Code2'?: string | null;
761
761
  /**
762
- *
762
+ * The external cause of injury code for this claim, if applicable.
763
763
  * @type {string}
764
764
  * @memberof ClaimBatch
765
765
  */
766
766
  'eCode_Diagnostic_Code3'?: string | null;
767
767
  /**
768
- *
768
+ * The external cause of injury code for this claim, if applicable.
769
769
  * @type {string}
770
770
  * @memberof ClaimBatch
771
771
  */
772
772
  'eCode_Diagnostic_Code4'?: string | null;
773
773
  /**
774
- *
774
+ * The external cause of injury code for this claim, if applicable.
775
775
  * @type {string}
776
776
  * @memberof ClaimBatch
777
777
  */
778
778
  'eCode_Diagnostic_Code5'?: string | null;
779
779
  /**
780
- *
780
+ * The external cause of injury code for this claim, if applicable.
781
781
  * @type {string}
782
782
  * @memberof ClaimBatch
783
783
  */
784
784
  'eCode_Diagnostic_Code6'?: string | null;
785
785
  /**
786
- *
786
+ * The external cause of injury code for this claim, if applicable.
787
787
  * @type {string}
788
788
  * @memberof ClaimBatch
789
789
  */
790
790
  'eCode_Diagnostic_Code7'?: string | null;
791
791
  /**
792
- *
792
+ * The external cause of injury code for this claim, if applicable.
793
793
  * @type {string}
794
794
  * @memberof ClaimBatch
795
795
  */
796
796
  'eCode_Diagnostic_Code8'?: string | null;
797
797
  /**
798
- *
798
+ * The external cause of injury code for this claim, if applicable.
799
799
  * @type {string}
800
800
  * @memberof ClaimBatch
801
801
  */
802
802
  'eCode_Diagnostic_Code9'?: string | null;
803
803
  /**
804
- *
804
+ * Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
805
805
  * @type {string}
806
806
  * @memberof ClaimBatch
807
807
  */
808
808
  'epsdT_Condition_Indicator1'?: string | null;
809
809
  /**
810
- *
810
+ * Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
811
811
  * @type {string}
812
812
  * @memberof ClaimBatch
813
813
  */
814
814
  'epsdT_Condition_Indicator2'?: string | null;
815
815
  /**
816
- *
816
+ * Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
817
817
  * @type {string}
818
818
  * @memberof ClaimBatch
819
819
  */
820
820
  'epsdT_Condition_Indicator3'?: string | null;
821
821
  /**
822
- *
822
+ * Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
823
823
  * @type {string}
824
824
  * @memberof ClaimBatch
825
825
  */
826
826
  'epsdT_Referral_Given'?: string | null;
827
827
  /**
828
- *
828
+ * Date when the record was first added to the system.
829
829
  * @type {string}
830
830
  * @memberof ClaimBatch
831
831
  */
832
832
  'entry_Date'?: string;
833
833
  /**
834
- *
834
+ * User that first added the record to the system.
835
835
  * @type {string}
836
836
  * @memberof ClaimBatch
837
837
  */
838
838
  'entry_User'?: string | null;
839
839
  /**
840
- *
840
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
841
841
  * @type {string}
842
842
  * @memberof ClaimBatch
843
843
  */
844
844
  'error_Amount'?: string | null;
845
845
  /**
846
- *
846
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
847
847
  * @type {string}
848
848
  * @memberof ClaimBatch
849
849
  */
850
850
  'error_Auth'?: string | null;
851
851
  /**
852
- *
852
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
853
853
  * @type {string}
854
854
  * @memberof ClaimBatch
855
855
  */
856
856
  'error_Beneficiary'?: string | null;
857
857
  /**
858
- *
858
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
859
859
  * @type {string}
860
860
  * @memberof ClaimBatch
861
861
  */
862
862
  'error_Benefit'?: string | null;
863
863
  /**
864
- *
864
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
865
865
  * @type {string}
866
866
  * @memberof ClaimBatch
867
867
  */
868
868
  'error_ConditionCode'?: string | null;
869
869
  /**
870
- *
870
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
871
871
  * @type {string}
872
872
  * @memberof ClaimBatch
873
873
  */
874
874
  'error_Dates'?: string | null;
875
875
  /**
876
- *
876
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
877
877
  * @type {string}
878
878
  * @memberof ClaimBatch
879
879
  */
880
880
  'error_Detail'?: string | null;
881
881
  /**
882
- *
882
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
883
883
  * @type {string}
884
884
  * @memberof ClaimBatch
885
885
  */
886
886
  'error_Diag1'?: string | null;
887
887
  /**
888
- *
888
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
889
889
  * @type {string}
890
890
  * @memberof ClaimBatch
891
891
  */
892
892
  'error_Diag10'?: string | null;
893
893
  /**
894
- *
894
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
895
895
  * @type {string}
896
896
  * @memberof ClaimBatch
897
897
  */
898
898
  'error_Diag11'?: string | null;
899
899
  /**
900
- *
900
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
901
901
  * @type {string}
902
902
  * @memberof ClaimBatch
903
903
  */
904
904
  'error_Diag12'?: string | null;
905
905
  /**
906
- *
906
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
907
907
  * @type {string}
908
908
  * @memberof ClaimBatch
909
909
  */
910
910
  'error_Diag13'?: string | null;
911
911
  /**
912
- *
912
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
913
913
  * @type {string}
914
914
  * @memberof ClaimBatch
915
915
  */
916
916
  'error_Diag14'?: string | null;
917
917
  /**
918
- *
918
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
919
919
  * @type {string}
920
920
  * @memberof ClaimBatch
921
921
  */
922
922
  'error_Diag15'?: string | null;
923
923
  /**
924
- *
924
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
925
925
  * @type {string}
926
926
  * @memberof ClaimBatch
927
927
  */
928
928
  'error_Diag16'?: string | null;
929
929
  /**
930
- *
930
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
931
931
  * @type {string}
932
932
  * @memberof ClaimBatch
933
933
  */
934
934
  'error_Diag17'?: string | null;
935
935
  /**
936
- *
936
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
937
937
  * @type {string}
938
938
  * @memberof ClaimBatch
939
939
  */
940
940
  'error_Diag18'?: string | null;
941
941
  /**
942
- *
942
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
943
943
  * @type {string}
944
944
  * @memberof ClaimBatch
945
945
  */
946
946
  'error_Diag19'?: string | null;
947
947
  /**
948
- *
948
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
949
949
  * @type {string}
950
950
  * @memberof ClaimBatch
951
951
  */
952
952
  'error_Diag2'?: string | null;
953
953
  /**
954
- *
954
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
955
955
  * @type {string}
956
956
  * @memberof ClaimBatch
957
957
  */
958
958
  'error_Diag20'?: string | null;
959
959
  /**
960
- *
960
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
961
961
  * @type {string}
962
962
  * @memberof ClaimBatch
963
963
  */
964
964
  'error_Diag21'?: string | null;
965
965
  /**
966
- *
966
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
967
967
  * @type {string}
968
968
  * @memberof ClaimBatch
969
969
  */
970
970
  'error_Diag22'?: string | null;
971
971
  /**
972
- *
972
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
973
973
  * @type {string}
974
974
  * @memberof ClaimBatch
975
975
  */
976
976
  'error_Diag23'?: string | null;
977
977
  /**
978
- *
978
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
979
979
  * @type {string}
980
980
  * @memberof ClaimBatch
981
981
  */
982
982
  'error_Diag24'?: string | null;
983
983
  /**
984
- *
984
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
985
985
  * @type {string}
986
986
  * @memberof ClaimBatch
987
987
  */
988
988
  'error_Diag3'?: string | null;
989
989
  /**
990
- *
990
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
991
991
  * @type {string}
992
992
  * @memberof ClaimBatch
993
993
  */
994
994
  'error_Diag4'?: string | null;
995
995
  /**
996
- *
996
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
997
997
  * @type {string}
998
998
  * @memberof ClaimBatch
999
999
  */
1000
1000
  'error_Diag5'?: string | null;
1001
1001
  /**
1002
- *
1002
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1003
1003
  * @type {string}
1004
1004
  * @memberof ClaimBatch
1005
1005
  */
1006
1006
  'error_Diag6'?: string | null;
1007
1007
  /**
1008
- *
1008
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1009
1009
  * @type {string}
1010
1010
  * @memberof ClaimBatch
1011
1011
  */
1012
1012
  'error_Diag7'?: string | null;
1013
1013
  /**
1014
- *
1014
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1015
1015
  * @type {string}
1016
1016
  * @memberof ClaimBatch
1017
1017
  */
1018
1018
  'error_Diag8'?: string | null;
1019
1019
  /**
1020
- *
1020
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1021
1021
  * @type {string}
1022
1022
  * @memberof ClaimBatch
1023
1023
  */
1024
1024
  'error_Diag9'?: string | null;
1025
1025
  /**
1026
- *
1026
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1027
1027
  * @type {string}
1028
1028
  * @memberof ClaimBatch
1029
1029
  */
1030
1030
  'error_ExCode1'?: string | null;
1031
1031
  /**
1032
- *
1032
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1033
1033
  * @type {string}
1034
1034
  * @memberof ClaimBatch
1035
1035
  */
1036
1036
  'error_ExCode2'?: string | null;
1037
1037
  /**
1038
- *
1038
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1039
1039
  * @type {string}
1040
1040
  * @memberof ClaimBatch
1041
1041
  */
1042
1042
  'error_Exists'?: string | null;
1043
1043
  /**
1044
- *
1044
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1045
1045
  * @type {string}
1046
1046
  * @memberof ClaimBatch
1047
1047
  */
1048
1048
  'error_Group'?: string | null;
1049
1049
  /**
1050
- *
1050
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1051
1051
  * @type {string}
1052
1052
  * @memberof ClaimBatch
1053
1053
  */
1054
1054
  'error_Mem'?: string | null;
1055
1055
  /**
1056
- *
1056
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1057
1057
  * @type {string}
1058
1058
  * @memberof ClaimBatch
1059
1059
  */
1060
1060
  'error_Network'?: string | null;
1061
1061
  /**
1062
- *
1062
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1063
1063
  * @type {string}
1064
1064
  * @memberof ClaimBatch
1065
1065
  */
1066
1066
  'error_OccurrenceCode'?: string | null;
1067
1067
  /**
1068
- *
1068
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1069
1069
  * @type {string}
1070
1070
  * @memberof ClaimBatch
1071
1071
  */
1072
1072
  'error_Plan'?: string | null;
1073
1073
  /**
1074
- *
1074
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1075
1075
  * @type {string}
1076
1076
  * @memberof ClaimBatch
1077
1077
  */
1078
1078
  'error_Procedure'?: string | null;
1079
1079
  /**
1080
- *
1080
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1081
1081
  * @type {string}
1082
1082
  * @memberof ClaimBatch
1083
1083
  */
1084
1084
  'error_Prov'?: string | null;
1085
1085
  /**
1086
- *
1086
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1087
1087
  * @type {string}
1088
1088
  * @memberof ClaimBatch
1089
1089
  */
1090
1090
  'error_Sub'?: string | null;
1091
1091
  /**
1092
- *
1092
+ * During adjudication, this holds the results of claim rules associated with this error code. For a list of valid Error Codes, check the ErrorCategoryType table.
1093
1093
  * @type {string}
1094
1094
  * @memberof ClaimBatch
1095
1095
  */
1096
1096
  'error_ValueCode'?: string | null;
1097
1097
  /**
1098
- *
1098
+ * A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
1099
1099
  * @type {string}
1100
1100
  * @memberof ClaimBatch
1101
1101
  */
1102
1102
  'ex_Code1'?: string | null;
1103
1103
  /**
1104
- *
1104
+ * A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
1105
1105
  * @type {string}
1106
1106
  * @memberof ClaimBatch
1107
1107
  */
1108
1108
  'ex_Code2'?: string | null;
1109
1109
  /**
1110
- *
1110
+ * A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
1111
1111
  * @type {string}
1112
1112
  * @memberof ClaimBatch
1113
1113
  */
1114
1114
  'ex_Code3'?: string | null;
1115
1115
  /**
1116
- *
1116
+ * A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
1117
1117
  * @type {string}
1118
1118
  * @memberof ClaimBatch
1119
1119
  */
1120
1120
  'ex_Code4'?: string | null;
1121
1121
  /**
1122
- *
1122
+ * This is the Exhaust Date of the members Disability.
1123
1123
  * @type {string}
1124
1124
  * @memberof ClaimBatch
1125
1125
  */
1126
1126
  'exhaust_Date'?: string | null;
1127
1127
  /**
1128
- *
1128
+ * 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.
1129
1129
  * @type {number}
1130
1130
  * @memberof ClaimBatch
1131
1131
  */
1132
1132
  'expected_Typical_Duration'?: number | null;
1133
1133
  /**
1134
- *
1134
+ * This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
1135
1135
  * @type {number}
1136
1136
  * @memberof ClaimBatch
1137
1137
  */
1138
1138
  'ficA_Percent'?: number | null;
1139
1139
  /**
1140
- *
1140
+ * This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
1141
1141
  * @type {number}
1142
1142
  * @memberof ClaimBatch
1143
1143
  */
1144
1144
  'federal_Withheld'?: number | null;
1145
1145
  /**
1146
- *
1146
+ * No longer in use.
1147
1147
  * @type {string}
1148
1148
  * @memberof ClaimBatch
1149
1149
  */
1150
1150
  'filing_Indicator'?: string | null;
1151
1151
  /**
1152
- *
1152
+ * This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
1153
1153
  * @type {string}
1154
1154
  * @memberof ClaimBatch
1155
1155
  */
1156
1156
  'followUp_Date'?: string | null;
1157
1157
  /**
1158
- *
1158
+ * 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.
1159
1159
  * @type {string}
1160
1160
  * @memberof ClaimBatch
1161
1161
  */
1162
1162
  'followUp_Ex_Code'?: string | null;
1163
1163
  /**
1164
- *
1164
+ * Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
1165
1165
  * @type {string}
1166
1166
  * @memberof ClaimBatch
1167
1167
  */
1168
1168
  'freq_Code'?: string | null;
1169
1169
  /**
1170
- *
1170
+ * The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
1171
1171
  * @type {string}
1172
1172
  * @memberof ClaimBatch
1173
1173
  */
1174
1174
  'group_ID'?: string | null;
1175
1175
  /**
1176
- *
1176
+ * Information field used in custom processing and reporting.
1177
1177
  * @type {string}
1178
1178
  * @memberof ClaimBatch
1179
1179
  */
1180
1180
  'hearing_Vision_RX_Date'?: string | null;
1181
1181
  /**
1182
- *
1182
+ * Stores a reference, if applicable, to an image or document associated with this claim.
1183
1183
  * @type {string}
1184
1184
  * @memberof ClaimBatch
1185
1185
  */
1186
1186
  'image_File_Location'?: string | null;
1187
1187
  /**
1188
- *
1188
+ * Stores a reference, if applicable, to an image or document associated with this claim.
1189
1189
  * @type {string}
1190
1190
  * @memberof ClaimBatch
1191
1191
  */
1192
1192
  'image_File_Location2'?: string | null;
1193
1193
  /**
1194
- *
1194
+ * Stores a reference, if applicable, to an image or document associated with this claim.
1195
1195
  * @type {string}
1196
1196
  * @memberof ClaimBatch
1197
1197
  */
1198
1198
  'image_File_Location3'?: string | null;
1199
1199
  /**
1200
- *
1200
+ * Stores a reference, if applicable, to an image or document associated with this claim.
1201
1201
  * @type {string}
1202
1202
  * @memberof ClaimBatch
1203
1203
  */
1204
1204
  'image_File_Location4'?: string | null;
1205
1205
  /**
1206
- *
1206
+ * Information field to track the initial treatment date for this claim.
1207
1207
  * @type {string}
1208
1208
  * @memberof ClaimBatch
1209
1209
  */
1210
1210
  'initial_Treatment_Date'?: string | null;
1211
1211
  /**
1212
- *
1212
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1213
1213
  * @type {string}
1214
1214
  * @memberof ClaimBatch
1215
1215
  */
1216
1216
  'insured_Address'?: string | null;
1217
1217
  /**
1218
- *
1218
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1219
1219
  * @type {string}
1220
1220
  * @memberof ClaimBatch
1221
1221
  */
1222
1222
  'insured_Address2'?: string | null;
1223
1223
  /**
1224
- *
1224
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1225
1225
  * @type {string}
1226
1226
  * @memberof ClaimBatch
1227
1227
  */
1228
1228
  'insured_Alternate_ID'?: string | null;
1229
1229
  /**
1230
- *
1230
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1231
1231
  * @type {string}
1232
1232
  * @memberof ClaimBatch
1233
1233
  */
1234
1234
  'insured_Birth_Date'?: string | null;
1235
1235
  /**
1236
- *
1236
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1237
1237
  * @type {string}
1238
1238
  * @memberof ClaimBatch
1239
1239
  */
1240
1240
  'insured_City'?: string | null;
1241
1241
  /**
1242
- *
1242
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1243
1243
  * @type {string}
1244
1244
  * @memberof ClaimBatch
1245
1245
  */
1246
1246
  'insured_Employer_ID'?: string | null;
1247
1247
  /**
1248
- *
1248
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1249
1249
  * @type {string}
1250
1250
  * @memberof ClaimBatch
1251
1251
  */
1252
1252
  'insured_First_Name'?: string | null;
1253
1253
  /**
1254
- *
1254
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1255
1255
  * @type {string}
1256
1256
  * @memberof ClaimBatch
1257
1257
  */
1258
1258
  'insured_ID'?: string | null;
1259
1259
  /**
1260
- *
1260
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1261
1261
  * @type {string}
1262
1262
  * @memberof ClaimBatch
1263
1263
  */
1264
1264
  'insured_Last_Name'?: string | null;
1265
1265
  /**
1266
- *
1266
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1267
1267
  * @type {string}
1268
1268
  * @memberof ClaimBatch
1269
1269
  */
1270
1270
  'insured_Phone'?: string | null;
1271
1271
  /**
1272
- *
1272
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1273
1273
  * @type {string}
1274
1274
  * @memberof ClaimBatch
1275
1275
  */
1276
1276
  'insured_Policy_Number'?: string | null;
1277
1277
  /**
1278
- *
1278
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1279
1279
  * @type {string}
1280
1280
  * @memberof ClaimBatch
1281
1281
  */
1282
1282
  'insured_SSN'?: string | null;
1283
1283
  /**
1284
- *
1284
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1285
1285
  * @type {string}
1286
1286
  * @memberof ClaimBatch
1287
1287
  */
1288
1288
  'insured_Sex'?: string | null;
1289
1289
  /**
1290
- *
1290
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1291
1291
  * @type {string}
1292
1292
  * @memberof ClaimBatch
1293
1293
  */
1294
1294
  'insured_State'?: string | null;
1295
1295
  /**
1296
- *
1296
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1297
1297
  * @type {string}
1298
1298
  * @memberof ClaimBatch
1299
1299
  */
1300
1300
  'insured_Zip'?: string | null;
1301
1301
  /**
1302
- *
1302
+ * This is the job classification for the member going on disability.
1303
1303
  * @type {string}
1304
1304
  * @memberof ClaimBatch
1305
1305
  */
1306
1306
  'job_Type'?: string | null;
1307
1307
  /**
1308
- *
1308
+ * This is an information only field that holds the date the member went on Long-Term Disability.
1309
1309
  * @type {string}
1310
1310
  * @memberof ClaimBatch
1311
1311
  */
1312
1312
  'ltD_Effective_Date'?: string | null;
1313
1313
  /**
1314
- *
1314
+ * This is an information only field that tracks the date the Long-Term Disability Packet was sent.
1315
1315
  * @type {string}
1316
1316
  * @memberof ClaimBatch
1317
1317
  */
1318
1318
  'ltD_Packet_Date'?: string | null;
1319
1319
  /**
1320
- *
1320
+ * 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.
1321
1321
  * @type {string}
1322
1322
  * @memberof ClaimBatch
1323
1323
  */
1324
1324
  'last_Day_Worked'?: string | null;
1325
1325
  /**
1326
- *
1326
+ * This is an information only field that allows for the tracking of the Physician Warrant Date.
1327
1327
  * @type {string}
1328
1328
  * @memberof ClaimBatch
1329
1329
  */
1330
1330
  'last_Physician_Warrant_Date'?: string | null;
1331
1331
  /**
1332
- *
1332
+ * Information field to track the last time a phyician was seen at the time of this claim submission.
1333
1333
  * @type {string}
1334
1334
  * @memberof ClaimBatch
1335
1335
  */
1336
1336
  'last_Seen_Date'?: string | null;
1337
1337
  /**
1338
- *
1338
+ * 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.
1339
1339
  * @type {boolean}
1340
1340
  * @memberof ClaimBatch
1341
1341
  */
1342
1342
  'liability_Injury': boolean;
1343
1343
  /**
1344
- *
1344
+ * Notes if the payment should be mailed to an entity other than the \"Send_Check_To\".
1345
1345
  * @type {string}
1346
1346
  * @memberof ClaimBatch
1347
1347
  */
1348
1348
  'mail_To'?: string | null;
1349
1349
  /**
1350
- *
1350
+ * The Member Sequence of the patient for this claim.
1351
1351
  * @type {string}
1352
1352
  * @memberof ClaimBatch
1353
1353
  */
1354
1354
  'member_Seq'?: string | null;
1355
1355
  /**
1356
- *
1356
+ * The number of months the orthodontic treatment will be.
1357
1357
  * @type {number}
1358
1358
  * @memberof ClaimBatch
1359
1359
  */
1360
1360
  'months_Of_Treatment'?: number | null;
1361
1361
  /**
1362
- *
1362
+ * Indicates the network this claim was paid against. If this value is NULL, the claim is considered \"Out of Network\".
1363
1363
  * @type {string}
1364
1364
  * @memberof ClaimBatch
1365
1365
  */
1366
1366
  'network_ID'?: string | null;
1367
1367
  /**
1368
- *
1368
+ * No longer in use.
1369
1369
  * @type {string}
1370
1370
  * @memberof ClaimBatch
1371
1371
  */
1372
1372
  'note'?: string | null;
1373
1373
  /**
1374
- *
1374
+ * 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.
1375
1375
  * @type {boolean}
1376
1376
  * @memberof ClaimBatch
1377
1377
  */
1378
1378
  'occupational': boolean;
1379
1379
  /**
1380
- *
1380
+ * The Occurrence Code value for this claim.
1381
1381
  * @type {string}
1382
1382
  * @memberof ClaimBatch
1383
1383
  */
1384
1384
  'occurrence_Code1'?: string | null;
1385
1385
  /**
1386
- *
1386
+ * The Occurrence Code value for this claim.
1387
1387
  * @type {string}
1388
1388
  * @memberof ClaimBatch
1389
1389
  */
1390
1390
  'occurrence_Code2'?: string | null;
1391
1391
  /**
1392
- *
1392
+ * The Occurrence Code value for this claim.
1393
1393
  * @type {string}
1394
1394
  * @memberof ClaimBatch
1395
1395
  */
1396
1396
  'occurrence_Code3'?: string | null;
1397
1397
  /**
1398
- *
1398
+ * The Occurrence Code value for this claim.
1399
1399
  * @type {string}
1400
1400
  * @memberof ClaimBatch
1401
1401
  */
1402
1402
  'occurrence_Code4'?: string | null;
1403
1403
  /**
1404
- *
1404
+ * The Occurrence Date associated to the assigned Occurrence Codes.
1405
1405
  * @type {string}
1406
1406
  * @memberof ClaimBatch
1407
1407
  */
1408
1408
  'occurrence_Date1'?: string | null;
1409
1409
  /**
1410
- *
1410
+ * The Occurrence Date associated to the assigned Occurrence Codes.
1411
1411
  * @type {string}
1412
1412
  * @memberof ClaimBatch
1413
1413
  */
1414
1414
  'occurrence_Date2'?: string | null;
1415
1415
  /**
1416
- *
1416
+ * The Occurrence Date associated to the assigned Occurrence Codes.
1417
1417
  * @type {string}
1418
1418
  * @memberof ClaimBatch
1419
1419
  */
1420
1420
  'occurrence_Date3'?: string | null;
1421
1421
  /**
1422
- *
1422
+ * The Occurrence Date associated to the assigned Occurrence Codes.
1423
1423
  * @type {string}
1424
1424
  * @memberof ClaimBatch
1425
1425
  */
1426
1426
  'occurrence_Date4'?: string | null;
1427
1427
  /**
1428
- *
1428
+ * The occurrence span indicator for the Occurrence Span From and Thru dates.
1429
1429
  * @type {string}
1430
1430
  * @memberof ClaimBatch
1431
1431
  */
1432
1432
  'occurrence_Span_Code'?: string | null;
1433
1433
  /**
1434
- *
1434
+ * The occurrence span from for this claim.
1435
1435
  * @type {string}
1436
1436
  * @memberof ClaimBatch
1437
1437
  */
1438
1438
  'occurrence_Span_From'?: string | null;
1439
1439
  /**
1440
- *
1440
+ * The occurrence span thru for this claim.
1441
1441
  * @type {string}
1442
1442
  * @memberof ClaimBatch
1443
1443
  */
1444
1444
  'occurrence_Span_Thru'?: string | null;
1445
1445
  /**
1446
- *
1446
+ * Notes the date of the original illness if this claim is associated to that illness.
1447
1447
  * @type {string}
1448
1448
  * @memberof ClaimBatch
1449
1449
  */
1450
1450
  'onset_Similar_Illness_Date'?: string | null;
1451
1451
  /**
1452
- *
1452
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1453
1453
  * @type {string}
1454
1454
  * @memberof ClaimBatch
1455
1455
  */
1456
1456
  'oper_Provider_Address'?: string | null;
1457
1457
  /**
1458
- *
1458
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1459
1459
  * @type {string}
1460
1460
  * @memberof ClaimBatch
1461
1461
  */
1462
1462
  'oper_Provider_Address2'?: string | null;
1463
1463
  /**
1464
- *
1464
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1465
1465
  * @type {string}
1466
1466
  * @memberof ClaimBatch
1467
1467
  */
1468
1468
  'oper_Provider_City'?: string | null;
1469
1469
  /**
1470
- *
1470
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1471
1471
  * @type {string}
1472
1472
  * @memberof ClaimBatch
1473
1473
  */
1474
1474
  'oper_Provider_Federal_ID'?: string | null;
1475
1475
  /**
1476
- *
1476
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1477
1477
  * @type {string}
1478
1478
  * @memberof ClaimBatch
1479
1479
  */
1480
1480
  'oper_Provider_First_Name'?: string | null;
1481
1481
  /**
1482
- *
1482
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1483
1483
  * @type {string}
1484
1484
  * @memberof ClaimBatch
1485
1485
  */
1486
1486
  'oper_Provider_Last_Name'?: string | null;
1487
1487
  /**
1488
- *
1488
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1489
1489
  * @type {string}
1490
1490
  * @memberof ClaimBatch
1491
1491
  */
1492
1492
  'oper_Provider_MAID'?: string | null;
1493
1493
  /**
1494
- *
1494
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1495
1495
  * @type {string}
1496
1496
  * @memberof ClaimBatch
1497
1497
  */
1498
1498
  'oper_Provider_NPI'?: string | null;
1499
1499
  /**
1500
- *
1500
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1501
1501
  * @type {string}
1502
1502
  * @memberof ClaimBatch
1503
1503
  */
1504
1504
  'oper_Provider_Org_Name'?: string | null;
1505
1505
  /**
1506
- *
1506
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1507
1507
  * @type {string}
1508
1508
  * @memberof ClaimBatch
1509
1509
  */
1510
1510
  'oper_Provider_Phone'?: string | null;
1511
1511
  /**
1512
- *
1512
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1513
1513
  * @type {string}
1514
1514
  * @memberof ClaimBatch
1515
1515
  */
1516
1516
  'oper_Provider_State'?: string | null;
1517
1517
  /**
1518
- *
1518
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1519
1519
  * @type {string}
1520
1520
  * @memberof ClaimBatch
1521
1521
  */
1522
1522
  'oper_Provider_Taxonomy'?: string | null;
1523
1523
  /**
1524
- *
1524
+ * The operating physician information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1525
1525
  * @type {string}
1526
1526
  * @memberof ClaimBatch
1527
1527
  */
1528
1528
  'oper_Provider_Zip'?: string | null;
1529
1529
  /**
1530
- *
1530
+ * 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.
1531
1531
  * @type {boolean}
1532
1532
  * @memberof ClaimBatch
1533
1533
  */
1534
1534
  'orthodontics_Treatment': boolean;
1535
1535
  /**
1536
- *
1536
+ * 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.
1537
1537
  * @type {boolean}
1538
1538
  * @memberof ClaimBatch
1539
1539
  */
1540
1540
  'other_Insurance': boolean;
1541
1541
  /**
1542
- *
1542
+ * Additional procedure code (ICD10 Diagnosis) values for this claim submission.
1543
1543
  * @type {string}
1544
1544
  * @memberof ClaimBatch
1545
1545
  */
@@ -1549,1185 +1549,1407 @@ export interface ClaimBatch {
1549
1549
  * @type {string}
1550
1550
  * @memberof ClaimBatch
1551
1551
  */
1552
- 'other_Procedure_Code2'?: string | null;
1552
+ 'other_Procedure_Code10'?: string | null;
1553
1553
  /**
1554
1554
  *
1555
1555
  * @type {string}
1556
1556
  * @memberof ClaimBatch
1557
1557
  */
1558
- 'other_Procedure_Code3'?: string | null;
1558
+ 'other_Procedure_Code11'?: string | null;
1559
1559
  /**
1560
1560
  *
1561
1561
  * @type {string}
1562
1562
  * @memberof ClaimBatch
1563
1563
  */
1564
- 'other_Procedure_Code4'?: string | null;
1564
+ 'other_Procedure_Code12'?: string | null;
1565
+ /**
1566
+ *
1567
+ * @type {string}
1568
+ * @memberof ClaimBatch
1569
+ */
1570
+ 'other_Procedure_Code13'?: string | null;
1571
+ /**
1572
+ *
1573
+ * @type {string}
1574
+ * @memberof ClaimBatch
1575
+ */
1576
+ 'other_Procedure_Code14'?: string | null;
1577
+ /**
1578
+ *
1579
+ * @type {string}
1580
+ * @memberof ClaimBatch
1581
+ */
1582
+ 'other_Procedure_Code15'?: string | null;
1583
+ /**
1584
+ *
1585
+ * @type {string}
1586
+ * @memberof ClaimBatch
1587
+ */
1588
+ 'other_Procedure_Code16'?: string | null;
1565
1589
  /**
1566
1590
  *
1567
1591
  * @type {string}
1568
1592
  * @memberof ClaimBatch
1569
1593
  */
1594
+ 'other_Procedure_Code17'?: string | null;
1595
+ /**
1596
+ *
1597
+ * @type {string}
1598
+ * @memberof ClaimBatch
1599
+ */
1600
+ 'other_Procedure_Code18'?: string | null;
1601
+ /**
1602
+ *
1603
+ * @type {string}
1604
+ * @memberof ClaimBatch
1605
+ */
1606
+ 'other_Procedure_Code19'?: string | null;
1607
+ /**
1608
+ * Additional procedure code (ICD10 Diagnosis) values for this claim submission.
1609
+ * @type {string}
1610
+ * @memberof ClaimBatch
1611
+ */
1612
+ 'other_Procedure_Code2'?: string | null;
1613
+ /**
1614
+ *
1615
+ * @type {string}
1616
+ * @memberof ClaimBatch
1617
+ */
1618
+ 'other_Procedure_Code20'?: string | null;
1619
+ /**
1620
+ *
1621
+ * @type {string}
1622
+ * @memberof ClaimBatch
1623
+ */
1624
+ 'other_Procedure_Code21'?: string | null;
1625
+ /**
1626
+ *
1627
+ * @type {string}
1628
+ * @memberof ClaimBatch
1629
+ */
1630
+ 'other_Procedure_Code22'?: string | null;
1631
+ /**
1632
+ *
1633
+ * @type {string}
1634
+ * @memberof ClaimBatch
1635
+ */
1636
+ 'other_Procedure_Code23'?: string | null;
1637
+ /**
1638
+ * Additional procedure code (ICD10 Diagnosis) values for this claim submission.
1639
+ * @type {string}
1640
+ * @memberof ClaimBatch
1641
+ */
1642
+ 'other_Procedure_Code3'?: string | null;
1643
+ /**
1644
+ * Additional procedure code (ICD10 Diagnosis) values for this claim submission.
1645
+ * @type {string}
1646
+ * @memberof ClaimBatch
1647
+ */
1648
+ 'other_Procedure_Code4'?: string | null;
1649
+ /**
1650
+ * Additional procedure code (ICD10 Diagnosis) values for this claim submission.
1651
+ * @type {string}
1652
+ * @memberof ClaimBatch
1653
+ */
1570
1654
  'other_Procedure_Code5'?: string | null;
1571
1655
  /**
1572
1656
  *
1573
1657
  * @type {string}
1574
1658
  * @memberof ClaimBatch
1575
1659
  */
1660
+ 'other_Procedure_Code6'?: string | null;
1661
+ /**
1662
+ *
1663
+ * @type {string}
1664
+ * @memberof ClaimBatch
1665
+ */
1666
+ 'other_Procedure_Code7'?: string | null;
1667
+ /**
1668
+ *
1669
+ * @type {string}
1670
+ * @memberof ClaimBatch
1671
+ */
1672
+ 'other_Procedure_Code8'?: string | null;
1673
+ /**
1674
+ *
1675
+ * @type {string}
1676
+ * @memberof ClaimBatch
1677
+ */
1678
+ 'other_Procedure_Code9'?: string | null;
1679
+ /**
1680
+ * Date associated with the additional procedure code.
1681
+ * @type {string}
1682
+ * @memberof ClaimBatch
1683
+ */
1576
1684
  'other_Procedure_Date1'?: string | null;
1577
1685
  /**
1578
1686
  *
1579
1687
  * @type {string}
1580
1688
  * @memberof ClaimBatch
1581
1689
  */
1690
+ 'other_Procedure_Date10'?: string | null;
1691
+ /**
1692
+ *
1693
+ * @type {string}
1694
+ * @memberof ClaimBatch
1695
+ */
1696
+ 'other_Procedure_Date11'?: string | null;
1697
+ /**
1698
+ *
1699
+ * @type {string}
1700
+ * @memberof ClaimBatch
1701
+ */
1702
+ 'other_Procedure_Date12'?: string | null;
1703
+ /**
1704
+ *
1705
+ * @type {string}
1706
+ * @memberof ClaimBatch
1707
+ */
1708
+ 'other_Procedure_Date13'?: string | null;
1709
+ /**
1710
+ *
1711
+ * @type {string}
1712
+ * @memberof ClaimBatch
1713
+ */
1714
+ 'other_Procedure_Date14'?: string | null;
1715
+ /**
1716
+ *
1717
+ * @type {string}
1718
+ * @memberof ClaimBatch
1719
+ */
1720
+ 'other_Procedure_Date15'?: string | null;
1721
+ /**
1722
+ *
1723
+ * @type {string}
1724
+ * @memberof ClaimBatch
1725
+ */
1726
+ 'other_Procedure_Date16'?: string | null;
1727
+ /**
1728
+ *
1729
+ * @type {string}
1730
+ * @memberof ClaimBatch
1731
+ */
1732
+ 'other_Procedure_Date17'?: string | null;
1733
+ /**
1734
+ *
1735
+ * @type {string}
1736
+ * @memberof ClaimBatch
1737
+ */
1738
+ 'other_Procedure_Date18'?: string | null;
1739
+ /**
1740
+ *
1741
+ * @type {string}
1742
+ * @memberof ClaimBatch
1743
+ */
1744
+ 'other_Procedure_Date19'?: string | null;
1745
+ /**
1746
+ * Date associated with the additional procedure code.
1747
+ * @type {string}
1748
+ * @memberof ClaimBatch
1749
+ */
1582
1750
  'other_Procedure_Date2'?: string | null;
1583
1751
  /**
1584
1752
  *
1585
1753
  * @type {string}
1586
1754
  * @memberof ClaimBatch
1587
1755
  */
1588
- 'other_Procedure_Date3'?: string | null;
1756
+ 'other_Procedure_Date20'?: string | null;
1589
1757
  /**
1590
1758
  *
1591
1759
  * @type {string}
1592
1760
  * @memberof ClaimBatch
1593
1761
  */
1594
- 'other_Procedure_Date4'?: string | null;
1762
+ 'other_Procedure_Date21'?: string | null;
1763
+ /**
1764
+ *
1765
+ * @type {string}
1766
+ * @memberof ClaimBatch
1767
+ */
1768
+ 'other_Procedure_Date22'?: string | null;
1595
1769
  /**
1596
1770
  *
1597
1771
  * @type {string}
1598
1772
  * @memberof ClaimBatch
1599
1773
  */
1774
+ 'other_Procedure_Date23'?: string | null;
1775
+ /**
1776
+ * Date associated with the additional procedure code.
1777
+ * @type {string}
1778
+ * @memberof ClaimBatch
1779
+ */
1780
+ 'other_Procedure_Date3'?: string | null;
1781
+ /**
1782
+ * Date associated with the additional procedure code.
1783
+ * @type {string}
1784
+ * @memberof ClaimBatch
1785
+ */
1786
+ 'other_Procedure_Date4'?: string | null;
1787
+ /**
1788
+ * Date associated with the additional procedure code.
1789
+ * @type {string}
1790
+ * @memberof ClaimBatch
1791
+ */
1600
1792
  'other_Procedure_Date5'?: string | null;
1601
1793
  /**
1602
1794
  *
1603
1795
  * @type {string}
1604
1796
  * @memberof ClaimBatch
1605
1797
  */
1606
- 'override'?: string | null;
1798
+ 'other_Procedure_Date6'?: string | null;
1607
1799
  /**
1608
1800
  *
1609
1801
  * @type {string}
1610
1802
  * @memberof ClaimBatch
1611
1803
  */
1612
- 'override_Date'?: string | null;
1804
+ 'other_Procedure_Date7'?: string | null;
1805
+ /**
1806
+ *
1807
+ * @type {string}
1808
+ * @memberof ClaimBatch
1809
+ */
1810
+ 'other_Procedure_Date8'?: string | null;
1613
1811
  /**
1614
1812
  *
1813
+ * @type {string}
1814
+ * @memberof ClaimBatch
1815
+ */
1816
+ 'other_Procedure_Date9'?: string | null;
1817
+ /**
1818
+ * No longer in use.
1819
+ * @type {string}
1820
+ * @memberof ClaimBatch
1821
+ */
1822
+ 'override'?: string | null;
1823
+ /**
1824
+ * No longer in use.
1825
+ * @type {string}
1826
+ * @memberof ClaimBatch
1827
+ */
1828
+ 'override_Date'?: string | null;
1829
+ /**
1830
+ * 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.
1615
1831
  * @type {boolean}
1616
1832
  * @memberof ClaimBatch
1617
1833
  */
1618
1834
  'override_Network_ID': boolean;
1619
1835
  /**
1620
- *
1836
+ * 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.
1621
1837
  * @type {boolean}
1622
1838
  * @memberof ClaimBatch
1623
1839
  */
1624
1840
  'override_Payor_Account': boolean;
1625
1841
  /**
1626
- *
1842
+ * No longer in use.
1627
1843
  * @type {string}
1628
1844
  * @memberof ClaimBatch
1629
1845
  */
1630
1846
  'override_User'?: string | null;
1631
1847
  /**
1632
- *
1848
+ * 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.
1633
1849
  * @type {boolean}
1634
1850
  * @memberof ClaimBatch
1635
1851
  */
1636
1852
  'partial_Disability': boolean;
1637
1853
  /**
1638
- *
1854
+ * For the servicing provider, this indicates the patient account identifier in their practice management system.
1639
1855
  * @type {string}
1640
1856
  * @memberof ClaimBatch
1641
1857
  */
1642
1858
  'patient_Account'?: string | null;
1643
1859
  /**
1644
- *
1860
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1645
1861
  * @type {string}
1646
1862
  * @memberof ClaimBatch
1647
1863
  */
1648
1864
  'patient_Address'?: string | null;
1649
1865
  /**
1650
- *
1866
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1651
1867
  * @type {string}
1652
1868
  * @memberof ClaimBatch
1653
1869
  */
1654
1870
  'patient_Address2'?: string | null;
1655
1871
  /**
1656
- *
1872
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1657
1873
  * @type {string}
1658
1874
  * @memberof ClaimBatch
1659
1875
  */
1660
1876
  'patient_Birth_Date'?: string | null;
1661
1877
  /**
1662
- *
1878
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1663
1879
  * @type {string}
1664
1880
  * @memberof ClaimBatch
1665
1881
  */
1666
1882
  'patient_City'?: string | null;
1667
1883
  /**
1668
- *
1884
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1669
1885
  * @type {string}
1670
1886
  * @memberof ClaimBatch
1671
1887
  */
1672
1888
  'patient_First_Name'?: string | null;
1673
1889
  /**
1674
- *
1890
+ * For EDI submissions, this holds the Insured information so it can be tracked via trigger to the ClaimPreBatch table.
1675
1891
  * @type {string}
1676
1892
  * @memberof ClaimBatch
1677
1893
  */
1678
1894
  'patient_ID'?: string | null;
1679
1895
  /**
1680
- *
1896
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1681
1897
  * @type {string}
1682
1898
  * @memberof ClaimBatch
1683
1899
  */
1684
1900
  'patient_Last_Name'?: string | null;
1685
1901
  /**
1686
- *
1902
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1687
1903
  * @type {string}
1688
1904
  * @memberof ClaimBatch
1689
1905
  */
1690
1906
  'patient_Phone'?: string | null;
1691
1907
  /**
1692
- *
1908
+ * Reason for Visit code on Diagnosis Code 1
1693
1909
  * @type {string}
1694
1910
  * @memberof ClaimBatch
1695
1911
  */
1696
1912
  'patient_Reason_for_Visit_Diagnostic_Code1'?: string | null;
1697
1913
  /**
1698
- *
1914
+ * Reason for Visit code on Diagnosis Code 2
1699
1915
  * @type {string}
1700
1916
  * @memberof ClaimBatch
1701
1917
  */
1702
1918
  'patient_Reason_for_Visit_Diagnostic_Code2'?: string | null;
1703
1919
  /**
1704
- *
1920
+ * Reason for Visit code on Diagnosis Code 3
1705
1921
  * @type {string}
1706
1922
  * @memberof ClaimBatch
1707
1923
  */
1708
1924
  'patient_Reason_for_Visit_Diagnostic_Code3'?: string | null;
1709
1925
  /**
1710
- *
1926
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1711
1927
  * @type {string}
1712
1928
  * @memberof ClaimBatch
1713
1929
  */
1714
1930
  'patient_Relationship'?: string | null;
1715
1931
  /**
1716
- *
1932
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1717
1933
  * @type {string}
1718
1934
  * @memberof ClaimBatch
1719
1935
  */
1720
1936
  'patient_Sex'?: string | null;
1721
1937
  /**
1722
- *
1938
+ * 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.
1723
1939
  * @type {boolean}
1724
1940
  * @memberof ClaimBatch
1725
1941
  */
1726
1942
  'patient_Signature': boolean;
1727
1943
  /**
1728
- *
1944
+ * Indicates the date of the patient signature being collected.
1729
1945
  * @type {string}
1730
1946
  * @memberof ClaimBatch
1731
1947
  */
1732
1948
  'patient_Signature_Date'?: string | null;
1733
1949
  /**
1734
- *
1950
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1735
1951
  * @type {string}
1736
1952
  * @memberof ClaimBatch
1737
1953
  */
1738
1954
  'patient_State'?: string | null;
1739
1955
  /**
1740
- *
1956
+ * For institutional Claims, holds the Patient Status.
1741
1957
  * @type {string}
1742
1958
  * @memberof ClaimBatch
1743
1959
  */
1744
1960
  'patient_Status'?: string | null;
1745
1961
  /**
1746
- *
1962
+ * For EDI submissions, this holds the Patient information so it can be tracked via trigger to the ClaimPreBatch table.
1747
1963
  * @type {string}
1748
1964
  * @memberof ClaimBatch
1749
1965
  */
1750
1966
  'patient_Zip'?: string | null;
1751
1967
  /**
1752
- *
1968
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1753
1969
  * @type {string}
1754
1970
  * @memberof ClaimBatch
1755
1971
  */
1756
1972
  'payToPlan_Address'?: string | null;
1757
1973
  /**
1758
- *
1974
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1759
1975
  * @type {string}
1760
1976
  * @memberof ClaimBatch
1761
1977
  */
1762
1978
  'payToPlan_Address2'?: string | null;
1763
1979
  /**
1764
- *
1980
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1765
1981
  * @type {string}
1766
1982
  * @memberof ClaimBatch
1767
1983
  */
1768
1984
  'payToPlan_City'?: string | null;
1769
1985
  /**
1770
- *
1986
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1771
1987
  * @type {string}
1772
1988
  * @memberof ClaimBatch
1773
1989
  */
1774
1990
  'payToPlan_Claim_Office_Num'?: string | null;
1775
1991
  /**
1776
- *
1992
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1777
1993
  * @type {string}
1778
1994
  * @memberof ClaimBatch
1779
1995
  */
1780
1996
  'payToPlan_ID'?: string | null;
1781
1997
  /**
1782
- *
1998
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1783
1999
  * @type {string}
1784
2000
  * @memberof ClaimBatch
1785
2001
  */
1786
2002
  'payToPlan_NAIC'?: string | null;
1787
2003
  /**
1788
- *
2004
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1789
2005
  * @type {string}
1790
2006
  * @memberof ClaimBatch
1791
2007
  */
1792
2008
  'payToPlan_Name'?: string | null;
1793
2009
  /**
1794
- *
2010
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1795
2011
  * @type {string}
1796
2012
  * @memberof ClaimBatch
1797
2013
  */
1798
2014
  'payToPlan_State'?: string | null;
1799
2015
  /**
1800
- *
2016
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1801
2017
  * @type {string}
1802
2018
  * @memberof ClaimBatch
1803
2019
  */
1804
2020
  'payToPlan_Zip'?: string | null;
1805
2021
  /**
1806
- *
2022
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1807
2023
  * @type {string}
1808
2024
  * @memberof ClaimBatch
1809
2025
  */
1810
2026
  'payTo_Address'?: string | null;
1811
2027
  /**
1812
- *
2028
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1813
2029
  * @type {string}
1814
2030
  * @memberof ClaimBatch
1815
2031
  */
1816
2032
  'payTo_Address2'?: string | null;
1817
2033
  /**
1818
- *
2034
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1819
2035
  * @type {string}
1820
2036
  * @memberof ClaimBatch
1821
2037
  */
1822
2038
  'payTo_City'?: string | null;
1823
2039
  /**
1824
- *
2040
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1825
2041
  * @type {string}
1826
2042
  * @memberof ClaimBatch
1827
2043
  */
1828
2044
  'payTo_State'?: string | null;
1829
2045
  /**
1830
- *
2046
+ * The Pay To information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
1831
2047
  * @type {string}
1832
2048
  * @memberof ClaimBatch
1833
2049
  */
1834
2050
  'payTo_Zip'?: string | null;
1835
2051
  /**
1836
- *
2052
+ * The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
1837
2053
  * @type {string}
1838
2054
  * @memberof ClaimBatch
1839
2055
  */
1840
2056
  'payee_ID'?: string | null;
1841
2057
  /**
1842
- *
2058
+ * A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
1843
2059
  * @type {string}
1844
2060
  * @memberof ClaimBatch
1845
2061
  */
1846
2062
  'payor_Claim_Control_Number'?: string | null;
1847
2063
  /**
1848
- *
2064
+ * For claim funding, indicates the payor/account this claim would be paid from.
1849
2065
  * @type {string}
1850
2066
  * @memberof ClaimBatch
1851
2067
  */
1852
2068
  'payor_ID'?: string | null;
1853
2069
  /**
1854
- *
2070
+ * 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.
1855
2071
  * @type {string}
1856
2072
  * @memberof ClaimBatch
1857
2073
  */
1858
2074
  'physician_Return_To_Work'?: string | null;
1859
2075
  /**
1860
- *
2076
+ * 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.
1861
2077
  * @type {string}
1862
2078
  * @memberof ClaimBatch
1863
2079
  */
1864
2080
  'place_Of_Service'?: string | null;
1865
2081
  /**
1866
- *
2082
+ * Holds the plan the patient is enrolled in and that benefits are assigned.
1867
2083
  * @type {string}
1868
2084
  * @memberof ClaimBatch
1869
2085
  */
1870
2086
  'plan_ID'?: string | null;
1871
2087
  /**
1872
- *
2088
+ * No longer in use.
1873
2089
  * @type {string}
1874
2090
  * @memberof ClaimBatch
1875
2091
  */
1876
2092
  'plan_Provider'?: string | null;
1877
2093
  /**
1878
- *
2094
+ * Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
1879
2095
  * @type {string}
1880
2096
  * @memberof ClaimBatch
1881
2097
  */
1882
2098
  'plan_Year'?: string | null;
1883
2099
  /**
1884
- *
2100
+ * Indicates if the patient was present on admission for diagnosis 1.
1885
2101
  * @type {string}
1886
2102
  * @memberof ClaimBatch
1887
2103
  */
1888
2104
  'present_On_Admission1'?: string | null;
1889
2105
  /**
1890
- *
2106
+ * Indicates if the patient was present on admission for diagnosis 10.
1891
2107
  * @type {string}
1892
2108
  * @memberof ClaimBatch
1893
2109
  */
1894
2110
  'present_On_Admission10'?: string | null;
1895
2111
  /**
1896
- *
2112
+ * Indicates if the patient was present on admission for diagnosis 11.
1897
2113
  * @type {string}
1898
2114
  * @memberof ClaimBatch
1899
2115
  */
1900
2116
  'present_On_Admission11'?: string | null;
1901
2117
  /**
1902
- *
2118
+ * Indicates if the patient was present on admission for diagnosis 12.
1903
2119
  * @type {string}
1904
2120
  * @memberof ClaimBatch
1905
2121
  */
1906
2122
  'present_On_Admission12'?: string | null;
1907
2123
  /**
1908
- *
2124
+ * Indicates if the patient was present on admission for diagnosis 13.
1909
2125
  * @type {string}
1910
2126
  * @memberof ClaimBatch
1911
2127
  */
1912
2128
  'present_On_Admission13'?: string | null;
1913
2129
  /**
1914
- *
2130
+ * Indicates if the patient was present on admission for diagnosis 14.
1915
2131
  * @type {string}
1916
2132
  * @memberof ClaimBatch
1917
2133
  */
1918
2134
  'present_On_Admission14'?: string | null;
1919
2135
  /**
1920
- *
2136
+ * Indicates if the patient was present on admission for diagnosis 15.
1921
2137
  * @type {string}
1922
2138
  * @memberof ClaimBatch
1923
2139
  */
1924
2140
  'present_On_Admission15'?: string | null;
1925
2141
  /**
1926
- *
2142
+ * Indicates if the patient was present on admission for diagnosis 16.
1927
2143
  * @type {string}
1928
2144
  * @memberof ClaimBatch
1929
2145
  */
1930
2146
  'present_On_Admission16'?: string | null;
1931
2147
  /**
1932
- *
2148
+ * Indicates if the patient was present on admission for diagnosis 17.
1933
2149
  * @type {string}
1934
2150
  * @memberof ClaimBatch
1935
2151
  */
1936
2152
  'present_On_Admission17'?: string | null;
1937
2153
  /**
1938
- *
2154
+ * Indicates if the patient was present on admission for diagnosis 18.
1939
2155
  * @type {string}
1940
2156
  * @memberof ClaimBatch
1941
2157
  */
1942
2158
  'present_On_Admission18'?: string | null;
1943
2159
  /**
1944
- *
2160
+ * Indicates if the patient was present on admission for diagnosis 19.
1945
2161
  * @type {string}
1946
2162
  * @memberof ClaimBatch
1947
2163
  */
1948
2164
  'present_On_Admission19'?: string | null;
1949
2165
  /**
1950
- *
2166
+ * Indicates if the patient was present on admission for diagnosis 2.
1951
2167
  * @type {string}
1952
2168
  * @memberof ClaimBatch
1953
2169
  */
1954
2170
  'present_On_Admission2'?: string | null;
1955
2171
  /**
1956
- *
2172
+ * Indicates if the patient was present on admission for diagnosis 20.
1957
2173
  * @type {string}
1958
2174
  * @memberof ClaimBatch
1959
2175
  */
1960
2176
  'present_On_Admission20'?: string | null;
1961
2177
  /**
1962
- *
2178
+ * Indicates if the patient was present on admission for diagnosis 21.
1963
2179
  * @type {string}
1964
2180
  * @memberof ClaimBatch
1965
2181
  */
1966
2182
  'present_On_Admission21'?: string | null;
1967
2183
  /**
1968
- *
2184
+ * Indicates if the patient was present on admission for diagnosis 22.
1969
2185
  * @type {string}
1970
2186
  * @memberof ClaimBatch
1971
2187
  */
1972
2188
  'present_On_Admission22'?: string | null;
1973
2189
  /**
1974
- *
2190
+ * Indicates if the patient was present on admission for diagnosis 23.
1975
2191
  * @type {string}
1976
2192
  * @memberof ClaimBatch
1977
2193
  */
1978
2194
  'present_On_Admission23'?: string | null;
1979
2195
  /**
1980
- *
2196
+ * Indicates if the patient was present on admission for diagnosis 24.
1981
2197
  * @type {string}
1982
2198
  * @memberof ClaimBatch
1983
2199
  */
1984
2200
  'present_On_Admission24'?: string | null;
1985
2201
  /**
1986
- *
2202
+ * Indicates if the patient was present on admission for diagnosis 3.
1987
2203
  * @type {string}
1988
2204
  * @memberof ClaimBatch
1989
2205
  */
1990
2206
  'present_On_Admission3'?: string | null;
1991
2207
  /**
1992
- *
2208
+ * Indicates if the patient was present on admission for diagnosis 4.
1993
2209
  * @type {string}
1994
2210
  * @memberof ClaimBatch
1995
2211
  */
1996
2212
  'present_On_Admission4'?: string | null;
1997
2213
  /**
1998
- *
2214
+ * Indicates if the patient was present on admission for diagnosis 5.
1999
2215
  * @type {string}
2000
2216
  * @memberof ClaimBatch
2001
2217
  */
2002
2218
  'present_On_Admission5'?: string | null;
2003
2219
  /**
2004
- *
2220
+ * Indicates if the patient was present on admission for diagnosis 6.
2005
2221
  * @type {string}
2006
2222
  * @memberof ClaimBatch
2007
2223
  */
2008
2224
  'present_On_Admission6'?: string | null;
2009
2225
  /**
2010
- *
2226
+ * Indicates if the patient was present on admission for diagnosis 7.
2011
2227
  * @type {string}
2012
2228
  * @memberof ClaimBatch
2013
2229
  */
2014
2230
  'present_On_Admission7'?: string | null;
2015
2231
  /**
2016
- *
2232
+ * Indicates if the patient was present on admission for diagnosis 8.
2017
2233
  * @type {string}
2018
2234
  * @memberof ClaimBatch
2019
2235
  */
2020
2236
  'present_On_Admission8'?: string | null;
2021
2237
  /**
2022
- *
2238
+ * Indicates if the patient was present on admission for diagnosis 9.
2023
2239
  * @type {string}
2024
2240
  * @memberof ClaimBatch
2025
2241
  */
2026
2242
  'present_On_Admission9'?: string | null;
2027
2243
  /**
2028
- *
2244
+ * Indicates if the patient was present for the external cause of injury diagnosis 1.
2029
2245
  * @type {string}
2030
2246
  * @memberof ClaimBatch
2031
2247
  */
2032
2248
  'present_On_Admission_ECode1'?: string | null;
2033
2249
  /**
2034
- *
2250
+ * Indicates if the patient was present for the external cause of injury diagnosis 10.
2035
2251
  * @type {string}
2036
2252
  * @memberof ClaimBatch
2037
2253
  */
2038
2254
  'present_On_Admission_ECode10'?: string | null;
2039
2255
  /**
2040
- *
2256
+ * Indicates if the patient was present for the external cause of injury diagnosis 11.
2041
2257
  * @type {string}
2042
2258
  * @memberof ClaimBatch
2043
2259
  */
2044
2260
  'present_On_Admission_ECode11'?: string | null;
2045
2261
  /**
2046
- *
2262
+ * Indicates if the patient was present for the external cause of injury diagnosis 12.
2047
2263
  * @type {string}
2048
2264
  * @memberof ClaimBatch
2049
2265
  */
2050
2266
  'present_On_Admission_ECode12'?: string | null;
2051
2267
  /**
2052
- *
2268
+ * Indicates if the patient was present for the external cause of injury diagnosis 2.
2053
2269
  * @type {string}
2054
2270
  * @memberof ClaimBatch
2055
2271
  */
2056
2272
  'present_On_Admission_ECode2'?: string | null;
2057
2273
  /**
2058
- *
2274
+ * Indicates if the patient was present for the external cause of injury diagnosis 3.
2059
2275
  * @type {string}
2060
2276
  * @memberof ClaimBatch
2061
2277
  */
2062
2278
  'present_On_Admission_ECode3'?: string | null;
2063
2279
  /**
2064
- *
2280
+ * Indicates if the patient was present for the external cause of injury diagnosis 4.
2065
2281
  * @type {string}
2066
2282
  * @memberof ClaimBatch
2067
2283
  */
2068
2284
  'present_On_Admission_ECode4'?: string | null;
2069
2285
  /**
2070
- *
2286
+ * Indicates if the patient was present for the external cause of injury diagnosis 5.
2071
2287
  * @type {string}
2072
2288
  * @memberof ClaimBatch
2073
2289
  */
2074
2290
  'present_On_Admission_ECode5'?: string | null;
2075
2291
  /**
2076
- *
2292
+ * Indicates if the patient was present for the external cause of injury diagnosis 6.
2077
2293
  * @type {string}
2078
2294
  * @memberof ClaimBatch
2079
2295
  */
2080
2296
  'present_On_Admission_ECode6'?: string | null;
2081
2297
  /**
2082
- *
2298
+ * Indicates if the patient was present for the external cause of injury diagnosis 7.
2083
2299
  * @type {string}
2084
2300
  * @memberof ClaimBatch
2085
2301
  */
2086
2302
  'present_On_Admission_ECode7'?: string | null;
2087
2303
  /**
2088
- *
2304
+ * Indicates if the patient was present for the external cause of injury diagnosis 8.
2089
2305
  * @type {string}
2090
2306
  * @memberof ClaimBatch
2091
2307
  */
2092
2308
  'present_On_Admission_ECode8'?: string | null;
2093
2309
  /**
2094
- *
2310
+ * Indicates if the patient was present for the external cause of injury diagnosis 9.
2095
2311
  * @type {string}
2096
2312
  * @memberof ClaimBatch
2097
2313
  */
2098
2314
  'present_On_Admission_ECode9'?: string | null;
2099
2315
  /**
2100
- *
2316
+ * For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
2101
2317
  * @type {string}
2102
2318
  * @memberof ClaimBatch
2103
2319
  */
2104
2320
  'pricing_Method'?: string | null;
2105
2321
  /**
2106
2322
  *
2323
+ * @type {string}
2324
+ * @memberof ClaimBatch
2325
+ */
2326
+ 'pricing_Org_ID'?: string | null;
2327
+ /**
2328
+ * The rate associated with the reprice method (Pricing_Method).
2107
2329
  * @type {number}
2108
2330
  * @memberof ClaimBatch
2109
2331
  */
2110
2332
  'pricing_Rate'?: number | null;
2111
2333
  /**
2112
- *
2334
+ * The principal procedure (ICD10 Diagnosis) for this claim submission.
2113
2335
  * @type {string}
2114
2336
  * @memberof ClaimBatch
2115
2337
  */
2116
2338
  'principal_Procedure_Code'?: string | null;
2117
2339
  /**
2118
- *
2340
+ * The principal procedure date.
2119
2341
  * @type {string}
2120
2342
  * @memberof ClaimBatch
2121
2343
  */
2122
2344
  'principal_Procedure_Date'?: string | null;
2123
2345
  /**
2124
- *
2346
+ * The date of a previous prosthetic or crown applied, if there was one.
2125
2347
  * @type {string}
2126
2348
  * @memberof ClaimBatch
2127
2349
  */
2128
2350
  'prior_Placement_Date'?: string | null;
2129
2351
  /**
2130
- *
2352
+ * 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.
2131
2353
  * @type {boolean}
2132
2354
  * @memberof ClaimBatch
2133
2355
  */
2134
2356
  'prosthesis_Replacement': boolean;
2135
2357
  /**
2136
- *
2358
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2137
2359
  * @type {string}
2138
2360
  * @memberof ClaimBatch
2139
2361
  */
2140
2362
  'provider_Address'?: string | null;
2141
2363
  /**
2142
- *
2364
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2143
2365
  * @type {string}
2144
2366
  * @memberof ClaimBatch
2145
2367
  */
2146
2368
  'provider_Address2'?: string | null;
2147
2369
  /**
2148
- *
2370
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2149
2371
  * @type {string}
2150
2372
  * @memberof ClaimBatch
2151
2373
  */
2152
2374
  'provider_City'?: string | null;
2153
2375
  /**
2154
- *
2376
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2155
2377
  * @type {string}
2156
2378
  * @memberof ClaimBatch
2157
2379
  */
2158
2380
  'provider_Federal_ID'?: string | null;
2159
2381
  /**
2160
- *
2382
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2161
2383
  * @type {string}
2162
2384
  * @memberof ClaimBatch
2163
2385
  */
2164
2386
  'provider_First_Name'?: string | null;
2165
2387
  /**
2166
- *
2388
+ * The provider ID of the servicing provider. References Provider.Provider_ID.
2167
2389
  * @type {string}
2168
2390
  * @memberof ClaimBatch
2169
2391
  */
2170
2392
  'provider_ID'?: string | null;
2171
2393
  /**
2172
- *
2394
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2173
2395
  * @type {string}
2174
2396
  * @memberof ClaimBatch
2175
2397
  */
2176
2398
  'provider_Last_Name'?: string | null;
2177
2399
  /**
2178
- *
2400
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2179
2401
  * @type {string}
2180
2402
  * @memberof ClaimBatch
2181
2403
  */
2182
2404
  'provider_MAID'?: string | null;
2183
2405
  /**
2184
- *
2406
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2185
2407
  * @type {string}
2186
2408
  * @memberof ClaimBatch
2187
2409
  */
2188
2410
  'provider_NPI'?: string | null;
2189
2411
  /**
2190
- *
2412
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2191
2413
  * @type {string}
2192
2414
  * @memberof ClaimBatch
2193
2415
  */
2194
2416
  'provider_Org_Name'?: string | null;
2195
2417
  /**
2196
- *
2418
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2197
2419
  * @type {string}
2198
2420
  * @memberof ClaimBatch
2199
2421
  */
2200
2422
  'provider_Phone'?: string | null;
2201
2423
  /**
2202
- *
2424
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2203
2425
  * @type {string}
2204
2426
  * @memberof ClaimBatch
2205
2427
  */
2206
2428
  'provider_State'?: string | null;
2207
2429
  /**
2208
- *
2430
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2209
2431
  * @type {string}
2210
2432
  * @memberof ClaimBatch
2211
2433
  */
2212
2434
  'provider_Taxonomy'?: string | null;
2213
2435
  /**
2214
- *
2436
+ * For EDI submissions, this holds the service provider information based on matching logic that interrogates the submitted Billing Provider, Service Provider, and Rendering Provider.
2215
2437
  * @type {string}
2216
2438
  * @memberof ClaimBatch
2217
2439
  */
2218
2440
  'provider_Zip'?: string | null;
2219
2441
  /**
2220
- *
2442
+ * Overrides the QPA Method set on the Plan for this claim.
2221
2443
  * @type {string}
2222
2444
  * @memberof ClaimBatch
2223
2445
  */
2224
2446
  'qpA_Method'?: string | null;
2225
2447
  /**
2226
- *
2448
+ * Notes if the claim is ready to process out of batch.
2227
2449
  * @type {string}
2228
2450
  * @memberof ClaimBatch
2229
2451
  */
2230
2452
  'ready_To_Process'?: string | null;
2231
2453
  /**
2232
- *
2454
+ * The date this claim was received into the admin system.
2233
2455
  * @type {string}
2234
2456
  * @memberof ClaimBatch
2235
2457
  */
2236
2458
  'received_Date'?: string | null;
2237
2459
  /**
2238
- *
2460
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2239
2461
  * @type {string}
2240
2462
  * @memberof ClaimBatch
2241
2463
  */
2242
2464
  'ref_Provider_Address'?: string | null;
2243
2465
  /**
2244
- *
2466
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2245
2467
  * @type {string}
2246
2468
  * @memberof ClaimBatch
2247
2469
  */
2248
2470
  'ref_Provider_Address2'?: string | null;
2249
2471
  /**
2250
- *
2472
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2251
2473
  * @type {string}
2252
2474
  * @memberof ClaimBatch
2253
2475
  */
2254
2476
  'ref_Provider_City'?: string | null;
2255
2477
  /**
2256
- *
2478
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2257
2479
  * @type {string}
2258
2480
  * @memberof ClaimBatch
2259
2481
  */
2260
2482
  'ref_Provider_Federal_ID'?: string | null;
2261
2483
  /**
2262
- *
2484
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2263
2485
  * @type {string}
2264
2486
  * @memberof ClaimBatch
2265
2487
  */
2266
2488
  'ref_Provider_First_Name'?: string | null;
2267
2489
  /**
2268
- *
2490
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2269
2491
  * @type {string}
2270
2492
  * @memberof ClaimBatch
2271
2493
  */
2272
2494
  'ref_Provider_Last_Name'?: string | null;
2273
2495
  /**
2274
- *
2496
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2275
2497
  * @type {string}
2276
2498
  * @memberof ClaimBatch
2277
2499
  */
2278
2500
  'ref_Provider_MAID'?: string | null;
2279
2501
  /**
2280
- *
2502
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2281
2503
  * @type {string}
2282
2504
  * @memberof ClaimBatch
2283
2505
  */
2284
2506
  'ref_Provider_NPI'?: string | null;
2285
2507
  /**
2286
- *
2508
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2287
2509
  * @type {string}
2288
2510
  * @memberof ClaimBatch
2289
2511
  */
2290
2512
  'ref_Provider_Org_Name'?: string | null;
2291
2513
  /**
2292
- *
2514
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2293
2515
  * @type {string}
2294
2516
  * @memberof ClaimBatch
2295
2517
  */
2296
2518
  'ref_Provider_Phone'?: string | null;
2297
2519
  /**
2298
- *
2520
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2299
2521
  * @type {string}
2300
2522
  * @memberof ClaimBatch
2301
2523
  */
2302
2524
  'ref_Provider_State'?: string | null;
2303
2525
  /**
2304
- *
2526
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2305
2527
  * @type {string}
2306
2528
  * @memberof ClaimBatch
2307
2529
  */
2308
2530
  'ref_Provider_Taxonomy'?: string | null;
2309
2531
  /**
2310
- *
2532
+ * The referring provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2311
2533
  * @type {string}
2312
2534
  * @memberof ClaimBatch
2313
2535
  */
2314
2536
  'ref_Provider_Zip'?: string | null;
2315
2537
  /**
2316
- *
2538
+ * Information field to track if a referral was sent for this claim.
2317
2539
  * @type {string}
2318
2540
  * @memberof ClaimBatch
2319
2541
  */
2320
2542
  'referred_By'?: string | null;
2321
2543
  /**
2322
- *
2544
+ * Indicates that this claim was part of a Void process.
2323
2545
  * @type {number}
2324
2546
  * @memberof ClaimBatch
2325
2547
  */
2326
2548
  'refund_Check_ID'?: number | null;
2327
2549
  /**
2328
- *
2550
+ * Indicates this claim is 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.
2329
2551
  * @type {boolean}
2330
2552
  * @memberof ClaimBatch
2331
2553
  */
2332
2554
  'refund_Claim': boolean;
2333
2555
  /**
2334
- *
2556
+ * If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
2335
2557
  * @type {number}
2336
2558
  * @memberof ClaimBatch
2337
2559
  */
2338
2560
  'refund_Funding_Key'?: number | null;
2339
2561
  /**
2340
- *
2562
+ * 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.
2341
2563
  * @type {boolean}
2342
2564
  * @memberof ClaimBatch
2343
2565
  */
2344
2566
  'related_To_Accident': boolean;
2345
2567
  /**
2346
- *
2568
+ * 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.
2347
2569
  * @type {boolean}
2348
2570
  * @memberof ClaimBatch
2349
2571
  */
2350
2572
  'related_To_Another_Party': boolean;
2351
2573
  /**
2352
- *
2574
+ * 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.
2353
2575
  * @type {boolean}
2354
2576
  * @memberof ClaimBatch
2355
2577
  */
2356
2578
  'related_To_Auto': boolean;
2357
2579
  /**
2358
- *
2580
+ * 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.
2359
2581
  * @type {boolean}
2360
2582
  * @memberof ClaimBatch
2361
2583
  */
2362
2584
  'related_To_Employment': boolean;
2363
2585
  /**
2364
- *
2586
+ * Information field used in custom processing and reporting.
2365
2587
  * @type {string}
2366
2588
  * @memberof ClaimBatch
2367
2589
  */
2368
2590
  'relinquished_Care_Date'?: string | null;
2369
2591
  /**
2370
- *
2592
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2371
2593
  * @type {string}
2372
2594
  * @memberof ClaimBatch
2373
2595
  */
2374
2596
  'rend_Provider_Address'?: string | null;
2375
2597
  /**
2376
- *
2598
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2377
2599
  * @type {string}
2378
2600
  * @memberof ClaimBatch
2379
2601
  */
2380
2602
  'rend_Provider_Address2'?: string | null;
2381
2603
  /**
2382
- *
2604
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2383
2605
  * @type {string}
2384
2606
  * @memberof ClaimBatch
2385
2607
  */
2386
2608
  'rend_Provider_City'?: string | null;
2387
2609
  /**
2388
- *
2610
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2389
2611
  * @type {string}
2390
2612
  * @memberof ClaimBatch
2391
2613
  */
2392
2614
  'rend_Provider_Federal_ID'?: string | null;
2393
2615
  /**
2394
- *
2616
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2395
2617
  * @type {string}
2396
2618
  * @memberof ClaimBatch
2397
2619
  */
2398
2620
  'rend_Provider_First_Name'?: string | null;
2399
2621
  /**
2400
- *
2622
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2401
2623
  * @type {string}
2402
2624
  * @memberof ClaimBatch
2403
2625
  */
2404
2626
  'rend_Provider_Last_Name'?: string | null;
2405
2627
  /**
2406
- *
2628
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2407
2629
  * @type {string}
2408
2630
  * @memberof ClaimBatch
2409
2631
  */
2410
2632
  'rend_Provider_MAID'?: string | null;
2411
2633
  /**
2412
- *
2634
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2413
2635
  * @type {string}
2414
2636
  * @memberof ClaimBatch
2415
2637
  */
2416
2638
  'rend_Provider_NPI'?: string | null;
2417
2639
  /**
2418
- *
2640
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2419
2641
  * @type {string}
2420
2642
  * @memberof ClaimBatch
2421
2643
  */
2422
2644
  'rend_Provider_Org_Name'?: string | null;
2423
2645
  /**
2424
- *
2646
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2425
2647
  * @type {string}
2426
2648
  * @memberof ClaimBatch
2427
2649
  */
2428
2650
  'rend_Provider_Phone'?: string | null;
2429
2651
  /**
2430
- *
2652
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2431
2653
  * @type {string}
2432
2654
  * @memberof ClaimBatch
2433
2655
  */
2434
2656
  'rend_Provider_State'?: string | null;
2435
2657
  /**
2436
- *
2658
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2437
2659
  * @type {string}
2438
2660
  * @memberof ClaimBatch
2439
2661
  */
2440
2662
  'rend_Provider_Taxonomy'?: string | null;
2441
2663
  /**
2442
- *
2664
+ * The rendering provider information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2443
2665
  * @type {string}
2444
2666
  * @memberof ClaimBatch
2445
2667
  */
2446
2668
  'rend_Provider_Zip'?: string | null;
2447
2669
  /**
2448
- *
2670
+ * As part of reprice claim submissions (via 837), this will hold the repricing network.
2449
2671
  * @type {string}
2450
2672
  * @memberof ClaimBatch
2451
2673
  */
2452
2674
  'repriced_Network_ID'?: string | null;
2453
2675
  /**
2454
- *
2676
+ * This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
2455
2677
  * @type {string}
2456
2678
  * @memberof ClaimBatch
2457
2679
  */
2458
2680
  'return_To_Work_Date'?: string | null;
2459
2681
  /**
2460
- *
2682
+ * 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.
2461
2683
  * @type {boolean}
2462
2684
  * @memberof ClaimBatch
2463
2685
  */
2464
2686
  'salary_Continuation': boolean;
2465
2687
  /**
2466
- *
2688
+ * Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
2467
2689
  * @type {string}
2468
2690
  * @memberof ClaimBatch
2469
2691
  */
2470
2692
  'send_Check_To'?: string | null;
2471
2693
  /**
2472
- *
2694
+ * The Sender ID sent inbound for x12 (837) transactions.
2473
2695
  * @type {string}
2474
2696
  * @memberof ClaimBatch
2475
2697
  */
2476
2698
  'sender_ID'?: string | null;
2477
2699
  /**
2478
- *
2700
+ * The earliest Service_Date of all service lines on this claim.
2479
2701
  * @type {string}
2480
2702
  * @memberof ClaimBatch
2481
2703
  */
2482
2704
  'service_Date'?: string | null;
2483
2705
  /**
2484
- *
2706
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2485
2707
  * @type {string}
2486
2708
  * @memberof ClaimBatch
2487
2709
  */
2488
2710
  'service_Fac_Loc_Address'?: string | null;
2489
2711
  /**
2490
- *
2712
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2491
2713
  * @type {string}
2492
2714
  * @memberof ClaimBatch
2493
2715
  */
2494
2716
  'service_Fac_Loc_Address2'?: string | null;
2495
2717
  /**
2496
- *
2718
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2497
2719
  * @type {string}
2498
2720
  * @memberof ClaimBatch
2499
2721
  */
2500
2722
  'service_Fac_Loc_City'?: string | null;
2501
2723
  /**
2502
- *
2724
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2503
2725
  * @type {string}
2504
2726
  * @memberof ClaimBatch
2505
2727
  */
2506
2728
  'service_Fac_Loc_Federal_ID'?: string | null;
2507
2729
  /**
2508
- *
2730
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2509
2731
  * @type {string}
2510
2732
  * @memberof ClaimBatch
2511
2733
  */
2512
2734
  'service_Fac_Loc_First_Name'?: string | null;
2513
2735
  /**
2514
- *
2736
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2515
2737
  * @type {string}
2516
2738
  * @memberof ClaimBatch
2517
2739
  */
2518
2740
  'service_Fac_Loc_Last_Name'?: string | null;
2519
2741
  /**
2520
- *
2742
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2521
2743
  * @type {string}
2522
2744
  * @memberof ClaimBatch
2523
2745
  */
2524
2746
  'service_Fac_Loc_MAID'?: string | null;
2525
2747
  /**
2526
- *
2748
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2527
2749
  * @type {string}
2528
2750
  * @memberof ClaimBatch
2529
2751
  */
2530
2752
  'service_Fac_Loc_NPI'?: string | null;
2531
2753
  /**
2532
- *
2754
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2533
2755
  * @type {string}
2534
2756
  * @memberof ClaimBatch
2535
2757
  */
2536
2758
  'service_Fac_Loc_Org_Name'?: string | null;
2537
2759
  /**
2538
- *
2760
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2539
2761
  * @type {string}
2540
2762
  * @memberof ClaimBatch
2541
2763
  */
2542
2764
  'service_Fac_Loc_Phone'?: string | null;
2543
2765
  /**
2544
- *
2766
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2545
2767
  * @type {string}
2546
2768
  * @memberof ClaimBatch
2547
2769
  */
2548
2770
  'service_Fac_Loc_State'?: string | null;
2549
2771
  /**
2550
- *
2772
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2551
2773
  * @type {string}
2552
2774
  * @memberof ClaimBatch
2553
2775
  */
2554
2776
  'service_Fac_Loc_Taxonomy'?: string | null;
2555
2777
  /**
2556
- *
2778
+ * The service facility information as submitted on the 837. This field is used for tracking via trigger to the ClaimPreBatch.
2557
2779
  * @type {string}
2558
2780
  * @memberof ClaimBatch
2559
2781
  */
2560
2782
  'service_Fac_Loc_Zip'?: string | null;
2561
2783
  /**
2562
- *
2784
+ * The latest Service_Thru for all service lines on this claim.
2563
2785
  * @type {string}
2564
2786
  * @memberof ClaimBatch
2565
2787
  */
2566
2788
  'service_Thru'?: string | null;
2567
2789
  /**
2568
- *
2790
+ * 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.
2569
2791
  * @type {boolean}
2570
2792
  * @memberof ClaimBatch
2571
2793
  */
2572
2794
  'sick_Time': boolean;
2573
2795
  /**
2574
- *
2796
+ * For Institutional Claims, holds the Statement Date.
2575
2797
  * @type {string}
2576
2798
  * @memberof ClaimBatch
2577
2799
  */
2578
2800
  'statement_From_Date'?: string | null;
2579
2801
  /**
2580
- *
2802
+ * For Institutional Claims, holds the Statement Date.
2581
2803
  * @type {string}
2582
2804
  * @memberof ClaimBatch
2583
2805
  */
2584
2806
  'statement_Thru_Date'?: string | null;
2585
2807
  /**
2586
- *
2808
+ * The Subscriber ID of the patient for this claim.
2587
2809
  * @type {string}
2588
2810
  * @memberof ClaimBatch
2589
2811
  */
2590
2812
  'subscriber_ID'?: string | null;
2591
2813
  /**
2592
- *
2814
+ * 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.
2593
2815
  * @type {boolean}
2594
2816
  * @memberof ClaimBatch
2595
2817
  */
2596
2818
  'subscriber_Signature': boolean;
2597
2819
  /**
2598
- *
2820
+ * 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.
2599
2821
  * @type {boolean}
2600
2822
  * @memberof ClaimBatch
2601
2823
  */
2602
2824
  'survivor_Benefit': boolean;
2603
2825
  /**
2604
- *
2826
+ * 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.
2605
2827
  * @type {boolean}
2606
2828
  * @memberof ClaimBatch
2607
2829
  */
2608
2830
  'third_Party_Payment': boolean;
2609
2831
  /**
2610
- *
2832
+ * 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.
2611
2833
  * @type {number}
2612
2834
  * @memberof ClaimBatch
2613
2835
  */
2614
2836
  'total_COB': number;
2615
2837
  /**
2616
- *
2838
+ * No longer in use.
2617
2839
  * @type {number}
2618
2840
  * @memberof ClaimBatch
2619
2841
  */
2620
2842
  'trading_Partner_Key'?: number | null;
2621
2843
  /**
2622
- *
2844
+ * For 837 transactions, this is the control number assgined by the submitter.
2623
2845
  * @type {string}
2624
2846
  * @memberof ClaimBatch
2625
2847
  */
2626
2848
  'trans_837_Control_Num'?: string | null;
2627
2849
  /**
2628
- *
2850
+ * 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.
2629
2851
  * @type {boolean}
2630
2852
  * @memberof ClaimBatch
2631
2853
  */
2632
2854
  'transaction_837': boolean;
2633
2855
  /**
2634
- *
2856
+ * For 837 transactions, this holds the transaction ID assigned by the submission.
2635
2857
  * @type {string}
2636
2858
  * @memberof ClaimBatch
2637
2859
  */
2638
2860
  'transaction_837_ID'?: string | null;
2639
2861
  /**
2640
- *
2862
+ * The Admission Type associated to this claim.
2641
2863
  * @type {string}
2642
2864
  * @memberof ClaimBatch
2643
2865
  */
2644
2866
  'type_Of_Admission'?: string | null;
2645
2867
  /**
2646
- *
2868
+ * The Bill Type associated to this claim. References BillType.Type_Of_Bill.
2647
2869
  * @type {string}
2648
2870
  * @memberof ClaimBatch
2649
2871
  */
2650
2872
  'type_Of_Bill'?: string | null;
2651
2873
  /**
2652
- *
2874
+ * Date when the record was last updated in the system.
2653
2875
  * @type {string}
2654
2876
  * @memberof ClaimBatch
2655
2877
  */
2656
2878
  'update_Date'?: string;
2657
2879
  /**
2658
- *
2880
+ * User that last updated the record in the system.
2659
2881
  * @type {string}
2660
2882
  * @memberof ClaimBatch
2661
2883
  */
2662
2884
  'update_User'?: string | null;
2663
2885
  /**
2664
- *
2886
+ * 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.
2665
2887
  * @type {boolean}
2666
2888
  * @memberof ClaimBatch
2667
2889
  */
2668
2890
  'vacation': boolean;
2669
2891
  /**
2670
- *
2892
+ * The monetary amount related to the value code.
2671
2893
  * @type {number}
2672
2894
  * @memberof ClaimBatch
2673
2895
  */
2674
2896
  'value_Amount1'?: number | null;
2675
2897
  /**
2676
- *
2898
+ * The monetary amount related to the value code.
2677
2899
  * @type {number}
2678
2900
  * @memberof ClaimBatch
2679
2901
  */
2680
2902
  'value_Amount2'?: number | null;
2681
2903
  /**
2682
- *
2904
+ * The monetary amount related to the value code.
2683
2905
  * @type {number}
2684
2906
  * @memberof ClaimBatch
2685
2907
  */
2686
2908
  'value_Amount3'?: number | null;
2687
2909
  /**
2688
- *
2910
+ * The monetary amount related to the value code.
2689
2911
  * @type {number}
2690
2912
  * @memberof ClaimBatch
2691
2913
  */
2692
2914
  'value_Amount4'?: number | null;
2693
2915
  /**
2694
- *
2916
+ * The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
2695
2917
  * @type {string}
2696
2918
  * @memberof ClaimBatch
2697
2919
  */
2698
2920
  'value_Code1'?: string | null;
2699
2921
  /**
2700
- *
2922
+ * The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
2701
2923
  * @type {string}
2702
2924
  * @memberof ClaimBatch
2703
2925
  */
2704
2926
  'value_Code2'?: string | null;
2705
2927
  /**
2706
- *
2928
+ * The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
2707
2929
  * @type {string}
2708
2930
  * @memberof ClaimBatch
2709
2931
  */
2710
2932
  'value_Code3'?: string | null;
2711
2933
  /**
2712
- *
2934
+ * The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
2713
2935
  * @type {string}
2714
2936
  * @memberof ClaimBatch
2715
2937
  */
2716
2938
  'value_Code4'?: string | null;
2717
2939
  /**
2718
- *
2940
+ * Indicates that this claim was part of a Refund process.
2719
2941
  * @type {number}
2720
2942
  * @memberof ClaimBatch
2721
2943
  */
2722
2944
  'void_Check_ID'?: number | null;
2723
2945
  /**
2724
- *
2946
+ * 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.
2725
2947
  * @type {boolean}
2726
2948
  * @memberof ClaimBatch
2727
2949
  */
2728
2950
  'volume_Override': boolean;
2729
2951
  /**
2730
- *
2952
+ * 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.
2731
2953
  * @type {boolean}
2732
2954
  * @memberof ClaimBatch
2733
2955
  */