@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.
- package/api/events-api.ts +87 -0
- package/models/claim-batch-detail.ts +145 -139
- package/models/claim-batch.ts +668 -446
- package/models/claim-detail.ts +130 -124
- package/models/claim-pre-batch-detail.ts +100 -94
- package/models/claim-pre-batch.ts +600 -378
- package/models/claim.ts +508 -280
- package/models/company-data.ts +421 -403
- package/models/cost-contain-zelis-ex-code.ts +6 -6
- package/models/groups.ts +18 -18
- package/models/idcard-request.ts +3 -3
- package/models/mem-enrollment-plan.ts +9 -9
- package/models/mem-enrollment-rider.ts +10 -10
- package/models/member-beneficiary.ts +3 -3
- package/models/member-language.ts +38 -2
- package/models/plan-benefit-cluster.ts +12 -12
- package/models/plan-benefit-rate.ts +5 -5
- package/models/plan-benefits.ts +57 -51
- package/models/plan-type.ts +21 -21
- package/models/plans.ts +41 -41
- package/models/prem-rate.ts +85 -85
- package/models/sub-enrollment-plan.ts +10 -10
- package/models/sub-enrollment-rider.ts +14 -14
- package/models/subscribers.ts +2 -2
- package/models/users.ts +8 -8
- package/package.json +1 -1
package/models/claim.ts
CHANGED
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@@ -21,985 +21,991 @@
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*/
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export interface Claim {
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/**
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*
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* Unique identifier assigned each time a claim is processed from batch. This value can change if a claim is returned to batch and reprocessed. Note: The database will apply a default value of `0` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `0` to meet the API requirements and ensure that the functionality occurs as expected.
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* @type {number}
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* @memberof Claim
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*/
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'claim_Number': number;
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/**
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*
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* Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
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* @type {boolean}
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* @memberof Claim
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*/
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'abF_Exported': boolean;
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/**
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*
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* Used by VBA Backroom IT Services to track export status of a claim using ABF. This has since been moved to ClaimExport tables and is no longer in use.
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* @type {string}
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* @memberof Claim
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*/
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'abF_Exported_Date'?: string | null;
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/**
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*
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* 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 Claim
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*/
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'aeoB_Claim': boolean;
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/**
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* The date of accident.
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* @type {string}
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* @memberof Claim
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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 Claim
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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. 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 Claim
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*/
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'adjustment_Claim': boolean;
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/**
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*
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* No longer in use.
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* @type {number}
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* @memberof Claim
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*/
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'admin_Amt'?: number | null;
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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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 Claim
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*/
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'ambulance_DropOff_Zip'?: string | null;
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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 Claim
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'ambulance_PickUp_Address'?: string | null;
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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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* @memberof Claim
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*/
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'ambulance_PickUp_Address2'?: string | null;
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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 Claim
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*/
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'ambulance_PickUp_City'?: string | null;
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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 Claim
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'ambulance_PickUp_Location'?: string | null;
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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 Claim
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*/
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'ambulance_PickUp_State'?: string | null;
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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 Claim
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*/
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'ambulance_PickUp_Zip'?: string | null;
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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 Claim
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*/
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'appliance_Placed_Date'?: string | null;
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/**
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* Information field used in custom processing and reporting.
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* @memberof Claim
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*/
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'assumed_Care_Date'?: string | null;
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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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*/
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'attended_Physician_Date'?: string | null;
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/**
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* Notes if this Flex claim was auto-generated by the adjducation engine based on member responsibility configuration at the Group. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
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* @type {boolean}
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* @memberof Claim
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*/
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'auto_Flex': boolean;
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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.
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* @type {number}
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* @memberof Claim
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*/
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'batch_Claim'?: number | null;
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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.
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* @type {number}
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* @memberof Claim
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*/
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'batch_Number'?: number | null;
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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 Claim
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'beneficiary_ID'?: string | null;
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/**
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* No longer in use.
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* @memberof Claim
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*/
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'cliA_Number'?: string | null;
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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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*/
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'calculate_Interest': boolean;
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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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'capitation_Claim': boolean;
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/**
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* Used in custom integration with ceridian tax services. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
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'ceridian_Exported': boolean;
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/**
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* Used in custom integration with ceridian tax services.
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'ceridian_Exported_Date'?: string | null;
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/**
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*
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* This is the primary indicator if a claim is \"Paid\". When this value is NULL, the claim has been processed but not paid. When paid, this value will hold what Check Batch the claim was paid under. References CheckBatch.Check_Batch.
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|
267
273
|
*/
|
|
268
274
|
'check_Batch'?: number | null;
|
|
269
275
|
/**
|
|
270
|
-
*
|
|
276
|
+
* Holds the Check ID this claim was paid under. References Checks.Check_ID.
|
|
271
277
|
* @type {number}
|
|
272
278
|
* @memberof Claim
|
|
273
279
|
*/
|
|
274
280
|
'check_ID'?: number | null;
|
|
275
281
|
/**
|
|
276
|
-
*
|
|
282
|
+
* No longer in use.
|
|
277
283
|
* @type {string}
|
|
278
284
|
* @memberof Claim
|
|
279
285
|
*/
|
|
280
286
|
'check_Number'?: string | null;
|
|
281
287
|
/**
|
|
282
|
-
*
|
|
288
|
+
* For 837 transactions, indicates COB has been submitted.
|
|
283
289
|
* @type {string}
|
|
284
290
|
* @memberof Claim
|
|
285
291
|
*/
|
|
286
292
|
'claim_837_COB'?: string | null;
|
|
287
293
|
/**
|
|
288
|
-
*
|
|
294
|
+
* Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
289
295
|
* @type {boolean}
|
|
290
296
|
* @memberof Claim
|
|
291
297
|
*/
|
|
292
298
|
'claim_Exported': boolean;
|
|
293
299
|
/**
|
|
294
|
-
*
|
|
300
|
+
* Used by VBA Backroom IT Services to track export status of a claim. This has since been moved to ClaimExport tables and is no longer in use.
|
|
295
301
|
* @type {string}
|
|
296
302
|
* @memberof Claim
|
|
297
303
|
*/
|
|
298
304
|
'claim_Exported_Date'?: string | null;
|
|
299
305
|
/**
|
|
300
|
-
*
|
|
306
|
+
* Indicates the Claim Funded Status for this claim, indicating if the claim is ready for funding, suspended, a candidate for payment, part of a funding request or funded.
|
|
301
307
|
* @type {string}
|
|
302
308
|
* @memberof Claim
|
|
303
309
|
*/
|
|
304
310
|
'claim_Funded_Status'?: string | null;
|
|
305
311
|
/**
|
|
306
|
-
*
|
|
312
|
+
* An identifier assigned by external vendors and used for integrations. Primarily comes from the REF*D9 value in the 837.
|
|
307
313
|
* @type {string}
|
|
308
314
|
* @memberof Claim
|
|
309
315
|
*/
|
|
310
316
|
'claim_ID'?: string | null;
|
|
311
317
|
/**
|
|
312
|
-
*
|
|
318
|
+
* For 837 transactions, indicates the submitted claim priority.
|
|
313
319
|
* @type {string}
|
|
314
320
|
* @memberof Claim
|
|
315
321
|
*/
|
|
316
322
|
'claim_Priority'?: string | null;
|
|
317
323
|
/**
|
|
318
|
-
*
|
|
324
|
+
* The status of the claim. Valid values reside in the ClaimStatus table.
|
|
319
325
|
* @type {string}
|
|
320
326
|
* @memberof Claim
|
|
321
327
|
*/
|
|
322
328
|
'claim_Status'?: string | null;
|
|
323
329
|
/**
|
|
324
|
-
*
|
|
330
|
+
* Notes the claim type for this claim. References ClaimType.Claim_Type.
|
|
325
331
|
* @type {string}
|
|
326
332
|
* @memberof Claim
|
|
327
333
|
*/
|
|
328
334
|
'claim_Type'?: string | null;
|
|
329
335
|
/**
|
|
330
|
-
*
|
|
336
|
+
* This is an information only field that allows the tracking of the Closure Effective Date.
|
|
331
337
|
* @type {string}
|
|
332
338
|
* @memberof Claim
|
|
333
339
|
*/
|
|
334
340
|
'closure_Effective_Date'?: string | null;
|
|
335
341
|
/**
|
|
336
|
-
*
|
|
342
|
+
* The Condition Code value for this claim.
|
|
337
343
|
* @type {string}
|
|
338
344
|
* @memberof Claim
|
|
339
345
|
*/
|
|
340
346
|
'condition_Code1'?: string | null;
|
|
341
347
|
/**
|
|
342
|
-
*
|
|
348
|
+
* The Condition Code value for this claim.
|
|
343
349
|
* @type {string}
|
|
344
350
|
* @memberof Claim
|
|
345
351
|
*/
|
|
346
352
|
'condition_Code2'?: string | null;
|
|
347
353
|
/**
|
|
348
|
-
*
|
|
354
|
+
* The Condition Code value for this claim.
|
|
349
355
|
* @type {string}
|
|
350
356
|
* @memberof Claim
|
|
351
357
|
*/
|
|
352
358
|
'condition_Code3'?: string | null;
|
|
353
359
|
/**
|
|
354
|
-
*
|
|
360
|
+
* The Condition Code value for this claim.
|
|
355
361
|
* @type {string}
|
|
356
362
|
* @memberof Claim
|
|
357
363
|
*/
|
|
358
364
|
'condition_Code4'?: string | null;
|
|
359
365
|
/**
|
|
360
|
-
*
|
|
366
|
+
* The Condition Code value for this claim.
|
|
361
367
|
* @type {string}
|
|
362
368
|
* @memberof Claim
|
|
363
369
|
*/
|
|
364
370
|
'condition_Code5'?: string | null;
|
|
365
371
|
/**
|
|
366
|
-
*
|
|
372
|
+
* The Condition Code value for this claim.
|
|
367
373
|
* @type {string}
|
|
368
374
|
* @memberof Claim
|
|
369
375
|
*/
|
|
370
376
|
'condition_Code6'?: string | null;
|
|
371
377
|
/**
|
|
372
|
-
*
|
|
378
|
+
* The Condition Code value for this claim.
|
|
373
379
|
* @type {string}
|
|
374
380
|
* @memberof Claim
|
|
375
381
|
*/
|
|
376
382
|
'condition_Code7'?: string | null;
|
|
377
383
|
/**
|
|
378
|
-
*
|
|
384
|
+
* The patients (or Subscribers) enrollment information, references Subenrollment.Group_Coverage_Start.
|
|
379
385
|
* @type {string}
|
|
380
386
|
* @memberof Claim
|
|
381
387
|
*/
|
|
382
388
|
'coverage_Start'?: string | null;
|
|
383
389
|
/**
|
|
384
|
-
*
|
|
390
|
+
* The current illness date for this claim.
|
|
385
391
|
* @type {string}
|
|
386
392
|
* @memberof Claim
|
|
387
393
|
*/
|
|
388
394
|
'current_Illness_Date'?: string | null;
|
|
389
395
|
/**
|
|
390
|
-
*
|
|
396
|
+
* The DRG Code for this claim, if applicable. References the DRGCodes.DRG_Code.
|
|
391
397
|
* @type {string}
|
|
392
398
|
* @memberof Claim
|
|
393
399
|
*/
|
|
394
400
|
'drG_Code'?: string | null;
|
|
395
401
|
/**
|
|
396
|
-
*
|
|
402
|
+
* The quantity associated with this DRG value.
|
|
397
403
|
* @type {number}
|
|
398
404
|
* @memberof Claim
|
|
399
405
|
*/
|
|
400
406
|
'drG_Quantity'?: number | null;
|
|
401
407
|
/**
|
|
402
|
-
*
|
|
408
|
+
* Information field used in custom processing and reporting.
|
|
403
409
|
* @type {string}
|
|
404
410
|
* @memberof Claim
|
|
405
411
|
*/
|
|
406
412
|
'death_Cert_Rec_Date'?: string | null;
|
|
407
413
|
/**
|
|
408
|
-
*
|
|
414
|
+
* This identifies the date of delivery for disability due to pregnancy.
|
|
409
415
|
* @type {string}
|
|
410
416
|
* @memberof Claim
|
|
411
417
|
*/
|
|
412
418
|
'delivery_Date'?: string | null;
|
|
413
419
|
/**
|
|
414
|
-
*
|
|
420
|
+
* This will identify the type of delivery that is performed as a result of pregnancy.
|
|
415
421
|
* @type {string}
|
|
416
422
|
* @memberof Claim
|
|
417
423
|
*/
|
|
418
424
|
'delivery_Type'?: string | null;
|
|
419
425
|
/**
|
|
420
|
-
*
|
|
426
|
+
* This is an information only field that allows the tracking of Dependent SSI End Date.
|
|
421
427
|
* @type {string}
|
|
422
428
|
* @memberof Claim
|
|
423
429
|
*/
|
|
424
430
|
'dep_SSDI_End_Date'?: string | null;
|
|
425
431
|
/**
|
|
426
|
-
*
|
|
432
|
+
* 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.
|
|
427
433
|
* @type {string}
|
|
428
434
|
* @memberof Claim
|
|
429
435
|
*/
|
|
430
436
|
'diagnostic_Code1'?: string | null;
|
|
431
437
|
/**
|
|
432
|
-
*
|
|
438
|
+
* An assigned diagnostic code for this claim.
|
|
433
439
|
* @type {string}
|
|
434
440
|
* @memberof Claim
|
|
435
441
|
*/
|
|
436
442
|
'diagnostic_Code10'?: string | null;
|
|
437
443
|
/**
|
|
438
|
-
*
|
|
444
|
+
* An assigned diagnostic code for this claim.
|
|
439
445
|
* @type {string}
|
|
440
446
|
* @memberof Claim
|
|
441
447
|
*/
|
|
442
448
|
'diagnostic_Code11'?: string | null;
|
|
443
449
|
/**
|
|
444
|
-
*
|
|
450
|
+
* An assigned diagnostic code for this claim.
|
|
445
451
|
* @type {string}
|
|
446
452
|
* @memberof Claim
|
|
447
453
|
*/
|
|
448
454
|
'diagnostic_Code12'?: string | null;
|
|
449
455
|
/**
|
|
450
|
-
*
|
|
456
|
+
* An assigned diagnostic code for this claim.
|
|
451
457
|
* @type {string}
|
|
452
458
|
* @memberof Claim
|
|
453
459
|
*/
|
|
454
460
|
'diagnostic_Code13'?: string | null;
|
|
455
461
|
/**
|
|
456
|
-
*
|
|
462
|
+
* An assigned diagnostic code for this claim.
|
|
457
463
|
* @type {string}
|
|
458
464
|
* @memberof Claim
|
|
459
465
|
*/
|
|
460
466
|
'diagnostic_Code14'?: string | null;
|
|
461
467
|
/**
|
|
462
|
-
*
|
|
468
|
+
* An assigned diagnostic code for this claim.
|
|
463
469
|
* @type {string}
|
|
464
470
|
* @memberof Claim
|
|
465
471
|
*/
|
|
466
472
|
'diagnostic_Code15'?: string | null;
|
|
467
473
|
/**
|
|
468
|
-
*
|
|
474
|
+
* An assigned diagnostic code for this claim.
|
|
469
475
|
* @type {string}
|
|
470
476
|
* @memberof Claim
|
|
471
477
|
*/
|
|
472
478
|
'diagnostic_Code16'?: string | null;
|
|
473
479
|
/**
|
|
474
|
-
*
|
|
480
|
+
* An assigned diagnostic code for this claim.
|
|
475
481
|
* @type {string}
|
|
476
482
|
* @memberof Claim
|
|
477
483
|
*/
|
|
478
484
|
'diagnostic_Code17'?: string | null;
|
|
479
485
|
/**
|
|
480
|
-
*
|
|
486
|
+
* An assigned diagnostic code for this claim.
|
|
481
487
|
* @type {string}
|
|
482
488
|
* @memberof Claim
|
|
483
489
|
*/
|
|
484
490
|
'diagnostic_Code18'?: string | null;
|
|
485
491
|
/**
|
|
486
|
-
*
|
|
492
|
+
* An assigned diagnostic code for this claim.
|
|
487
493
|
* @type {string}
|
|
488
494
|
* @memberof Claim
|
|
489
495
|
*/
|
|
490
496
|
'diagnostic_Code19'?: string | null;
|
|
491
497
|
/**
|
|
492
|
-
*
|
|
498
|
+
* An assigned diagnostic code for this claim.
|
|
493
499
|
* @type {string}
|
|
494
500
|
* @memberof Claim
|
|
495
501
|
*/
|
|
496
502
|
'diagnostic_Code2'?: string | null;
|
|
497
503
|
/**
|
|
498
|
-
*
|
|
504
|
+
* An assigned diagnostic code for this claim.
|
|
499
505
|
* @type {string}
|
|
500
506
|
* @memberof Claim
|
|
501
507
|
*/
|
|
502
508
|
'diagnostic_Code20'?: string | null;
|
|
503
509
|
/**
|
|
504
|
-
*
|
|
510
|
+
* An assigned diagnostic code for this claim.
|
|
505
511
|
* @type {string}
|
|
506
512
|
* @memberof Claim
|
|
507
513
|
*/
|
|
508
514
|
'diagnostic_Code21'?: string | null;
|
|
509
515
|
/**
|
|
510
|
-
*
|
|
516
|
+
* An assigned diagnostic code for this claim.
|
|
511
517
|
* @type {string}
|
|
512
518
|
* @memberof Claim
|
|
513
519
|
*/
|
|
514
520
|
'diagnostic_Code22'?: string | null;
|
|
515
521
|
/**
|
|
516
|
-
*
|
|
522
|
+
* An assigned diagnostic code for this claim.
|
|
517
523
|
* @type {string}
|
|
518
524
|
* @memberof Claim
|
|
519
525
|
*/
|
|
520
526
|
'diagnostic_Code23'?: string | null;
|
|
521
527
|
/**
|
|
522
|
-
*
|
|
528
|
+
* An assigned diagnostic code for this claim.
|
|
523
529
|
* @type {string}
|
|
524
530
|
* @memberof Claim
|
|
525
531
|
*/
|
|
526
532
|
'diagnostic_Code24'?: string | null;
|
|
527
533
|
/**
|
|
528
|
-
*
|
|
534
|
+
* An assigned diagnostic code for this claim.
|
|
529
535
|
* @type {string}
|
|
530
536
|
* @memberof Claim
|
|
531
537
|
*/
|
|
532
538
|
'diagnostic_Code3'?: string | null;
|
|
533
539
|
/**
|
|
534
|
-
*
|
|
540
|
+
* An assigned diagnostic code for this claim.
|
|
535
541
|
* @type {string}
|
|
536
542
|
* @memberof Claim
|
|
537
543
|
*/
|
|
538
544
|
'diagnostic_Code4'?: string | null;
|
|
539
545
|
/**
|
|
540
|
-
*
|
|
546
|
+
* An assigned diagnostic code for this claim.
|
|
541
547
|
* @type {string}
|
|
542
548
|
* @memberof Claim
|
|
543
549
|
*/
|
|
544
550
|
'diagnostic_Code5'?: string | null;
|
|
545
551
|
/**
|
|
546
|
-
*
|
|
552
|
+
* An assigned diagnostic code for this claim.
|
|
547
553
|
* @type {string}
|
|
548
554
|
* @memberof Claim
|
|
549
555
|
*/
|
|
550
556
|
'diagnostic_Code6'?: string | null;
|
|
551
557
|
/**
|
|
552
|
-
*
|
|
558
|
+
* An assigned diagnostic code for this claim.
|
|
553
559
|
* @type {string}
|
|
554
560
|
* @memberof Claim
|
|
555
561
|
*/
|
|
556
562
|
'diagnostic_Code7'?: string | null;
|
|
557
563
|
/**
|
|
558
|
-
*
|
|
564
|
+
* An assigned diagnostic code for this claim.
|
|
559
565
|
* @type {string}
|
|
560
566
|
* @memberof Claim
|
|
561
567
|
*/
|
|
562
568
|
'diagnostic_Code8'?: string | null;
|
|
563
569
|
/**
|
|
564
|
-
*
|
|
570
|
+
* An assigned diagnostic code for this claim.
|
|
565
571
|
* @type {string}
|
|
566
572
|
* @memberof Claim
|
|
567
573
|
*/
|
|
568
574
|
'diagnostic_Code9'?: string | null;
|
|
569
575
|
/**
|
|
570
|
-
*
|
|
576
|
+
* Indicates if the Diagnostic Code values on this claim are ICD9 or ICD10. Two possible values: 9 - ICD9 or 0 - ICD10.
|
|
571
577
|
* @type {string}
|
|
572
578
|
* @memberof Claim
|
|
573
579
|
*/
|
|
574
580
|
'diagnostic_Code_Type': string;
|
|
575
581
|
/**
|
|
576
|
-
*
|
|
582
|
+
* The calculated date of disability (or manually enetered) based on the disabilty advisor in VBASoftware.
|
|
577
583
|
* @type {string}
|
|
578
584
|
* @memberof Claim
|
|
579
585
|
*/
|
|
580
586
|
'disability_Date'?: string | null;
|
|
581
587
|
/**
|
|
582
|
-
*
|
|
588
|
+
* Information field used in custom processing and reporting.
|
|
583
589
|
* @type {string}
|
|
584
590
|
* @memberof Claim
|
|
585
591
|
*/
|
|
586
592
|
'disability_End_Date'?: string | null;
|
|
587
593
|
/**
|
|
588
|
-
*
|
|
594
|
+
* Used to identify the type of disability (Injury or Illness).
|
|
589
595
|
* @type {string}
|
|
590
596
|
* @memberof Claim
|
|
591
597
|
*/
|
|
592
598
|
'disability_Type'?: string | null;
|
|
593
599
|
/**
|
|
594
|
-
*
|
|
600
|
+
* 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.
|
|
595
601
|
* @type {string}
|
|
596
602
|
* @memberof Claim
|
|
597
603
|
*/
|
|
598
604
|
'disabled_By_Physician'?: string | null;
|
|
599
605
|
/**
|
|
600
|
-
*
|
|
606
|
+
* Used to identify the date the member was discharged from the Hospital if hospitalized as part of this disability.
|
|
601
607
|
* @type {string}
|
|
602
608
|
* @memberof Claim
|
|
603
609
|
*/
|
|
604
610
|
'discharge_Date'?: string | null;
|
|
605
611
|
/**
|
|
606
|
-
*
|
|
612
|
+
* For institutional Claims, holds the Discharge Hour.
|
|
607
613
|
* @type {string}
|
|
608
614
|
* @memberof Claim
|
|
609
615
|
*/
|
|
610
616
|
'discharge_Hour'?: string | null;
|
|
611
617
|
/**
|
|
612
|
-
*
|
|
618
|
+
* The patients (or Subscribers) enrollment information, references Subenrollment.Division_ID.
|
|
613
619
|
* @type {string}
|
|
614
620
|
* @memberof Claim
|
|
615
621
|
*/
|
|
616
622
|
'division_ID'?: string | null;
|
|
617
623
|
/**
|
|
618
|
-
*
|
|
624
|
+
* The external cause of injury code for this claim, if applicable.
|
|
619
625
|
* @type {string}
|
|
620
626
|
* @memberof Claim
|
|
621
627
|
*/
|
|
622
628
|
'eCode_Diagnostic_Code'?: string | null;
|
|
623
629
|
/**
|
|
624
|
-
*
|
|
630
|
+
* The external cause of injury code for this claim, if applicable.
|
|
625
631
|
* @type {string}
|
|
626
632
|
* @memberof Claim
|
|
627
633
|
*/
|
|
628
634
|
'eCode_Diagnostic_Code10'?: string | null;
|
|
629
635
|
/**
|
|
630
|
-
*
|
|
636
|
+
* The external cause of injury code for this claim, if applicable.
|
|
631
637
|
* @type {string}
|
|
632
638
|
* @memberof Claim
|
|
633
639
|
*/
|
|
634
640
|
'eCode_Diagnostic_Code11'?: string | null;
|
|
635
641
|
/**
|
|
636
|
-
*
|
|
642
|
+
* The external cause of injury code for this claim, if applicable.
|
|
637
643
|
* @type {string}
|
|
638
644
|
* @memberof Claim
|
|
639
645
|
*/
|
|
640
646
|
'eCode_Diagnostic_Code12'?: string | null;
|
|
641
647
|
/**
|
|
642
|
-
*
|
|
648
|
+
* The external cause of injury code for this claim, if applicable.
|
|
643
649
|
* @type {string}
|
|
644
650
|
* @memberof Claim
|
|
645
651
|
*/
|
|
646
652
|
'eCode_Diagnostic_Code2'?: string | null;
|
|
647
653
|
/**
|
|
648
|
-
*
|
|
654
|
+
* The external cause of injury code for this claim, if applicable.
|
|
649
655
|
* @type {string}
|
|
650
656
|
* @memberof Claim
|
|
651
657
|
*/
|
|
652
658
|
'eCode_Diagnostic_Code3'?: string | null;
|
|
653
659
|
/**
|
|
654
|
-
*
|
|
660
|
+
* The external cause of injury code for this claim, if applicable.
|
|
655
661
|
* @type {string}
|
|
656
662
|
* @memberof Claim
|
|
657
663
|
*/
|
|
658
664
|
'eCode_Diagnostic_Code4'?: string | null;
|
|
659
665
|
/**
|
|
660
|
-
*
|
|
666
|
+
* The external cause of injury code for this claim, if applicable.
|
|
661
667
|
* @type {string}
|
|
662
668
|
* @memberof Claim
|
|
663
669
|
*/
|
|
664
670
|
'eCode_Diagnostic_Code5'?: string | null;
|
|
665
671
|
/**
|
|
666
|
-
*
|
|
672
|
+
* The external cause of injury code for this claim, if applicable.
|
|
667
673
|
* @type {string}
|
|
668
674
|
* @memberof Claim
|
|
669
675
|
*/
|
|
670
676
|
'eCode_Diagnostic_Code6'?: string | null;
|
|
671
677
|
/**
|
|
672
|
-
*
|
|
678
|
+
* The external cause of injury code for this claim, if applicable.
|
|
673
679
|
* @type {string}
|
|
674
680
|
* @memberof Claim
|
|
675
681
|
*/
|
|
676
682
|
'eCode_Diagnostic_Code7'?: string | null;
|
|
677
683
|
/**
|
|
678
|
-
*
|
|
684
|
+
* The external cause of injury code for this claim, if applicable.
|
|
679
685
|
* @type {string}
|
|
680
686
|
* @memberof Claim
|
|
681
687
|
*/
|
|
682
688
|
'eCode_Diagnostic_Code8'?: string | null;
|
|
683
689
|
/**
|
|
684
|
-
*
|
|
690
|
+
* The external cause of injury code for this claim, if applicable.
|
|
685
691
|
* @type {string}
|
|
686
692
|
* @memberof Claim
|
|
687
693
|
*/
|
|
688
694
|
'eCode_Diagnostic_Code9'?: string | null;
|
|
689
695
|
/**
|
|
690
|
-
*
|
|
696
|
+
* Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
|
|
691
697
|
* @type {string}
|
|
692
698
|
* @memberof Claim
|
|
693
699
|
*/
|
|
694
700
|
'epsdT_Condition_Indicator1'?: string | null;
|
|
695
701
|
/**
|
|
696
|
-
*
|
|
702
|
+
* Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
|
|
697
703
|
* @type {string}
|
|
698
704
|
* @memberof Claim
|
|
699
705
|
*/
|
|
700
706
|
'epsdT_Condition_Indicator2'?: string | null;
|
|
701
707
|
/**
|
|
702
|
-
*
|
|
708
|
+
* Early and Periodic Screening, Diagnostic, and Treatment Indicator tracked from the claim submission.
|
|
703
709
|
* @type {string}
|
|
704
710
|
* @memberof Claim
|
|
705
711
|
*/
|
|
706
712
|
'epsdT_Condition_Indicator3'?: string | null;
|
|
707
713
|
/**
|
|
708
|
-
*
|
|
714
|
+
* Early and Periodic Screening, Diagnostic, and Treatment tracking for if a referral was given for this claim.
|
|
709
715
|
* @type {string}
|
|
710
716
|
* @memberof Claim
|
|
711
717
|
*/
|
|
712
718
|
'epsdT_Referral_Given'?: string | null;
|
|
713
719
|
/**
|
|
714
|
-
*
|
|
720
|
+
* Date when the record was first added to the system.
|
|
715
721
|
* @type {string}
|
|
716
722
|
* @memberof Claim
|
|
717
723
|
*/
|
|
718
724
|
'entry_Date'?: string;
|
|
719
725
|
/**
|
|
720
|
-
*
|
|
726
|
+
* User that first added the record to the system.
|
|
721
727
|
* @type {string}
|
|
722
728
|
* @memberof Claim
|
|
723
729
|
*/
|
|
724
730
|
'entry_User'?: string | null;
|
|
725
731
|
/**
|
|
726
|
-
*
|
|
732
|
+
* A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
|
|
727
733
|
* @type {string}
|
|
728
734
|
* @memberof Claim
|
|
729
735
|
*/
|
|
730
736
|
'ex_Code1'?: string | null;
|
|
731
737
|
/**
|
|
732
|
-
*
|
|
738
|
+
* A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
|
|
733
739
|
* @type {string}
|
|
734
740
|
* @memberof Claim
|
|
735
741
|
*/
|
|
736
742
|
'ex_Code2'?: string | null;
|
|
737
743
|
/**
|
|
738
|
-
*
|
|
744
|
+
* A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
|
|
739
745
|
* @type {string}
|
|
740
746
|
* @memberof Claim
|
|
741
747
|
*/
|
|
742
748
|
'ex_Code3'?: string | null;
|
|
743
749
|
/**
|
|
744
|
-
*
|
|
750
|
+
* A place for both user assigned reason codes applicable to this claim or for adjudication to automatically assign ex code. References ExplanationCodes.Ex_Code.
|
|
745
751
|
* @type {string}
|
|
746
752
|
* @memberof Claim
|
|
747
753
|
*/
|
|
748
754
|
'ex_Code4'?: string | null;
|
|
749
755
|
/**
|
|
750
|
-
*
|
|
756
|
+
* This is the Exhaust Date of the members Disability.
|
|
751
757
|
* @type {string}
|
|
752
758
|
* @memberof Claim
|
|
753
759
|
*/
|
|
754
760
|
'exhaust_Date'?: string | null;
|
|
755
761
|
/**
|
|
756
|
-
*
|
|
762
|
+
* 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.
|
|
757
763
|
* @type {number}
|
|
758
764
|
* @memberof Claim
|
|
759
765
|
*/
|
|
760
766
|
'expected_Typical_Duration'?: number | null;
|
|
761
767
|
/**
|
|
762
|
-
*
|
|
768
|
+
* This will hold the FICA withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
|
|
763
769
|
* @type {number}
|
|
764
770
|
* @memberof Claim
|
|
765
771
|
*/
|
|
766
772
|
'ficA_Percent'?: number | null;
|
|
767
773
|
/**
|
|
768
|
-
*
|
|
774
|
+
* This will hold the federal withhold amount for each payment. If tax calculation module is enabled, this option will be ignored.
|
|
769
775
|
* @type {number}
|
|
770
776
|
* @memberof Claim
|
|
771
777
|
*/
|
|
772
778
|
'federal_Withheld'?: number | null;
|
|
773
779
|
/**
|
|
774
|
-
*
|
|
780
|
+
* No longer in use.
|
|
775
781
|
* @type {string}
|
|
776
782
|
* @memberof Claim
|
|
777
783
|
*/
|
|
778
784
|
'filing_Indicator'?: string | null;
|
|
779
785
|
/**
|
|
780
|
-
*
|
|
786
|
+
* This will place a follow-up date on each payment as an additional identifier for when this disability should be reviewed.
|
|
781
787
|
* @type {string}
|
|
782
788
|
* @memberof Claim
|
|
783
789
|
*/
|
|
784
790
|
'followUp_Date'?: string | null;
|
|
785
791
|
/**
|
|
786
|
-
*
|
|
792
|
+
* 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.
|
|
787
793
|
* @type {string}
|
|
788
794
|
* @memberof Claim
|
|
789
795
|
*/
|
|
790
796
|
'followUp_Ex_Code'?: string | null;
|
|
791
797
|
/**
|
|
792
|
-
*
|
|
798
|
+
* Medicare Resubmission code for the claim. Indicated in Box 22 of the claim report.
|
|
793
799
|
* @type {string}
|
|
794
800
|
* @memberof Claim
|
|
795
801
|
*/
|
|
796
802
|
'freq_Code'?: string | null;
|
|
797
803
|
/**
|
|
798
|
-
*
|
|
804
|
+
* The patients (or Subscribers) enrollment information, references Subenrollment.Group_ID.
|
|
799
805
|
* @type {string}
|
|
800
806
|
* @memberof Claim
|
|
801
807
|
*/
|
|
802
808
|
'group_ID'?: string | null;
|
|
803
809
|
/**
|
|
804
|
-
*
|
|
810
|
+
* Information field used in custom processing and reporting.
|
|
805
811
|
* @type {string}
|
|
806
812
|
* @memberof Claim
|
|
807
813
|
*/
|
|
808
814
|
'hearing_Vision_RX_Date'?: string | null;
|
|
809
815
|
/**
|
|
810
|
-
*
|
|
816
|
+
* Stores a reference, if applicable, to an image or document associated with this claim.
|
|
811
817
|
* @type {string}
|
|
812
818
|
* @memberof Claim
|
|
813
819
|
*/
|
|
814
820
|
'image_File_Location'?: string | null;
|
|
815
821
|
/**
|
|
816
|
-
*
|
|
822
|
+
* Stores a reference, if applicable, to an image or document associated with this claim.
|
|
817
823
|
* @type {string}
|
|
818
824
|
* @memberof Claim
|
|
819
825
|
*/
|
|
820
826
|
'image_File_Location2'?: string | null;
|
|
821
827
|
/**
|
|
822
|
-
*
|
|
828
|
+
* Stores a reference, if applicable, to an image or document associated with this claim.
|
|
823
829
|
* @type {string}
|
|
824
830
|
* @memberof Claim
|
|
825
831
|
*/
|
|
826
832
|
'image_File_Location3'?: string | null;
|
|
827
833
|
/**
|
|
828
|
-
*
|
|
834
|
+
* Stores a reference, if applicable, to an image or document associated with this claim.
|
|
829
835
|
* @type {string}
|
|
830
836
|
* @memberof Claim
|
|
831
837
|
*/
|
|
832
838
|
'image_File_Location4'?: string | null;
|
|
833
839
|
/**
|
|
834
|
-
*
|
|
840
|
+
* Information field to track the initial treatment date for this claim.
|
|
835
841
|
* @type {string}
|
|
836
842
|
* @memberof Claim
|
|
837
843
|
*/
|
|
838
844
|
'initial_Treatment_Date'?: string | null;
|
|
839
845
|
/**
|
|
840
|
-
*
|
|
846
|
+
* This is the job classification for the member going on disability.
|
|
841
847
|
* @type {string}
|
|
842
848
|
* @memberof Claim
|
|
843
849
|
*/
|
|
844
850
|
'job_Type'?: string | null;
|
|
845
851
|
/**
|
|
846
|
-
*
|
|
852
|
+
* This is an information only field that holds the date the member went on Long-Term Disability.
|
|
847
853
|
* @type {string}
|
|
848
854
|
* @memberof Claim
|
|
849
855
|
*/
|
|
850
856
|
'ltD_Effective_Date'?: string | null;
|
|
851
857
|
/**
|
|
852
|
-
*
|
|
858
|
+
* This is an information only field that tracks the date the Long-Term Disability Packet was sent.
|
|
853
859
|
* @type {string}
|
|
854
860
|
* @memberof Claim
|
|
855
861
|
*/
|
|
856
862
|
'ltD_Packet_Date'?: string | null;
|
|
857
863
|
/**
|
|
858
|
-
*
|
|
864
|
+
* 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.
|
|
859
865
|
* @type {string}
|
|
860
866
|
* @memberof Claim
|
|
861
867
|
*/
|
|
862
868
|
'last_Day_Worked'?: string | null;
|
|
863
869
|
/**
|
|
864
|
-
*
|
|
870
|
+
* This is an information only field that allows for the tracking of the Physician Warrant Date.
|
|
865
871
|
* @type {string}
|
|
866
872
|
* @memberof Claim
|
|
867
873
|
*/
|
|
868
874
|
'last_Physician_Warrant_Date'?: string | null;
|
|
869
875
|
/**
|
|
870
|
-
*
|
|
876
|
+
* Information field to track the last time a phyician was seen at the time of this claim submission.
|
|
871
877
|
* @type {string}
|
|
872
878
|
* @memberof Claim
|
|
873
879
|
*/
|
|
874
880
|
'last_Seen_Date'?: string | null;
|
|
875
881
|
/**
|
|
876
|
-
*
|
|
882
|
+
* 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.
|
|
877
883
|
* @type {boolean}
|
|
878
884
|
* @memberof Claim
|
|
879
885
|
*/
|
|
880
886
|
'liability_Injury': boolean;
|
|
881
887
|
/**
|
|
882
|
-
*
|
|
888
|
+
* Notes if the payment should be mailed to an entity other than the \"Send_Check_To\".
|
|
883
889
|
* @type {string}
|
|
884
890
|
* @memberof Claim
|
|
885
891
|
*/
|
|
886
892
|
'mail_To'?: string | null;
|
|
887
893
|
/**
|
|
888
|
-
*
|
|
894
|
+
* The Member Sequence of the patient for this claim.
|
|
889
895
|
* @type {string}
|
|
890
896
|
* @memberof Claim
|
|
891
897
|
*/
|
|
892
898
|
'member_Seq'?: string | null;
|
|
893
899
|
/**
|
|
894
|
-
*
|
|
900
|
+
* The number of months the orthodontic treatment will be.
|
|
895
901
|
* @type {number}
|
|
896
902
|
* @memberof Claim
|
|
897
903
|
*/
|
|
898
904
|
'months_Of_Treatment'?: number | null;
|
|
899
905
|
/**
|
|
900
|
-
*
|
|
906
|
+
* Indicates the network this claim was paid against. If this value is NULL, the claim is considered \"Out of Network\".
|
|
901
907
|
* @type {string}
|
|
902
908
|
* @memberof Claim
|
|
903
909
|
*/
|
|
904
910
|
'network_ID'?: string | null;
|
|
905
911
|
/**
|
|
906
|
-
*
|
|
912
|
+
* No longer in use. Replaced by Note Services.
|
|
907
913
|
* @type {string}
|
|
908
914
|
* @memberof Claim
|
|
909
915
|
*/
|
|
910
916
|
'note'?: string | null;
|
|
911
917
|
/**
|
|
912
|
-
*
|
|
918
|
+
* 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.
|
|
913
919
|
* @type {boolean}
|
|
914
920
|
* @memberof Claim
|
|
915
921
|
*/
|
|
916
922
|
'occupational': boolean;
|
|
917
923
|
/**
|
|
918
|
-
*
|
|
924
|
+
* The Occurrence Code value for this claim.
|
|
919
925
|
* @type {string}
|
|
920
926
|
* @memberof Claim
|
|
921
927
|
*/
|
|
922
928
|
'occurrence_Code1'?: string | null;
|
|
923
929
|
/**
|
|
924
|
-
*
|
|
930
|
+
* The Occurrence Code value for this claim.
|
|
925
931
|
* @type {string}
|
|
926
932
|
* @memberof Claim
|
|
927
933
|
*/
|
|
928
934
|
'occurrence_Code2'?: string | null;
|
|
929
935
|
/**
|
|
930
|
-
*
|
|
936
|
+
* The Occurrence Code value for this claim.
|
|
931
937
|
* @type {string}
|
|
932
938
|
* @memberof Claim
|
|
933
939
|
*/
|
|
934
940
|
'occurrence_Code3'?: string | null;
|
|
935
941
|
/**
|
|
936
|
-
*
|
|
942
|
+
* The Occurrence Code value for this claim.
|
|
937
943
|
* @type {string}
|
|
938
944
|
* @memberof Claim
|
|
939
945
|
*/
|
|
940
946
|
'occurrence_Code4'?: string | null;
|
|
941
947
|
/**
|
|
942
|
-
*
|
|
948
|
+
* The Occurrence Date associated to the assigned Occurrence Codes.
|
|
943
949
|
* @type {string}
|
|
944
950
|
* @memberof Claim
|
|
945
951
|
*/
|
|
946
952
|
'occurrence_Date1'?: string | null;
|
|
947
953
|
/**
|
|
948
|
-
*
|
|
954
|
+
* The Occurrence Date associated to the assigned Occurrence Codes.
|
|
949
955
|
* @type {string}
|
|
950
956
|
* @memberof Claim
|
|
951
957
|
*/
|
|
952
958
|
'occurrence_Date2'?: string | null;
|
|
953
959
|
/**
|
|
954
|
-
*
|
|
960
|
+
* The Occurrence Date associated to the assigned Occurrence Codes.
|
|
955
961
|
* @type {string}
|
|
956
962
|
* @memberof Claim
|
|
957
963
|
*/
|
|
958
964
|
'occurrence_Date3'?: string | null;
|
|
959
965
|
/**
|
|
960
|
-
*
|
|
966
|
+
* The Occurrence Date associated to the assigned Occurrence Codes.
|
|
961
967
|
* @type {string}
|
|
962
968
|
* @memberof Claim
|
|
963
969
|
*/
|
|
964
970
|
'occurrence_Date4'?: string | null;
|
|
965
971
|
/**
|
|
966
|
-
*
|
|
972
|
+
* The occurrence span indicator for the Occurrence Span From and Thru dates.
|
|
967
973
|
* @type {string}
|
|
968
974
|
* @memberof Claim
|
|
969
975
|
*/
|
|
970
976
|
'occurrence_Span_Code'?: string | null;
|
|
971
977
|
/**
|
|
972
|
-
*
|
|
978
|
+
* The occurrence span from for this claim.
|
|
973
979
|
* @type {string}
|
|
974
980
|
* @memberof Claim
|
|
975
981
|
*/
|
|
976
982
|
'occurrence_Span_From'?: string | null;
|
|
977
983
|
/**
|
|
978
|
-
*
|
|
984
|
+
* The occurrence span thru for this claim.
|
|
979
985
|
* @type {string}
|
|
980
986
|
* @memberof Claim
|
|
981
987
|
*/
|
|
982
988
|
'occurrence_Span_Thru'?: string | null;
|
|
983
989
|
/**
|
|
984
|
-
*
|
|
990
|
+
* Notes the date of the original illness if this claim is associated to that illness.
|
|
985
991
|
* @type {string}
|
|
986
992
|
* @memberof Claim
|
|
987
993
|
*/
|
|
988
994
|
'onset_Similar_Illness_Date'?: string | null;
|
|
989
995
|
/**
|
|
990
|
-
*
|
|
996
|
+
* 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.
|
|
991
997
|
* @type {boolean}
|
|
992
998
|
* @memberof Claim
|
|
993
999
|
*/
|
|
994
1000
|
'orthodontics_Treatment': boolean;
|
|
995
1001
|
/**
|
|
996
|
-
*
|
|
1002
|
+
* 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.
|
|
997
1003
|
* @type {boolean}
|
|
998
1004
|
* @memberof Claim
|
|
999
1005
|
*/
|
|
1000
1006
|
'other_Insurance': boolean;
|
|
1001
1007
|
/**
|
|
1002
|
-
*
|
|
1008
|
+
* Additional procedure code (ICD10 Diagnosis) values for this claim submission.
|
|
1003
1009
|
* @type {string}
|
|
1004
1010
|
* @memberof Claim
|
|
1005
1011
|
*/
|
|
@@ -1009,735 +1015,957 @@ export interface Claim {
|
|
|
1009
1015
|
* @type {string}
|
|
1010
1016
|
* @memberof Claim
|
|
1011
1017
|
*/
|
|
1018
|
+
'other_Procedure_Code10'?: string | null;
|
|
1019
|
+
/**
|
|
1020
|
+
*
|
|
1021
|
+
* @type {string}
|
|
1022
|
+
* @memberof Claim
|
|
1023
|
+
*/
|
|
1024
|
+
'other_Procedure_Code11'?: string | null;
|
|
1025
|
+
/**
|
|
1026
|
+
*
|
|
1027
|
+
* @type {string}
|
|
1028
|
+
* @memberof Claim
|
|
1029
|
+
*/
|
|
1030
|
+
'other_Procedure_Code12'?: string | null;
|
|
1031
|
+
/**
|
|
1032
|
+
*
|
|
1033
|
+
* @type {string}
|
|
1034
|
+
* @memberof Claim
|
|
1035
|
+
*/
|
|
1036
|
+
'other_Procedure_Code13'?: string | null;
|
|
1037
|
+
/**
|
|
1038
|
+
*
|
|
1039
|
+
* @type {string}
|
|
1040
|
+
* @memberof Claim
|
|
1041
|
+
*/
|
|
1042
|
+
'other_Procedure_Code14'?: string | null;
|
|
1043
|
+
/**
|
|
1044
|
+
*
|
|
1045
|
+
* @type {string}
|
|
1046
|
+
* @memberof Claim
|
|
1047
|
+
*/
|
|
1048
|
+
'other_Procedure_Code15'?: string | null;
|
|
1049
|
+
/**
|
|
1050
|
+
*
|
|
1051
|
+
* @type {string}
|
|
1052
|
+
* @memberof Claim
|
|
1053
|
+
*/
|
|
1054
|
+
'other_Procedure_Code16'?: string | null;
|
|
1055
|
+
/**
|
|
1056
|
+
*
|
|
1057
|
+
* @type {string}
|
|
1058
|
+
* @memberof Claim
|
|
1059
|
+
*/
|
|
1060
|
+
'other_Procedure_Code17'?: string | null;
|
|
1061
|
+
/**
|
|
1062
|
+
*
|
|
1063
|
+
* @type {string}
|
|
1064
|
+
* @memberof Claim
|
|
1065
|
+
*/
|
|
1066
|
+
'other_Procedure_Code18'?: string | null;
|
|
1067
|
+
/**
|
|
1068
|
+
*
|
|
1069
|
+
* @type {string}
|
|
1070
|
+
* @memberof Claim
|
|
1071
|
+
*/
|
|
1072
|
+
'other_Procedure_Code19'?: string | null;
|
|
1073
|
+
/**
|
|
1074
|
+
* Additional procedure code (ICD10 Diagnosis) values for this claim submission.
|
|
1075
|
+
* @type {string}
|
|
1076
|
+
* @memberof Claim
|
|
1077
|
+
*/
|
|
1012
1078
|
'other_Procedure_Code2'?: string | null;
|
|
1013
1079
|
/**
|
|
1014
1080
|
*
|
|
1015
1081
|
* @type {string}
|
|
1016
1082
|
* @memberof Claim
|
|
1017
1083
|
*/
|
|
1018
|
-
'
|
|
1084
|
+
'other_Procedure_Code20'?: string | null;
|
|
1019
1085
|
/**
|
|
1020
1086
|
*
|
|
1021
1087
|
* @type {string}
|
|
1022
1088
|
* @memberof Claim
|
|
1023
1089
|
*/
|
|
1024
|
-
'
|
|
1090
|
+
'other_Procedure_Code21'?: string | null;
|
|
1091
|
+
/**
|
|
1092
|
+
*
|
|
1093
|
+
* @type {string}
|
|
1094
|
+
* @memberof Claim
|
|
1095
|
+
*/
|
|
1096
|
+
'other_Procedure_Code22'?: string | null;
|
|
1025
1097
|
/**
|
|
1026
1098
|
*
|
|
1027
1099
|
* @type {string}
|
|
1028
1100
|
* @memberof Claim
|
|
1029
1101
|
*/
|
|
1102
|
+
'other_Procedure_Code23'?: string | null;
|
|
1103
|
+
/**
|
|
1104
|
+
* Additional procedure code (ICD10 Diagnosis) values for this claim submission.
|
|
1105
|
+
* @type {string}
|
|
1106
|
+
* @memberof Claim
|
|
1107
|
+
*/
|
|
1108
|
+
'other_Procedure_Code3'?: string | null;
|
|
1109
|
+
/**
|
|
1110
|
+
* Additional procedure code (ICD10 Diagnosis) values for this claim submission.
|
|
1111
|
+
* @type {string}
|
|
1112
|
+
* @memberof Claim
|
|
1113
|
+
*/
|
|
1114
|
+
'other_Procedure_Code4'?: string | null;
|
|
1115
|
+
/**
|
|
1116
|
+
* Additional procedure code (ICD10 Diagnosis) values for this claim submission.
|
|
1117
|
+
* @type {string}
|
|
1118
|
+
* @memberof Claim
|
|
1119
|
+
*/
|
|
1030
1120
|
'other_Procedure_Code5'?: string | null;
|
|
1031
1121
|
/**
|
|
1032
1122
|
*
|
|
1033
1123
|
* @type {string}
|
|
1034
1124
|
* @memberof Claim
|
|
1035
1125
|
*/
|
|
1126
|
+
'other_Procedure_Code6'?: string | null;
|
|
1127
|
+
/**
|
|
1128
|
+
*
|
|
1129
|
+
* @type {string}
|
|
1130
|
+
* @memberof Claim
|
|
1131
|
+
*/
|
|
1132
|
+
'other_Procedure_Code7'?: string | null;
|
|
1133
|
+
/**
|
|
1134
|
+
*
|
|
1135
|
+
* @type {string}
|
|
1136
|
+
* @memberof Claim
|
|
1137
|
+
*/
|
|
1138
|
+
'other_Procedure_Code8'?: string | null;
|
|
1139
|
+
/**
|
|
1140
|
+
*
|
|
1141
|
+
* @type {string}
|
|
1142
|
+
* @memberof Claim
|
|
1143
|
+
*/
|
|
1144
|
+
'other_Procedure_Code9'?: string | null;
|
|
1145
|
+
/**
|
|
1146
|
+
* Date associated with the additional procedure code.
|
|
1147
|
+
* @type {string}
|
|
1148
|
+
* @memberof Claim
|
|
1149
|
+
*/
|
|
1036
1150
|
'other_Procedure_Date1'?: string | null;
|
|
1037
1151
|
/**
|
|
1038
1152
|
*
|
|
1039
1153
|
* @type {string}
|
|
1040
1154
|
* @memberof Claim
|
|
1041
1155
|
*/
|
|
1156
|
+
'other_Procedure_Date10'?: string | null;
|
|
1157
|
+
/**
|
|
1158
|
+
*
|
|
1159
|
+
* @type {string}
|
|
1160
|
+
* @memberof Claim
|
|
1161
|
+
*/
|
|
1162
|
+
'other_Procedure_Date11'?: string | null;
|
|
1163
|
+
/**
|
|
1164
|
+
*
|
|
1165
|
+
* @type {string}
|
|
1166
|
+
* @memberof Claim
|
|
1167
|
+
*/
|
|
1168
|
+
'other_Procedure_Date12'?: string | null;
|
|
1169
|
+
/**
|
|
1170
|
+
*
|
|
1171
|
+
* @type {string}
|
|
1172
|
+
* @memberof Claim
|
|
1173
|
+
*/
|
|
1174
|
+
'other_Procedure_Date13'?: string | null;
|
|
1175
|
+
/**
|
|
1176
|
+
*
|
|
1177
|
+
* @type {string}
|
|
1178
|
+
* @memberof Claim
|
|
1179
|
+
*/
|
|
1180
|
+
'other_Procedure_Date14'?: string | null;
|
|
1181
|
+
/**
|
|
1182
|
+
*
|
|
1183
|
+
* @type {string}
|
|
1184
|
+
* @memberof Claim
|
|
1185
|
+
*/
|
|
1186
|
+
'other_Procedure_Date15'?: string | null;
|
|
1187
|
+
/**
|
|
1188
|
+
*
|
|
1189
|
+
* @type {string}
|
|
1190
|
+
* @memberof Claim
|
|
1191
|
+
*/
|
|
1192
|
+
'other_Procedure_Date16'?: string | null;
|
|
1193
|
+
/**
|
|
1194
|
+
*
|
|
1195
|
+
* @type {string}
|
|
1196
|
+
* @memberof Claim
|
|
1197
|
+
*/
|
|
1198
|
+
'other_Procedure_Date17'?: string | null;
|
|
1199
|
+
/**
|
|
1200
|
+
*
|
|
1201
|
+
* @type {string}
|
|
1202
|
+
* @memberof Claim
|
|
1203
|
+
*/
|
|
1204
|
+
'other_Procedure_Date18'?: string | null;
|
|
1205
|
+
/**
|
|
1206
|
+
*
|
|
1207
|
+
* @type {string}
|
|
1208
|
+
* @memberof Claim
|
|
1209
|
+
*/
|
|
1210
|
+
'other_Procedure_Date19'?: string | null;
|
|
1211
|
+
/**
|
|
1212
|
+
* Date associated with the additional procedure code.
|
|
1213
|
+
* @type {string}
|
|
1214
|
+
* @memberof Claim
|
|
1215
|
+
*/
|
|
1042
1216
|
'other_Procedure_Date2'?: string | null;
|
|
1043
1217
|
/**
|
|
1044
1218
|
*
|
|
1045
1219
|
* @type {string}
|
|
1046
1220
|
* @memberof Claim
|
|
1047
1221
|
*/
|
|
1048
|
-
'
|
|
1222
|
+
'other_Procedure_Date20'?: string | null;
|
|
1049
1223
|
/**
|
|
1050
1224
|
*
|
|
1051
1225
|
* @type {string}
|
|
1052
1226
|
* @memberof Claim
|
|
1053
1227
|
*/
|
|
1054
|
-
'
|
|
1228
|
+
'other_Procedure_Date21'?: string | null;
|
|
1229
|
+
/**
|
|
1230
|
+
*
|
|
1231
|
+
* @type {string}
|
|
1232
|
+
* @memberof Claim
|
|
1233
|
+
*/
|
|
1234
|
+
'other_Procedure_Date22'?: string | null;
|
|
1055
1235
|
/**
|
|
1056
1236
|
*
|
|
1057
1237
|
* @type {string}
|
|
1058
1238
|
* @memberof Claim
|
|
1059
1239
|
*/
|
|
1240
|
+
'other_Procedure_Date23'?: string | null;
|
|
1241
|
+
/**
|
|
1242
|
+
* Date associated with the additional procedure code.
|
|
1243
|
+
* @type {string}
|
|
1244
|
+
* @memberof Claim
|
|
1245
|
+
*/
|
|
1246
|
+
'other_Procedure_Date3'?: string | null;
|
|
1247
|
+
/**
|
|
1248
|
+
* Date associated with the additional procedure code.
|
|
1249
|
+
* @type {string}
|
|
1250
|
+
* @memberof Claim
|
|
1251
|
+
*/
|
|
1252
|
+
'other_Procedure_Date4'?: string | null;
|
|
1253
|
+
/**
|
|
1254
|
+
* Date associated with the additional procedure code.
|
|
1255
|
+
* @type {string}
|
|
1256
|
+
* @memberof Claim
|
|
1257
|
+
*/
|
|
1060
1258
|
'other_Procedure_Date5'?: string | null;
|
|
1061
1259
|
/**
|
|
1062
1260
|
*
|
|
1063
1261
|
* @type {string}
|
|
1064
1262
|
* @memberof Claim
|
|
1065
1263
|
*/
|
|
1066
|
-
'
|
|
1264
|
+
'other_Procedure_Date6'?: string | null;
|
|
1067
1265
|
/**
|
|
1068
1266
|
*
|
|
1069
1267
|
* @type {string}
|
|
1070
1268
|
* @memberof Claim
|
|
1071
1269
|
*/
|
|
1072
|
-
'
|
|
1270
|
+
'other_Procedure_Date7'?: string | null;
|
|
1073
1271
|
/**
|
|
1074
1272
|
*
|
|
1273
|
+
* @type {string}
|
|
1274
|
+
* @memberof Claim
|
|
1275
|
+
*/
|
|
1276
|
+
'other_Procedure_Date8'?: string | null;
|
|
1277
|
+
/**
|
|
1278
|
+
*
|
|
1279
|
+
* @type {string}
|
|
1280
|
+
* @memberof Claim
|
|
1281
|
+
*/
|
|
1282
|
+
'other_Procedure_Date9'?: string | null;
|
|
1283
|
+
/**
|
|
1284
|
+
* No longer in use.
|
|
1285
|
+
* @type {string}
|
|
1286
|
+
* @memberof Claim
|
|
1287
|
+
*/
|
|
1288
|
+
'override'?: string | null;
|
|
1289
|
+
/**
|
|
1290
|
+
* No longer in use.
|
|
1291
|
+
* @type {string}
|
|
1292
|
+
* @memberof Claim
|
|
1293
|
+
*/
|
|
1294
|
+
'override_Date'?: string | null;
|
|
1295
|
+
/**
|
|
1296
|
+
* 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.
|
|
1075
1297
|
* @type {boolean}
|
|
1076
1298
|
* @memberof Claim
|
|
1077
1299
|
*/
|
|
1078
1300
|
'override_Network_ID': boolean;
|
|
1079
1301
|
/**
|
|
1080
|
-
*
|
|
1302
|
+
* 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.
|
|
1081
1303
|
* @type {boolean}
|
|
1082
1304
|
* @memberof Claim
|
|
1083
1305
|
*/
|
|
1084
1306
|
'override_Payor_Account': boolean;
|
|
1085
1307
|
/**
|
|
1086
|
-
*
|
|
1308
|
+
* No longer in use.
|
|
1087
1309
|
* @type {string}
|
|
1088
1310
|
* @memberof Claim
|
|
1089
1311
|
*/
|
|
1090
1312
|
'override_User'?: string | null;
|
|
1091
1313
|
/**
|
|
1092
|
-
*
|
|
1314
|
+
* 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.
|
|
1093
1315
|
* @type {boolean}
|
|
1094
1316
|
* @memberof Claim
|
|
1095
1317
|
*/
|
|
1096
1318
|
'partial_Disability': boolean;
|
|
1097
1319
|
/**
|
|
1098
|
-
*
|
|
1320
|
+
* For the servicing provider, this indicates the patient account identifier in their practice management system.
|
|
1099
1321
|
* @type {string}
|
|
1100
1322
|
* @memberof Claim
|
|
1101
1323
|
*/
|
|
1102
1324
|
'patient_Account'?: string | null;
|
|
1103
1325
|
/**
|
|
1104
|
-
*
|
|
1326
|
+
* Reason for Visit code on Diagnosis Code 1
|
|
1105
1327
|
* @type {string}
|
|
1106
1328
|
* @memberof Claim
|
|
1107
1329
|
*/
|
|
1108
1330
|
'patient_Reason_for_Visit_Diagnostic_Code1'?: string | null;
|
|
1109
1331
|
/**
|
|
1110
|
-
*
|
|
1332
|
+
* Reason for Visit code on Diagnosis Code 2
|
|
1111
1333
|
* @type {string}
|
|
1112
1334
|
* @memberof Claim
|
|
1113
1335
|
*/
|
|
1114
1336
|
'patient_Reason_for_Visit_Diagnostic_Code2'?: string | null;
|
|
1115
1337
|
/**
|
|
1116
|
-
*
|
|
1338
|
+
* Reason for Visit code on Diagnosis Code 3
|
|
1117
1339
|
* @type {string}
|
|
1118
1340
|
* @memberof Claim
|
|
1119
1341
|
*/
|
|
1120
1342
|
'patient_Reason_for_Visit_Diagnostic_Code3'?: string | null;
|
|
1121
1343
|
/**
|
|
1122
|
-
*
|
|
1344
|
+
* Holds the relationship of the patient to the insured.
|
|
1123
1345
|
* @type {string}
|
|
1124
1346
|
* @memberof Claim
|
|
1125
1347
|
*/
|
|
1126
1348
|
'patient_Relationship'?: string | null;
|
|
1127
1349
|
/**
|
|
1128
|
-
*
|
|
1350
|
+
* 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.
|
|
1129
1351
|
* @type {boolean}
|
|
1130
1352
|
* @memberof Claim
|
|
1131
1353
|
*/
|
|
1132
1354
|
'patient_Signature': boolean;
|
|
1133
1355
|
/**
|
|
1134
|
-
*
|
|
1356
|
+
* Indicates the date of the patient signature being collected.
|
|
1135
1357
|
* @type {string}
|
|
1136
1358
|
* @memberof Claim
|
|
1137
1359
|
*/
|
|
1138
1360
|
'patient_Signature_Date'?: string | null;
|
|
1139
1361
|
/**
|
|
1140
|
-
*
|
|
1362
|
+
* For institutional Claims, holds the Patient Status.
|
|
1141
1363
|
* @type {string}
|
|
1142
1364
|
* @memberof Claim
|
|
1143
1365
|
*/
|
|
1144
1366
|
'patient_Status'?: string | null;
|
|
1145
1367
|
/**
|
|
1146
|
-
*
|
|
1368
|
+
* The billing provider (payee) for this claim. References the ProviderPayee.Payee_ID (by Provider_ID).
|
|
1147
1369
|
* @type {string}
|
|
1148
1370
|
* @memberof Claim
|
|
1149
1371
|
*/
|
|
1150
1372
|
'payee_ID'?: string | null;
|
|
1151
1373
|
/**
|
|
1152
|
-
*
|
|
1374
|
+
* No longer in use.
|
|
1153
1375
|
* @type {string}
|
|
1154
1376
|
* @memberof Claim
|
|
1155
1377
|
*/
|
|
1156
1378
|
'payment_Status'?: string | null;
|
|
1157
1379
|
/**
|
|
1158
|
-
*
|
|
1380
|
+
* A claim reference number used in conjunction with the Medicare Resubmission code. Indicated in Box 22 of the claim report.
|
|
1159
1381
|
* @type {string}
|
|
1160
1382
|
* @memberof Claim
|
|
1161
1383
|
*/
|
|
1162
1384
|
'payor_Claim_Control_Number'?: string | null;
|
|
1163
1385
|
/**
|
|
1164
|
-
*
|
|
1386
|
+
* For claim funding, indicates the payor/account this claim would be paid from.
|
|
1165
1387
|
* @type {string}
|
|
1166
1388
|
* @memberof Claim
|
|
1167
1389
|
*/
|
|
1168
1390
|
'payor_ID'?: string | null;
|
|
1169
1391
|
/**
|
|
1170
|
-
*
|
|
1392
|
+
* 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.
|
|
1171
1393
|
* @type {string}
|
|
1172
1394
|
* @memberof Claim
|
|
1173
1395
|
*/
|
|
1174
1396
|
'physician_Return_To_Work'?: string | null;
|
|
1175
1397
|
/**
|
|
1176
|
-
*
|
|
1398
|
+
* 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.
|
|
1177
1399
|
* @type {string}
|
|
1178
1400
|
* @memberof Claim
|
|
1179
1401
|
*/
|
|
1180
1402
|
'place_Of_Service'?: string | null;
|
|
1181
1403
|
/**
|
|
1182
|
-
*
|
|
1404
|
+
* Holds the plan the patient is enrolled in and that benefits are assigned.
|
|
1183
1405
|
* @type {string}
|
|
1184
1406
|
* @memberof Claim
|
|
1185
1407
|
*/
|
|
1186
1408
|
'plan_ID'?: string | null;
|
|
1187
1409
|
/**
|
|
1188
|
-
*
|
|
1410
|
+
* No longer in use.
|
|
1189
1411
|
* @type {string}
|
|
1190
1412
|
* @memberof Claim
|
|
1191
1413
|
*/
|
|
1192
1414
|
'plan_Provider'?: string | null;
|
|
1193
1415
|
/**
|
|
1194
|
-
*
|
|
1416
|
+
* Indicates the Plan Year this claim is processed under. This drives accumulator calculations and referneces the GroupPlanYear.Plan_Year value.
|
|
1195
1417
|
* @type {string}
|
|
1196
1418
|
* @memberof Claim
|
|
1197
1419
|
*/
|
|
1198
1420
|
'plan_Year'?: string | null;
|
|
1199
1421
|
/**
|
|
1200
|
-
*
|
|
1422
|
+
* Indicates if the patient was present on admission for diagnosis 1.
|
|
1201
1423
|
* @type {string}
|
|
1202
1424
|
* @memberof Claim
|
|
1203
1425
|
*/
|
|
1204
1426
|
'present_On_Admission1'?: string | null;
|
|
1205
1427
|
/**
|
|
1206
|
-
*
|
|
1428
|
+
* Indicates if the patient was present on admission for diagnosis 10.
|
|
1207
1429
|
* @type {string}
|
|
1208
1430
|
* @memberof Claim
|
|
1209
1431
|
*/
|
|
1210
1432
|
'present_On_Admission10'?: string | null;
|
|
1211
1433
|
/**
|
|
1212
|
-
*
|
|
1434
|
+
* Indicates if the patient was present on admission for diagnosis 11.
|
|
1213
1435
|
* @type {string}
|
|
1214
1436
|
* @memberof Claim
|
|
1215
1437
|
*/
|
|
1216
1438
|
'present_On_Admission11'?: string | null;
|
|
1217
1439
|
/**
|
|
1218
|
-
*
|
|
1440
|
+
* Indicates if the patient was present on admission for diagnosis 12.
|
|
1219
1441
|
* @type {string}
|
|
1220
1442
|
* @memberof Claim
|
|
1221
1443
|
*/
|
|
1222
1444
|
'present_On_Admission12'?: string | null;
|
|
1223
1445
|
/**
|
|
1224
|
-
*
|
|
1446
|
+
* Indicates if the patient was present on admission for diagnosis 13.
|
|
1225
1447
|
* @type {string}
|
|
1226
1448
|
* @memberof Claim
|
|
1227
1449
|
*/
|
|
1228
1450
|
'present_On_Admission13'?: string | null;
|
|
1229
1451
|
/**
|
|
1230
|
-
*
|
|
1452
|
+
* Indicates if the patient was present on admission for diagnosis 14.
|
|
1231
1453
|
* @type {string}
|
|
1232
1454
|
* @memberof Claim
|
|
1233
1455
|
*/
|
|
1234
1456
|
'present_On_Admission14'?: string | null;
|
|
1235
1457
|
/**
|
|
1236
|
-
*
|
|
1458
|
+
* Indicates if the patient was present on admission for diagnosis 15.
|
|
1237
1459
|
* @type {string}
|
|
1238
1460
|
* @memberof Claim
|
|
1239
1461
|
*/
|
|
1240
1462
|
'present_On_Admission15'?: string | null;
|
|
1241
1463
|
/**
|
|
1242
|
-
*
|
|
1464
|
+
* Indicates if the patient was present on admission for diagnosis 16.
|
|
1243
1465
|
* @type {string}
|
|
1244
1466
|
* @memberof Claim
|
|
1245
1467
|
*/
|
|
1246
1468
|
'present_On_Admission16'?: string | null;
|
|
1247
1469
|
/**
|
|
1248
|
-
*
|
|
1470
|
+
* Indicates if the patient was present on admission for diagnosis 17.
|
|
1249
1471
|
* @type {string}
|
|
1250
1472
|
* @memberof Claim
|
|
1251
1473
|
*/
|
|
1252
1474
|
'present_On_Admission17'?: string | null;
|
|
1253
1475
|
/**
|
|
1254
|
-
*
|
|
1476
|
+
* Indicates if the patient was present on admission for diagnosis 18.
|
|
1255
1477
|
* @type {string}
|
|
1256
1478
|
* @memberof Claim
|
|
1257
1479
|
*/
|
|
1258
1480
|
'present_On_Admission18'?: string | null;
|
|
1259
1481
|
/**
|
|
1260
|
-
*
|
|
1482
|
+
* Indicates if the patient was present on admission for diagnosis 19.
|
|
1261
1483
|
* @type {string}
|
|
1262
1484
|
* @memberof Claim
|
|
1263
1485
|
*/
|
|
1264
1486
|
'present_On_Admission19'?: string | null;
|
|
1265
1487
|
/**
|
|
1266
|
-
*
|
|
1488
|
+
* Indicates if the patient was present on admission for diagnosis 2.
|
|
1267
1489
|
* @type {string}
|
|
1268
1490
|
* @memberof Claim
|
|
1269
1491
|
*/
|
|
1270
1492
|
'present_On_Admission2'?: string | null;
|
|
1271
1493
|
/**
|
|
1272
|
-
*
|
|
1494
|
+
* Indicates if the patient was present on admission for diagnosis 20.
|
|
1273
1495
|
* @type {string}
|
|
1274
1496
|
* @memberof Claim
|
|
1275
1497
|
*/
|
|
1276
1498
|
'present_On_Admission20'?: string | null;
|
|
1277
1499
|
/**
|
|
1278
|
-
*
|
|
1500
|
+
* Indicates if the patient was present on admission for diagnosis 21.
|
|
1279
1501
|
* @type {string}
|
|
1280
1502
|
* @memberof Claim
|
|
1281
1503
|
*/
|
|
1282
1504
|
'present_On_Admission21'?: string | null;
|
|
1283
1505
|
/**
|
|
1284
|
-
*
|
|
1506
|
+
* Indicates if the patient was present on admission for diagnosis 22.
|
|
1285
1507
|
* @type {string}
|
|
1286
1508
|
* @memberof Claim
|
|
1287
1509
|
*/
|
|
1288
1510
|
'present_On_Admission22'?: string | null;
|
|
1289
1511
|
/**
|
|
1290
|
-
*
|
|
1512
|
+
* Indicates if the patient was present on admission for diagnosis 23.
|
|
1291
1513
|
* @type {string}
|
|
1292
1514
|
* @memberof Claim
|
|
1293
1515
|
*/
|
|
1294
1516
|
'present_On_Admission23'?: string | null;
|
|
1295
1517
|
/**
|
|
1296
|
-
*
|
|
1518
|
+
* Indicates if the patient was present on admission for diagnosis 24.
|
|
1297
1519
|
* @type {string}
|
|
1298
1520
|
* @memberof Claim
|
|
1299
1521
|
*/
|
|
1300
1522
|
'present_On_Admission24'?: string | null;
|
|
1301
1523
|
/**
|
|
1302
|
-
*
|
|
1524
|
+
* Indicates if the patient was present on admission for diagnosis 3.
|
|
1303
1525
|
* @type {string}
|
|
1304
1526
|
* @memberof Claim
|
|
1305
1527
|
*/
|
|
1306
1528
|
'present_On_Admission3'?: string | null;
|
|
1307
1529
|
/**
|
|
1308
|
-
*
|
|
1530
|
+
* Indicates if the patient was present on admission for diagnosis 4.
|
|
1309
1531
|
* @type {string}
|
|
1310
1532
|
* @memberof Claim
|
|
1311
1533
|
*/
|
|
1312
1534
|
'present_On_Admission4'?: string | null;
|
|
1313
1535
|
/**
|
|
1314
|
-
*
|
|
1536
|
+
* Indicates if the patient was present on admission for diagnosis 5.
|
|
1315
1537
|
* @type {string}
|
|
1316
1538
|
* @memberof Claim
|
|
1317
1539
|
*/
|
|
1318
1540
|
'present_On_Admission5'?: string | null;
|
|
1319
1541
|
/**
|
|
1320
|
-
*
|
|
1542
|
+
* Indicates if the patient was present on admission for diagnosis 6.
|
|
1321
1543
|
* @type {string}
|
|
1322
1544
|
* @memberof Claim
|
|
1323
1545
|
*/
|
|
1324
1546
|
'present_On_Admission6'?: string | null;
|
|
1325
1547
|
/**
|
|
1326
|
-
*
|
|
1548
|
+
* Indicates if the patient was present on admission for diagnosis 7.
|
|
1327
1549
|
* @type {string}
|
|
1328
1550
|
* @memberof Claim
|
|
1329
1551
|
*/
|
|
1330
1552
|
'present_On_Admission7'?: string | null;
|
|
1331
1553
|
/**
|
|
1332
|
-
*
|
|
1554
|
+
* Indicates if the patient was present on admission for diagnosis 8.
|
|
1333
1555
|
* @type {string}
|
|
1334
1556
|
* @memberof Claim
|
|
1335
1557
|
*/
|
|
1336
1558
|
'present_On_Admission8'?: string | null;
|
|
1337
1559
|
/**
|
|
1338
|
-
*
|
|
1560
|
+
* Indicates if the patient was present on admission for diagnosis 9.
|
|
1339
1561
|
* @type {string}
|
|
1340
1562
|
* @memberof Claim
|
|
1341
1563
|
*/
|
|
1342
1564
|
'present_On_Admission9'?: string | null;
|
|
1343
1565
|
/**
|
|
1344
|
-
*
|
|
1566
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 1.
|
|
1345
1567
|
* @type {string}
|
|
1346
1568
|
* @memberof Claim
|
|
1347
1569
|
*/
|
|
1348
1570
|
'present_On_Admission_ECode1'?: string | null;
|
|
1349
1571
|
/**
|
|
1350
|
-
*
|
|
1572
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 10.
|
|
1351
1573
|
* @type {string}
|
|
1352
1574
|
* @memberof Claim
|
|
1353
1575
|
*/
|
|
1354
1576
|
'present_On_Admission_ECode10'?: string | null;
|
|
1355
1577
|
/**
|
|
1356
|
-
*
|
|
1578
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 11.
|
|
1357
1579
|
* @type {string}
|
|
1358
1580
|
* @memberof Claim
|
|
1359
1581
|
*/
|
|
1360
1582
|
'present_On_Admission_ECode11'?: string | null;
|
|
1361
1583
|
/**
|
|
1362
|
-
*
|
|
1584
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 12.
|
|
1363
1585
|
* @type {string}
|
|
1364
1586
|
* @memberof Claim
|
|
1365
1587
|
*/
|
|
1366
1588
|
'present_On_Admission_ECode12'?: string | null;
|
|
1367
1589
|
/**
|
|
1368
|
-
*
|
|
1590
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 2.
|
|
1369
1591
|
* @type {string}
|
|
1370
1592
|
* @memberof Claim
|
|
1371
1593
|
*/
|
|
1372
1594
|
'present_On_Admission_ECode2'?: string | null;
|
|
1373
1595
|
/**
|
|
1374
|
-
*
|
|
1596
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 3.
|
|
1375
1597
|
* @type {string}
|
|
1376
1598
|
* @memberof Claim
|
|
1377
1599
|
*/
|
|
1378
1600
|
'present_On_Admission_ECode3'?: string | null;
|
|
1379
1601
|
/**
|
|
1380
|
-
*
|
|
1602
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 4.
|
|
1381
1603
|
* @type {string}
|
|
1382
1604
|
* @memberof Claim
|
|
1383
1605
|
*/
|
|
1384
1606
|
'present_On_Admission_ECode4'?: string | null;
|
|
1385
1607
|
/**
|
|
1386
|
-
*
|
|
1608
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 5.
|
|
1387
1609
|
* @type {string}
|
|
1388
1610
|
* @memberof Claim
|
|
1389
1611
|
*/
|
|
1390
1612
|
'present_On_Admission_ECode5'?: string | null;
|
|
1391
1613
|
/**
|
|
1392
|
-
*
|
|
1614
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 6.
|
|
1393
1615
|
* @type {string}
|
|
1394
1616
|
* @memberof Claim
|
|
1395
1617
|
*/
|
|
1396
1618
|
'present_On_Admission_ECode6'?: string | null;
|
|
1397
1619
|
/**
|
|
1398
|
-
*
|
|
1620
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 7.
|
|
1399
1621
|
* @type {string}
|
|
1400
1622
|
* @memberof Claim
|
|
1401
1623
|
*/
|
|
1402
1624
|
'present_On_Admission_ECode7'?: string | null;
|
|
1403
1625
|
/**
|
|
1404
|
-
*
|
|
1626
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 8.
|
|
1405
1627
|
* @type {string}
|
|
1406
1628
|
* @memberof Claim
|
|
1407
1629
|
*/
|
|
1408
1630
|
'present_On_Admission_ECode8'?: string | null;
|
|
1409
1631
|
/**
|
|
1410
|
-
*
|
|
1632
|
+
* Indicates if the patient was present for the external cause of injury diagnosis 9.
|
|
1411
1633
|
* @type {string}
|
|
1412
1634
|
* @memberof Claim
|
|
1413
1635
|
*/
|
|
1414
1636
|
'present_On_Admission_ECode9'?: string | null;
|
|
1415
1637
|
/**
|
|
1416
|
-
*
|
|
1638
|
+
* For reprice claims (typically submitted via 837), this notes the reprice method used to reprice this claim.
|
|
1417
1639
|
* @type {string}
|
|
1418
1640
|
* @memberof Claim
|
|
1419
1641
|
*/
|
|
1420
1642
|
'pricing_Method'?: string | null;
|
|
1421
1643
|
/**
|
|
1422
1644
|
*
|
|
1645
|
+
* @type {string}
|
|
1646
|
+
* @memberof Claim
|
|
1647
|
+
*/
|
|
1648
|
+
'pricing_Org_ID'?: string | null;
|
|
1649
|
+
/**
|
|
1650
|
+
* The rate associated with the reprice method (Pricing_Method).
|
|
1423
1651
|
* @type {number}
|
|
1424
1652
|
* @memberof Claim
|
|
1425
1653
|
*/
|
|
1426
1654
|
'pricing_Rate'?: number | null;
|
|
1427
1655
|
/**
|
|
1428
|
-
*
|
|
1656
|
+
* The principal procedure (ICD10 Diagnosis) for this claim submission.
|
|
1429
1657
|
* @type {string}
|
|
1430
1658
|
* @memberof Claim
|
|
1431
1659
|
*/
|
|
1432
1660
|
'principal_Procedure_Code'?: string | null;
|
|
1433
1661
|
/**
|
|
1434
|
-
*
|
|
1662
|
+
* The principal procedure date.
|
|
1435
1663
|
* @type {string}
|
|
1436
1664
|
* @memberof Claim
|
|
1437
1665
|
*/
|
|
1438
1666
|
'principal_Procedure_Date'?: string | null;
|
|
1439
1667
|
/**
|
|
1440
|
-
*
|
|
1668
|
+
* The date of a previous prosthetic or crown applied, if there was one.
|
|
1441
1669
|
* @type {string}
|
|
1442
1670
|
* @memberof Claim
|
|
1443
1671
|
*/
|
|
1444
1672
|
'prior_Placement_Date'?: string | null;
|
|
1445
1673
|
/**
|
|
1446
|
-
*
|
|
1674
|
+
* The date the claim was processed from batch.
|
|
1447
1675
|
* @type {string}
|
|
1448
1676
|
* @memberof Claim
|
|
1449
1677
|
*/
|
|
1450
1678
|
'processed_Date'?: string | null;
|
|
1451
1679
|
/**
|
|
1452
|
-
*
|
|
1680
|
+
* 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.
|
|
1453
1681
|
* @type {boolean}
|
|
1454
1682
|
* @memberof Claim
|
|
1455
1683
|
*/
|
|
1456
1684
|
'prosthesis_Replacement': boolean;
|
|
1457
1685
|
/**
|
|
1458
|
-
*
|
|
1686
|
+
* The provider ID of the servicing provider. References Provider.Provider_ID.
|
|
1459
1687
|
* @type {string}
|
|
1460
1688
|
* @memberof Claim
|
|
1461
1689
|
*/
|
|
1462
1690
|
'provider_ID'?: string | null;
|
|
1463
1691
|
/**
|
|
1464
|
-
*
|
|
1692
|
+
* Overrides the QPA Method set on the Plan for this claim.
|
|
1465
1693
|
* @type {string}
|
|
1466
1694
|
* @memberof Claim
|
|
1467
1695
|
*/
|
|
1468
1696
|
'qpA_Method'?: string | null;
|
|
1469
1697
|
/**
|
|
1470
|
-
*
|
|
1698
|
+
* The date this claim was received into the admin system.
|
|
1471
1699
|
* @type {string}
|
|
1472
1700
|
* @memberof Claim
|
|
1473
1701
|
*/
|
|
1474
1702
|
'received_Date'?: string | null;
|
|
1475
1703
|
/**
|
|
1476
|
-
*
|
|
1704
|
+
* Information field to track if a referral was sent for this claim.
|
|
1477
1705
|
* @type {string}
|
|
1478
1706
|
* @memberof Claim
|
|
1479
1707
|
*/
|
|
1480
1708
|
'referred_By'?: string | null;
|
|
1481
1709
|
/**
|
|
1482
|
-
*
|
|
1710
|
+
* Indicates that this claim was part of a Refund process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
1483
1711
|
* @type {boolean}
|
|
1484
1712
|
* @memberof Claim
|
|
1485
1713
|
*/
|
|
1486
1714
|
'refund_Claim': boolean;
|
|
1487
1715
|
/**
|
|
1488
|
-
*
|
|
1716
|
+
* If this claim was part of a refund process, this will hold the reference to the receipt generated by the refund process.
|
|
1489
1717
|
* @type {number}
|
|
1490
1718
|
* @memberof Claim
|
|
1491
1719
|
*/
|
|
1492
1720
|
'refund_Funding_Key'?: number | null;
|
|
1493
1721
|
/**
|
|
1494
|
-
*
|
|
1722
|
+
* 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.
|
|
1495
1723
|
* @type {boolean}
|
|
1496
1724
|
* @memberof Claim
|
|
1497
1725
|
*/
|
|
1498
1726
|
'related_To_Accident': boolean;
|
|
1499
1727
|
/**
|
|
1500
|
-
*
|
|
1728
|
+
* 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.
|
|
1501
1729
|
* @type {boolean}
|
|
1502
1730
|
* @memberof Claim
|
|
1503
1731
|
*/
|
|
1504
1732
|
'related_To_Another_Party': boolean;
|
|
1505
1733
|
/**
|
|
1506
|
-
*
|
|
1734
|
+
* 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.
|
|
1507
1735
|
* @type {boolean}
|
|
1508
1736
|
* @memberof Claim
|
|
1509
1737
|
*/
|
|
1510
1738
|
'related_To_Auto': boolean;
|
|
1511
1739
|
/**
|
|
1512
|
-
*
|
|
1740
|
+
* 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.
|
|
1513
1741
|
* @type {boolean}
|
|
1514
1742
|
* @memberof Claim
|
|
1515
1743
|
*/
|
|
1516
1744
|
'related_To_Employment': boolean;
|
|
1517
1745
|
/**
|
|
1518
|
-
*
|
|
1746
|
+
* Information field used in custom processing and reporting.
|
|
1519
1747
|
* @type {string}
|
|
1520
1748
|
* @memberof Claim
|
|
1521
1749
|
*/
|
|
1522
1750
|
'relinquished_Care_Date'?: string | null;
|
|
1523
1751
|
/**
|
|
1524
|
-
*
|
|
1752
|
+
* No longer in use.
|
|
1525
1753
|
* @type {string}
|
|
1526
1754
|
* @memberof Claim
|
|
1527
1755
|
*/
|
|
1528
1756
|
'remittance_Printed'?: string | null;
|
|
1529
1757
|
/**
|
|
1530
|
-
*
|
|
1758
|
+
* No longer in use.
|
|
1531
1759
|
* @type {string}
|
|
1532
1760
|
* @memberof Claim
|
|
1533
1761
|
*/
|
|
1534
1762
|
'reprice_Printed'?: string | null;
|
|
1535
1763
|
/**
|
|
1536
|
-
*
|
|
1764
|
+
* As part of reprice claim submissions (via 837), this will hold the repricing network.
|
|
1537
1765
|
* @type {string}
|
|
1538
1766
|
* @memberof Claim
|
|
1539
1767
|
*/
|
|
1540
1768
|
'repriced_Network_ID'?: string | null;
|
|
1541
1769
|
/**
|
|
1542
|
-
*
|
|
1770
|
+
* This is the date the member Returned to Work. This date affects the total payments created as well as other calculations during adjudication.
|
|
1543
1771
|
* @type {string}
|
|
1544
1772
|
* @memberof Claim
|
|
1545
1773
|
*/
|
|
1546
1774
|
'return_To_Work_Date'?: string | null;
|
|
1547
1775
|
/**
|
|
1548
|
-
*
|
|
1776
|
+
* 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.
|
|
1549
1777
|
* @type {boolean}
|
|
1550
1778
|
* @memberof Claim
|
|
1551
1779
|
*/
|
|
1552
1780
|
'salary_Continuation': boolean;
|
|
1553
1781
|
/**
|
|
1554
|
-
*
|
|
1782
|
+
* Indicates the entity that should be paid for this claim. S - Subscriber, G - Group, B - Beneficiary, P - Payee, or V - Provider.
|
|
1555
1783
|
* @type {string}
|
|
1556
1784
|
* @memberof Claim
|
|
1557
1785
|
*/
|
|
1558
1786
|
'send_Check_To'?: string | null;
|
|
1559
1787
|
/**
|
|
1560
|
-
*
|
|
1788
|
+
* The Sender ID sent inbound for x12 (837) transactions.
|
|
1561
1789
|
* @type {string}
|
|
1562
1790
|
* @memberof Claim
|
|
1563
1791
|
*/
|
|
1564
1792
|
'sender_ID'?: string | null;
|
|
1565
1793
|
/**
|
|
1566
|
-
*
|
|
1794
|
+
* The earliest Service_Date of all service lines on this claim.
|
|
1567
1795
|
* @type {string}
|
|
1568
1796
|
* @memberof Claim
|
|
1569
1797
|
*/
|
|
1570
1798
|
'service_Date'?: string | null;
|
|
1571
1799
|
/**
|
|
1572
|
-
*
|
|
1800
|
+
* The latest Service_Thru for all service lines on this claim.
|
|
1573
1801
|
* @type {string}
|
|
1574
1802
|
* @memberof Claim
|
|
1575
1803
|
*/
|
|
1576
1804
|
'service_Thru'?: string | null;
|
|
1577
1805
|
/**
|
|
1578
|
-
*
|
|
1806
|
+
* 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.
|
|
1579
1807
|
* @type {boolean}
|
|
1580
1808
|
* @memberof Claim
|
|
1581
1809
|
*/
|
|
1582
1810
|
'sick_Time': boolean;
|
|
1583
1811
|
/**
|
|
1584
|
-
*
|
|
1812
|
+
* For Institutional Claims, holds the Statement Date.
|
|
1585
1813
|
* @type {string}
|
|
1586
1814
|
* @memberof Claim
|
|
1587
1815
|
*/
|
|
1588
1816
|
'statement_From_Date'?: string | null;
|
|
1589
1817
|
/**
|
|
1590
|
-
*
|
|
1818
|
+
* For Institutional Claims, holds the Statement Date.
|
|
1591
1819
|
* @type {string}
|
|
1592
1820
|
* @memberof Claim
|
|
1593
1821
|
*/
|
|
1594
1822
|
'statement_Thru_Date'?: string | null;
|
|
1595
1823
|
/**
|
|
1596
|
-
*
|
|
1824
|
+
* The Subscriber ID of the patient for this claim.
|
|
1597
1825
|
* @type {string}
|
|
1598
1826
|
* @memberof Claim
|
|
1599
1827
|
*/
|
|
1600
1828
|
'subscriber_ID'?: string | null;
|
|
1601
1829
|
/**
|
|
1602
|
-
*
|
|
1830
|
+
* 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.
|
|
1603
1831
|
* @type {boolean}
|
|
1604
1832
|
* @memberof Claim
|
|
1605
1833
|
*/
|
|
1606
1834
|
'subscriber_Signature': boolean;
|
|
1607
1835
|
/**
|
|
1608
|
-
*
|
|
1836
|
+
* 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.
|
|
1609
1837
|
* @type {boolean}
|
|
1610
1838
|
* @memberof Claim
|
|
1611
1839
|
*/
|
|
1612
1840
|
'survivor_Benefit': boolean;
|
|
1613
1841
|
/**
|
|
1614
|
-
*
|
|
1842
|
+
* 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.
|
|
1615
1843
|
* @type {boolean}
|
|
1616
1844
|
* @memberof Claim
|
|
1617
1845
|
*/
|
|
1618
1846
|
'third_Party_Payment': boolean;
|
|
1619
1847
|
/**
|
|
1620
|
-
*
|
|
1848
|
+
* 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.
|
|
1621
1849
|
* @type {number}
|
|
1622
1850
|
* @memberof Claim
|
|
1623
1851
|
*/
|
|
1624
1852
|
'total_COB': number;
|
|
1625
1853
|
/**
|
|
1626
|
-
*
|
|
1854
|
+
* No longer in use.
|
|
1627
1855
|
* @type {number}
|
|
1628
1856
|
* @memberof Claim
|
|
1629
1857
|
*/
|
|
1630
1858
|
'trading_Partner_Key'?: number | null;
|
|
1631
1859
|
/**
|
|
1632
|
-
*
|
|
1860
|
+
* For 837 transactions, this is the control number assgined by the submitter.
|
|
1633
1861
|
* @type {string}
|
|
1634
1862
|
* @memberof Claim
|
|
1635
1863
|
*/
|
|
1636
1864
|
'trans_837_Control_Num'?: string | null;
|
|
1637
1865
|
/**
|
|
1638
|
-
*
|
|
1866
|
+
* 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.
|
|
1639
1867
|
* @type {boolean}
|
|
1640
1868
|
* @memberof Claim
|
|
1641
1869
|
*/
|
|
1642
1870
|
'transaction_837': boolean;
|
|
1643
1871
|
/**
|
|
1644
|
-
*
|
|
1872
|
+
* For 837 transactions, this holds the transaction ID assigned by the submission.
|
|
1645
1873
|
* @type {string}
|
|
1646
1874
|
* @memberof Claim
|
|
1647
1875
|
*/
|
|
1648
1876
|
'transaction_837_ID'?: string | null;
|
|
1649
1877
|
/**
|
|
1650
|
-
*
|
|
1878
|
+
* The Admission Type associated to this claim.
|
|
1651
1879
|
* @type {string}
|
|
1652
1880
|
* @memberof Claim
|
|
1653
1881
|
*/
|
|
1654
1882
|
'type_Of_Admission'?: string | null;
|
|
1655
1883
|
/**
|
|
1656
|
-
*
|
|
1884
|
+
* The Bill Type associated to this claim. References BillType.Type_Of_Bill.
|
|
1657
1885
|
* @type {string}
|
|
1658
1886
|
* @memberof Claim
|
|
1659
1887
|
*/
|
|
1660
1888
|
'type_Of_Bill'?: string | null;
|
|
1661
1889
|
/**
|
|
1662
|
-
*
|
|
1890
|
+
* Date when the record was last updated in the system.
|
|
1663
1891
|
* @type {string}
|
|
1664
1892
|
* @memberof Claim
|
|
1665
1893
|
*/
|
|
1666
1894
|
'update_Date'?: string;
|
|
1667
1895
|
/**
|
|
1668
|
-
*
|
|
1896
|
+
* User that last updated the record in the system.
|
|
1669
1897
|
* @type {string}
|
|
1670
1898
|
* @memberof Claim
|
|
1671
1899
|
*/
|
|
1672
1900
|
'update_User'?: string | null;
|
|
1673
1901
|
/**
|
|
1674
|
-
*
|
|
1902
|
+
* 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.
|
|
1675
1903
|
* @type {boolean}
|
|
1676
1904
|
* @memberof Claim
|
|
1677
1905
|
*/
|
|
1678
1906
|
'vacation': boolean;
|
|
1679
1907
|
/**
|
|
1680
|
-
*
|
|
1908
|
+
* The monetary amount related to the value code.
|
|
1681
1909
|
* @type {number}
|
|
1682
1910
|
* @memberof Claim
|
|
1683
1911
|
*/
|
|
1684
1912
|
'value_Amount1'?: number | null;
|
|
1685
1913
|
/**
|
|
1686
|
-
*
|
|
1914
|
+
* The monetary amount related to the value code.
|
|
1687
1915
|
* @type {number}
|
|
1688
1916
|
* @memberof Claim
|
|
1689
1917
|
*/
|
|
1690
1918
|
'value_Amount2'?: number | null;
|
|
1691
1919
|
/**
|
|
1692
|
-
*
|
|
1920
|
+
* The monetary amount related to the value code.
|
|
1693
1921
|
* @type {number}
|
|
1694
1922
|
* @memberof Claim
|
|
1695
1923
|
*/
|
|
1696
1924
|
'value_Amount3'?: number | null;
|
|
1697
1925
|
/**
|
|
1698
|
-
*
|
|
1926
|
+
* The monetary amount related to the value code.
|
|
1699
1927
|
* @type {number}
|
|
1700
1928
|
* @memberof Claim
|
|
1701
1929
|
*/
|
|
1702
1930
|
'value_Amount4'?: number | null;
|
|
1703
1931
|
/**
|
|
1704
|
-
*
|
|
1932
|
+
* The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
|
|
1705
1933
|
* @type {string}
|
|
1706
1934
|
* @memberof Claim
|
|
1707
1935
|
*/
|
|
1708
1936
|
'value_Code1'?: string | null;
|
|
1709
1937
|
/**
|
|
1710
|
-
*
|
|
1938
|
+
* The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
|
|
1711
1939
|
* @type {string}
|
|
1712
1940
|
* @memberof Claim
|
|
1713
1941
|
*/
|
|
1714
1942
|
'value_Code2'?: string | null;
|
|
1715
1943
|
/**
|
|
1716
|
-
*
|
|
1944
|
+
* The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
|
|
1717
1945
|
* @type {string}
|
|
1718
1946
|
* @memberof Claim
|
|
1719
1947
|
*/
|
|
1720
1948
|
'value_Code3'?: string | null;
|
|
1721
1949
|
/**
|
|
1722
|
-
*
|
|
1950
|
+
* The code indicating a monetary condition which was used by the intermediary to process an institutional claim.
|
|
1723
1951
|
* @type {string}
|
|
1724
1952
|
* @memberof Claim
|
|
1725
1953
|
*/
|
|
1726
1954
|
'value_Code4'?: string | null;
|
|
1727
1955
|
/**
|
|
1728
|
-
*
|
|
1956
|
+
* Indicates that this claim was part of a Void process. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
1729
1957
|
* @type {boolean}
|
|
1730
1958
|
* @memberof Claim
|
|
1731
1959
|
*/
|
|
1732
1960
|
'void_Claim': boolean;
|
|
1733
1961
|
/**
|
|
1734
|
-
*
|
|
1962
|
+
* 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.
|
|
1735
1963
|
* @type {boolean}
|
|
1736
1964
|
* @memberof Claim
|
|
1737
1965
|
*/
|
|
1738
1966
|
'volume_Override': boolean;
|
|
1739
1967
|
/**
|
|
1740
|
-
*
|
|
1968
|
+
* 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.
|
|
1741
1969
|
* @type {boolean}
|
|
1742
1970
|
* @memberof Claim
|
|
1743
1971
|
*/
|