@vbasoftware/vbapi-vbasoftware-typescript-axios 1.20230208.2 → 1.20230403.1
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/.openapi-generator/FILES +19 -0
- package/api/adv-group-api.ts +17 -17
- package/api/chat-gptapi.ts +154 -0
- package/api/events-api.ts +87 -0
- package/api/groups-api.ts +17 -17
- package/api/prem-rate-types-api.ts +668 -0
- package/api/premium-invoice-payments-api.ts +124 -0
- package/api/premium-invoices-api.ts +336 -5
- package/api/premium-rate-distribution-types-api.ts +155 -0
- package/api/state-interest-api.ts +668 -0
- package/api/subscriber-plan-policies-api.ts +43 -91
- package/api/user-api.ts +394 -0
- package/api.ts +4 -0
- package/models/chat-message.ts +30 -0
- package/models/claim-batch-detail.ts +152 -140
- package/models/claim-batch.ts +1697 -479
- package/models/claim-detail.ts +137 -125
- package/models/claim-pre-batch-detail.ts +101 -95
- package/models/claim-pre-batch.ts +1703 -425
- package/models/claim.ts +1562 -338
- package/models/company-data.ts +433 -403
- package/models/cost-contain-zelis-ex-code.ts +12 -6
- package/models/enrollment-disenroll-group.ts +84 -0
- package/models/enrollment-disenroll.ts +28 -34
- package/models/groups.ts +18 -18
- package/models/idcard-request.ts +3 -3
- package/models/index.ts +15 -0
- 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/member-medicare-resp.ts +50 -26
- package/models/members.ts +1 -1
- package/models/network-procedure-cluster.ts +15 -9
- package/models/plan-benefit-cluster.ts +12 -12
- package/models/plan-benefit-rate.ts +5 -5
- package/models/plan-benefits.ts +58 -52
- package/models/plan-type.ts +21 -21
- package/models/plans.ts +41 -41
- package/models/prem-invoice-group-summary-vbaresponse.ts +45 -0
- package/models/prem-invoice-group-summary.ts +114 -0
- package/models/prem-invoice-payment-ext-list-vbaresponse.ts +45 -0
- package/models/prem-invoice-payment-ext.ts +102 -0
- package/models/prem-invoice-slim-list-vbaresponse.ts +45 -0
- package/models/prem-invoice-slim.ts +42 -0
- package/models/prem-rate-type-list-vbaresponse.ts +45 -0
- package/models/prem-rate-type-vbaresponse.ts +45 -0
- package/models/prem-rate-type.ts +72 -0
- package/models/prem-rate.ts +91 -85
- package/models/state-interest-list-vbaresponse.ts +45 -0
- package/models/state-interest-vbaresponse.ts +45 -0
- package/models/state-interest.ts +84 -0
- package/models/sub-enrollment-plan.ts +10 -10
- package/models/sub-enrollment-rider.ts +14 -14
- package/models/subscribers.ts +2 -2
- package/models/user-reset-password-request.ts +42 -0
- package/models/users.ts +8 -8
- package/package.json +1 -1
package/models/company-data.ts
CHANGED
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@@ -21,937 +21,955 @@
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*/
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export interface CompanyData {
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/**
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*
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* This value is always 1 and there can only be a single record in the CompanyData table. 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 CompanyData
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*/
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'key_Value': number;
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/**
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*
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* Default APC Schedule to be used
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* @type {string}
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* @memberof CompanyData
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*/
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'apC_Schedule'?: string | null;
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/**
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*
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* Not used in system configuration. Used on external and/or custom procedures.
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* @type {number}
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* @memberof CompanyData
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*/
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'asO_Percentage'?: number | null;
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/**
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*
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* When a Diagnosis Code is marked as an Accident, or a Plan Benefit is marked as an accident and the Diagnosis Code is not marked as an accident, trigger this Ex Code
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* @type {string}
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* @memberof CompanyData
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*/
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'accident_Review_Ex_Code'?: string | null;
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/**
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*
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* When a Plan Benefit is marked as an accident and the Diagnosis Code is not marked as an accident, trigger this Ex Code
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* @type {string}
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* @memberof CompanyData
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*/
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'accident_Review_Plan_Benefit_Ex_Code'?: string | null;
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/**
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*
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* No longer used in the system 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 CompanyData
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*/
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'additional_Invoice_Rates': boolean;
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/**
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*
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* Address of the Company.
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* @type {string}
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* @memberof CompanyData
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*/
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'address'?: string | null;
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/**
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*
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* Line 2 of the Client\'s address.
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* @type {string}
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* @memberof CompanyData
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*/
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'address2'?: string | null;
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/**
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*
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* Requires passwords to have 3 of the following: Uppercase Letter, Lowercase Letter, Number, Special Character 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 CompanyData
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*/
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'adv_Password_Req': boolean;
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/**
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*
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* Not used in system configuration. Used on external and/or custom procedures.
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* @type {number}
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* @memberof CompanyData
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*/
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'age_Disenroll_Reason'?: number | null;
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/**
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*
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* Whether or not the Apostrophe is allowed in Provider or Member names 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 CompanyData
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*/
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'allow_Apostrophe_In_Name': boolean;
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/**
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*
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* This option will allow for post dated checks. 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 CompanyData
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*/
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'allow_Checks_Post_Date': boolean;
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/**
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*
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* Allows Benefit Override 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 CompanyData
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*/
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'allow_Claim_Benefit_Override': boolean;
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/**
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*
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* Not used in system configuration. Used on external and/or custom procedures.
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* @type {string}
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* @memberof CompanyData
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*/
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'allow_Max_At_Subscriber'?: string | null;
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/**
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*
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* When selected, OOP will be calculated even when 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.
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* @type {boolean}
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* @memberof CompanyData
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*/
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'allow_OOP_On_Override': boolean;
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/**
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* This options allows claims to be process with a \'0.00\' billed amount.
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* @type {string}
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* @memberof CompanyData
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*/
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'allow_Zero_Billed'?: string | null;
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/**
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*
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* When selected, use the matching under Anesthesia for Fee Schedules when an Anastesia Procedure Code/Modifier is present. 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 CompanyData
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*/
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'anesthesia_By_Fee_Sched': boolean;
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/**
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*
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* The precision of rounding used for Anesthesia Units
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* @type {number}
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* @memberof CompanyData
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*/
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'anesthesia_Round_Precision'?: number | null;
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/**
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* The type of rounding used for Anesthesia Units
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* @memberof CompanyData
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*/
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'anesthesia_Round_Type'?: string | null;
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/**
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* If Ex Code is set and all benefits match, set to the first benefit code and set the Ex Code. If Apply_Multiple_Benefit_ExCode_Manual is set to 1 (checked) then the ex code is applied as a Manual ex code, which is not cleared on future adjudications and requires a client to manually clear it Note: 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 CompanyData
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*/
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'apply_Multiple_Benefit_ExCode_Manual': boolean;
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/**
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*
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* Not used in system configuration. Used on external and/or custom procedures.
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* @type {string}
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* @memberof CompanyData
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*/
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'authReview_Full_Path'?: string | null;
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/**
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* Not used in system configuration. Used on external and/or custom procedures.
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* @memberof CompanyData
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*/
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'authReview_Object'?: string | null;
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/**
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* If after processing a claim, there are no more remaining units left for an Auth that was used on the claim, set the Auth Code on the Auth to this Code
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* @type {string}
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* @memberof CompanyData
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'auth_Code_Closed'?: string | null;
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/**
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* When a claim with an auth has a payable amount of zero
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* @type {string}
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* @memberof CompanyData
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*/
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'auth_Code_Pay_Amt_Zero'?: string | null;
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/**
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* If after returning a claim to batch, if there are remaining units left for an Auth that was used on the claim, set the Auth Code on the Auth to this Code
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* @memberof CompanyData
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*/
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'auth_Code_Reopen'?: string | null;
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/**
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* When a claim with an auth has a payable amount under the approved amount on the auth
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*/
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'auth_Code_Under_Auth_Amt'?: string | null;
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/**
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* Ex Code to use when spliting Authorizations
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*/
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'auth_Over_Unit_Split_Ex_Code'?: string | null;
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/**
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* If filled out and an Auth Penalty is found, insert the Ex Code
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* @memberof CompanyData
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*/
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'auth_Penalty_Ex_Code'?: string | null;
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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 CompanyData
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*/
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'auto_Adj_Return_To_Batch': boolean;
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/**
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* Auto pays Capitated claims and Creates a Check Batch
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* @type {boolean}
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* @memberof CompanyData
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*/
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'auto_Pay_Capitated_Claims': boolean;
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/**
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* Whether or not to automatically process the Backout of a claim after an adjustment 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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'auto_Process_Adjustment_Backout': boolean;
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/**
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* Whether or not BaseLoad is turned on
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*/
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'baseLoadFg'?: boolean | null;
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/**
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* BaseLoad Password
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*/
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'baseLoadPass'?: string | null;
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* This flag denotes whether or not to include the Service Date within the BaseLoad XML sent to BaseLoad 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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*/
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'baseLoadServiceDateFlag': boolean;
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/**
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* BaseLoad URL
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*/
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'baseLoadURL'?: string | null;
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/**
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* BaseLoad User ID
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*/
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'baseLoadUser'?: string | null;
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/**
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* Minimum Age for a Beneficiary
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*/
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'beneficiary_AgeLimit'?: number | null;
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/**
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240
|
-
*
|
|
246
|
+
* This pend code will be applied when the beneficiary age defined on the enrollment is invalid.
|
|
241
247
|
* @type {string}
|
|
242
248
|
* @memberof CompanyData
|
|
243
249
|
*/
|
|
244
250
|
'beneficiary_Age_Ex_Code'?: string | null;
|
|
245
251
|
/**
|
|
246
|
-
*
|
|
252
|
+
* This Informational Ex Code will be applied to a claim detail line when the benefit is defined as cascading in the plan and the necessary criteria have been met to cascade the benefits.
|
|
247
253
|
* @type {string}
|
|
248
254
|
* @memberof CompanyData
|
|
249
255
|
*/
|
|
250
256
|
'benefit_Cascade_Ex_Code'?: string | null;
|
|
251
257
|
/**
|
|
252
|
-
*
|
|
258
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
253
259
|
* @type {number}
|
|
254
260
|
* @memberof CompanyData
|
|
255
261
|
*/
|
|
256
262
|
'benefit_Length'?: number | null;
|
|
257
263
|
/**
|
|
258
|
-
*
|
|
264
|
+
* This pend code will be applied when the tooth number on the claim is found to have been previously bridged.
|
|
259
265
|
* @type {string}
|
|
260
266
|
* @memberof CompanyData
|
|
261
267
|
*/
|
|
262
268
|
'bridged_Tooth_Ex_Code'?: string | null;
|
|
263
269
|
/**
|
|
264
|
-
*
|
|
270
|
+
* This Denial Ex Code will deny a claim when a CLIA certificate is required and the provider record does not have CLIA certification.
|
|
265
271
|
* @type {string}
|
|
266
272
|
* @memberof CompanyData
|
|
267
273
|
*/
|
|
268
274
|
'cliA_Certificate_Ex_Code'?: string | null;
|
|
269
275
|
/**
|
|
270
|
-
*
|
|
276
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
271
277
|
* @type {string}
|
|
272
278
|
* @memberof CompanyData
|
|
273
279
|
*/
|
|
274
280
|
'cmO_Installed'?: string | null;
|
|
275
281
|
/**
|
|
276
|
-
*
|
|
282
|
+
* Claim will error if number of the Claim has Mixed Capitation Service Lines unless this is checked. 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.
|
|
277
283
|
* @type {boolean}
|
|
278
284
|
* @memberof CompanyData
|
|
279
285
|
*/
|
|
280
286
|
'cap_By_Service_Line': boolean;
|
|
281
287
|
/**
|
|
282
|
-
*
|
|
288
|
+
* Default Capitation Disenroll Adjustment reason
|
|
283
289
|
* @type {string}
|
|
284
290
|
* @memberof CompanyData
|
|
285
291
|
*/
|
|
286
292
|
'cap_Disenroll_Adj_Reason'?: string | null;
|
|
287
293
|
/**
|
|
288
|
-
*
|
|
294
|
+
* Default Capitation Enroll Adjustment reason
|
|
289
295
|
* @type {string}
|
|
290
296
|
* @memberof CompanyData
|
|
291
297
|
*/
|
|
292
298
|
'cap_Enroll_Adj_Reason'?: string | null;
|
|
293
299
|
/**
|
|
294
|
-
*
|
|
300
|
+
* This setting defines the Enrollment date the application uses for Calculating a Capitated Providers payment.
|
|
295
301
|
* @type {number}
|
|
296
302
|
* @memberof CompanyData
|
|
297
303
|
*/
|
|
298
304
|
'cap_Enrolled_By'?: number | null;
|
|
299
305
|
/**
|
|
300
|
-
*
|
|
306
|
+
* This setting defines the Enrollment date the application uses for Calculating a Capitated Providers payment.
|
|
301
307
|
* @type {number}
|
|
302
308
|
* @memberof CompanyData
|
|
303
309
|
*/
|
|
304
310
|
'cap_Enrolled_Thru'?: number | null;
|
|
305
311
|
/**
|
|
306
|
-
*
|
|
312
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
307
313
|
* @type {boolean}
|
|
308
314
|
* @memberof CompanyData
|
|
309
315
|
*/
|
|
310
316
|
'cap_In_Accum'?: boolean | null;
|
|
311
317
|
/**
|
|
312
|
-
*
|
|
318
|
+
* This Informational Ex Code will be applied to a claim detail line when services are Capitated.
|
|
313
319
|
* @type {string}
|
|
314
320
|
* @memberof CompanyData
|
|
315
321
|
*/
|
|
316
322
|
'capitated_Service_Ex_Code'?: string | null;
|
|
317
323
|
/**
|
|
318
|
-
*
|
|
324
|
+
* The Default Case Report when using the Case Report functionality from Case Update
|
|
319
325
|
* @type {string}
|
|
320
326
|
* @memberof CompanyData
|
|
321
327
|
*/
|
|
322
328
|
'case_Default_Report': string;
|
|
323
329
|
/**
|
|
324
|
-
*
|
|
330
|
+
* Default Issue Duratoin Value for Cash Type
|
|
325
331
|
* @type {number}
|
|
326
332
|
* @memberof CompanyData
|
|
327
333
|
*/
|
|
328
334
|
'cash_Value_Default'?: number | null;
|
|
329
335
|
/**
|
|
330
|
-
*
|
|
336
|
+
* When selected, if the payee address is not filled out, error the claim 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.
|
|
331
337
|
* @type {boolean}
|
|
332
338
|
* @memberof CompanyData
|
|
333
339
|
*/
|
|
334
340
|
'checkPayeeAddressFlag': boolean;
|
|
335
341
|
/**
|
|
336
|
-
*
|
|
342
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
337
343
|
* @type {string}
|
|
338
344
|
* @memberof CompanyData
|
|
339
345
|
*/
|
|
340
346
|
'check_Stock_Location'?: string | null;
|
|
341
347
|
/**
|
|
342
|
-
*
|
|
348
|
+
* Adds an error during the Check Wizard if the Check Date exceeds the threshold set here
|
|
343
349
|
* @type {number}
|
|
344
350
|
* @memberof CompanyData
|
|
345
351
|
*/
|
|
346
352
|
'checks_Max_Post_Date'?: number | null;
|
|
347
353
|
/**
|
|
348
|
-
*
|
|
354
|
+
* City of the Company\'s address.
|
|
349
355
|
* @type {string}
|
|
350
356
|
* @memberof CompanyData
|
|
351
357
|
*/
|
|
352
358
|
'city'?: string | null;
|
|
353
359
|
/**
|
|
354
|
-
*
|
|
360
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
355
361
|
* @type {string}
|
|
356
362
|
* @memberof CompanyData
|
|
357
363
|
*/
|
|
358
364
|
'claimUpload_Date'?: string | null;
|
|
359
365
|
/**
|
|
360
|
-
*
|
|
366
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
361
367
|
* @type {string}
|
|
362
368
|
* @memberof CompanyData
|
|
363
369
|
*/
|
|
364
370
|
'claimUpload_File_Location'?: string | null;
|
|
365
371
|
/**
|
|
366
|
-
*
|
|
372
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
367
373
|
* @type {string}
|
|
368
374
|
* @memberof CompanyData
|
|
369
375
|
*/
|
|
370
376
|
'claimUpload_Schedule'?: string | null;
|
|
371
377
|
/**
|
|
372
|
-
*
|
|
378
|
+
* This Denial Ex Code will deny a claim in which the age definitions of the plan are exceeded.
|
|
373
379
|
* @type {string}
|
|
374
380
|
* @memberof CompanyData
|
|
375
381
|
*/
|
|
376
382
|
'claim_Age_Ex_Code'?: string | null;
|
|
377
383
|
/**
|
|
378
|
-
*
|
|
384
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
379
385
|
* @type {string}
|
|
380
386
|
* @memberof CompanyData
|
|
381
387
|
*/
|
|
382
388
|
'claim_Allowed_Billed_Ex_Code'?: string | null;
|
|
383
389
|
/**
|
|
384
|
-
*
|
|
390
|
+
* This pend code will be applied when the claim billed amount exceeds the user max defined on the user information.
|
|
385
391
|
* @type {string}
|
|
386
392
|
* @memberof CompanyData
|
|
387
393
|
*/
|
|
388
394
|
'claim_Amt_Ex_Code'?: string | null;
|
|
389
395
|
/**
|
|
390
|
-
*
|
|
396
|
+
* If Filled out and an Auth Status is Denied, insert the Ex Code
|
|
391
397
|
* @type {string}
|
|
392
398
|
* @memberof CompanyData
|
|
393
399
|
*/
|
|
394
400
|
'claim_Auth_Denied_Ex_Code'?: string | null;
|
|
395
401
|
/**
|
|
396
|
-
*
|
|
402
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
397
403
|
* @type {string}
|
|
398
404
|
* @memberof CompanyData
|
|
399
405
|
*/
|
|
400
406
|
'claim_Auth_Details_Err_Ex'?: string | null;
|
|
401
407
|
/**
|
|
402
|
-
*
|
|
408
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
403
409
|
* @type {string}
|
|
404
410
|
* @memberof CompanyData
|
|
405
411
|
*/
|
|
406
412
|
'claim_Auth_Diff_Mem_Ex'?: string | null;
|
|
407
413
|
/**
|
|
408
|
-
*
|
|
414
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
409
415
|
* @type {string}
|
|
410
416
|
* @memberof CompanyData
|
|
411
417
|
*/
|
|
412
418
|
'claim_Auth_Diff_Prov_Ex'?: string | null;
|
|
413
419
|
/**
|
|
414
|
-
*
|
|
420
|
+
* If Filled out and the Auth has exceeded the Approved, insert the Ex Code
|
|
415
421
|
* @type {string}
|
|
416
422
|
* @memberof CompanyData
|
|
417
423
|
*/
|
|
418
424
|
'claim_Auth_Exceeded_Ex_Code'?: string | null;
|
|
419
425
|
/**
|
|
420
|
-
*
|
|
426
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
421
427
|
* @type {string}
|
|
422
428
|
* @memberof CompanyData
|
|
423
429
|
*/
|
|
424
430
|
'claim_Auth_Invalid_Date_Ex'?: string | null;
|
|
425
431
|
/**
|
|
426
|
-
*
|
|
432
|
+
* If Filled out and an Auth status is Not Approved, insert the Ex Code
|
|
427
433
|
* @type {string}
|
|
428
434
|
* @memberof CompanyData
|
|
429
435
|
*/
|
|
430
436
|
'claim_Auth_Not_Approved_Ex'?: string | null;
|
|
431
437
|
/**
|
|
432
|
-
*
|
|
438
|
+
* If filled out and the number of Approved Procedure Units is exceeded, insert the Ex Code
|
|
433
439
|
* @type {string}
|
|
434
440
|
* @memberof CompanyData
|
|
435
441
|
*/
|
|
436
442
|
'claim_Auth_Proc_Exceeded_Ex_Code'?: string | null;
|
|
437
443
|
/**
|
|
438
|
-
*
|
|
444
|
+
* If filled out and an Auth is required, insert the Ex Code
|
|
439
445
|
* @type {string}
|
|
440
446
|
* @memberof CompanyData
|
|
441
447
|
*/
|
|
442
448
|
'claim_Auth_Reqd_Ex_Code'?: string | null;
|
|
443
449
|
/**
|
|
444
|
-
*
|
|
450
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
445
451
|
* @type {string}
|
|
446
452
|
* @memberof CompanyData
|
|
447
453
|
*/
|
|
448
454
|
'claim_Ben_Not_Found_Ex_Code'?: string | null;
|
|
449
455
|
/**
|
|
450
|
-
*
|
|
456
|
+
* Checking this indicates the Benefit is covered only when services are rendered using an In-Network provider.
|
|
451
457
|
* @type {string}
|
|
452
458
|
* @memberof CompanyData
|
|
453
459
|
*/
|
|
454
460
|
'claim_Cov_In_Net_Only_Ex_Code'?: string | null;
|
|
455
461
|
/**
|
|
456
|
-
*
|
|
462
|
+
* Number of claim days allowed.
|
|
457
463
|
* @type {number}
|
|
458
464
|
* @memberof CompanyData
|
|
459
465
|
*/
|
|
460
466
|
'claim_Days_Allowed'?: number | null;
|
|
461
467
|
/**
|
|
462
|
-
*
|
|
468
|
+
* This Denial Ex Code will deny a claim for a member whose enrollment record indicates they are deceased.
|
|
463
469
|
* @type {string}
|
|
464
470
|
* @memberof CompanyData
|
|
465
471
|
*/
|
|
466
472
|
'claim_Dead_Ex_Code'?: string | null;
|
|
467
473
|
/**
|
|
468
|
-
*
|
|
474
|
+
* This Ex Code is used when Deductible Credit is used for the claim Out of Network
|
|
469
475
|
* @type {string}
|
|
470
476
|
* @memberof CompanyData
|
|
471
477
|
*/
|
|
472
478
|
'claim_Ded_Credit_OON_Used_Ex_Code'?: string | null;
|
|
473
479
|
/**
|
|
474
|
-
*
|
|
480
|
+
* This Ex Code is used when Deductible Credit is used for the claim in Network
|
|
475
481
|
* @type {string}
|
|
476
482
|
* @memberof CompanyData
|
|
477
483
|
*/
|
|
478
484
|
'claim_Ded_Credit_PPO_Used_Ex_Code'?: string | null;
|
|
479
485
|
/**
|
|
480
|
-
*
|
|
486
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
481
487
|
* @type {string}
|
|
482
488
|
* @memberof CompanyData
|
|
483
489
|
*/
|
|
484
490
|
'claim_Denied_Ex_Code'?: string | null;
|
|
485
491
|
/**
|
|
486
|
-
*
|
|
492
|
+
* This Ex Code is used when the Age is outside the range for the Diagnosis
|
|
487
493
|
* @type {string}
|
|
488
494
|
* @memberof CompanyData
|
|
489
495
|
*/
|
|
490
496
|
'claim_Diagnosis_Age_Ex_Code'?: string | null;
|
|
491
497
|
/**
|
|
492
|
-
*
|
|
498
|
+
* This Ex Code is used when the Gender is not a valid Gender for the Diagnosis
|
|
493
499
|
* @type {string}
|
|
494
500
|
* @memberof CompanyData
|
|
495
501
|
*/
|
|
496
502
|
'claim_Diagnosis_Gender_Ex_Code'?: string | null;
|
|
497
503
|
/**
|
|
498
|
-
*
|
|
504
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
499
505
|
* @type {string}
|
|
500
506
|
* @memberof CompanyData
|
|
501
507
|
*/
|
|
502
508
|
'claim_Dup_Error_Ex_Code'?: string | null;
|
|
503
509
|
/**
|
|
504
|
-
*
|
|
510
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
505
511
|
* @type {string}
|
|
506
512
|
* @memberof CompanyData
|
|
507
513
|
*/
|
|
508
514
|
'claim_Error_Ex_Code'?: string | null;
|
|
509
515
|
/**
|
|
510
|
-
*
|
|
516
|
+
* if the CoPay has been adjusted due to previous CoPay amounts, Trigger this Ex Code
|
|
511
517
|
* @type {string}
|
|
512
518
|
* @memberof CompanyData
|
|
513
519
|
*/
|
|
514
520
|
'claim_Exceed_Daily_CoPay_Max_Ex_Code'?: string | null;
|
|
515
521
|
/**
|
|
516
|
-
*
|
|
522
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
517
523
|
* @type {string}
|
|
518
524
|
* @memberof CompanyData
|
|
519
525
|
*/
|
|
520
526
|
'claim_Exceed_Injury_Ex_Code'?: string | null;
|
|
521
527
|
/**
|
|
522
|
-
*
|
|
528
|
+
* This Ex Code is used when the claim exceeds a Lifetime Max Payable
|
|
523
529
|
* @type {string}
|
|
524
530
|
* @memberof CompanyData
|
|
525
531
|
*/
|
|
526
532
|
'claim_Exceed_Lifetime_Ex_Code'?: string | null;
|
|
527
533
|
/**
|
|
528
|
-
*
|
|
534
|
+
* This Ex Code is used when the Lifetime Max Payable Out of Network has been exceeded
|
|
529
535
|
* @type {string}
|
|
530
536
|
* @memberof CompanyData
|
|
531
537
|
*/
|
|
532
538
|
'claim_Exceed_Lifetime_OON_Ex_Code'?: string | null;
|
|
533
539
|
/**
|
|
534
|
-
*
|
|
540
|
+
* This Ex Code is used when the Lifetime Max Payable In Network has been exceeded
|
|
535
541
|
* @type {string}
|
|
536
542
|
* @memberof CompanyData
|
|
537
543
|
*/
|
|
538
544
|
'claim_Exceed_Lifetime_PPO_Ex_Code'?: string | null;
|
|
539
545
|
/**
|
|
540
|
-
*
|
|
546
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
541
547
|
* @type {string}
|
|
542
548
|
* @memberof CompanyData
|
|
543
549
|
*/
|
|
544
550
|
'claim_Exceed_Maximum_Ex_Code'?: string | null;
|
|
545
551
|
/**
|
|
546
|
-
*
|
|
552
|
+
* This Informational Ex Code will be applied to a claim when the Per-Diem amount defined on the provider record has been exceeded.
|
|
547
553
|
* @type {string}
|
|
548
554
|
* @memberof CompanyData
|
|
549
555
|
*/
|
|
550
556
|
'claim_Exceed_PerDiem_Ex_Code'?: string | null;
|
|
551
557
|
/**
|
|
552
|
-
*
|
|
558
|
+
* This pend code will be applied to a claim when the provider record indicates a fee schedule is required but no fee schedule is assigned to the provider.
|
|
553
559
|
* @type {string}
|
|
554
560
|
* @memberof CompanyData
|
|
555
561
|
*/
|
|
556
562
|
'claim_Fee_Sched_Error_Ex'?: string | null;
|
|
557
563
|
/**
|
|
558
|
-
*
|
|
564
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
559
565
|
* @type {string}
|
|
560
566
|
* @memberof CompanyData
|
|
561
567
|
*/
|
|
562
568
|
'claim_Lag_Error_Ex_Code'?: string | null;
|
|
563
569
|
/**
|
|
564
|
-
*
|
|
570
|
+
* This Denial Ex Code will deny a claim that exceeds the timely filing limits set.
|
|
565
571
|
* @type {string}
|
|
566
572
|
* @memberof CompanyData
|
|
567
573
|
*/
|
|
568
574
|
'claim_Late_Ex_Code'?: string | null;
|
|
569
575
|
/**
|
|
570
|
-
*
|
|
576
|
+
* This Ex Code is used when the Life Claim exceeds the Benefits Maximum
|
|
571
577
|
* @type {string}
|
|
572
578
|
* @memberof CompanyData
|
|
573
579
|
*/
|
|
574
580
|
'claim_Life_Benefit_Met_Ex_Code'?: string | null;
|
|
575
581
|
/**
|
|
576
|
-
*
|
|
582
|
+
* This Ex Code is used when the Life Claim exceeds the Plan Maximum
|
|
577
583
|
* @type {string}
|
|
578
584
|
* @memberof CompanyData
|
|
579
585
|
*/
|
|
580
586
|
'claim_Life_Plan_Met_Ex_Code'?: string | null;
|
|
581
587
|
/**
|
|
582
|
-
*
|
|
588
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
583
589
|
* @type {string}
|
|
584
590
|
* @memberof CompanyData
|
|
585
591
|
*/
|
|
586
592
|
'claim_No_Prov_Fee_Sched'?: string | null;
|
|
587
593
|
/**
|
|
588
|
-
*
|
|
594
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
589
595
|
* @type {string}
|
|
590
596
|
* @memberof CompanyData
|
|
591
597
|
*/
|
|
592
598
|
'claim_No_Rate_Fee_Ex_Code'?: string | null;
|
|
593
599
|
/**
|
|
594
|
-
*
|
|
600
|
+
* This pend code will be applied to a claim when the date of service exceeds the date on the enrollment record for dependent coverage.
|
|
595
601
|
* @type {string}
|
|
596
602
|
* @memberof CompanyData
|
|
597
603
|
*/
|
|
598
604
|
'claim_Not_Adult_Dependent'?: string | null;
|
|
599
605
|
/**
|
|
600
|
-
*
|
|
606
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
601
607
|
* @type {string}
|
|
602
608
|
* @memberof CompanyData
|
|
603
609
|
*/
|
|
604
610
|
'claim_Not_At_Place_Ex_Code'?: string | null;
|
|
605
611
|
/**
|
|
606
|
-
*
|
|
612
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
607
613
|
* @type {string}
|
|
608
614
|
* @memberof CompanyData
|
|
609
615
|
*/
|
|
610
616
|
'claim_Not_By_Prov_Ex_Code'?: string | null;
|
|
611
617
|
/**
|
|
612
|
-
*
|
|
618
|
+
* This Denial Ex Code will deny a non-covered claim.
|
|
613
619
|
* @type {string}
|
|
614
620
|
* @memberof CompanyData
|
|
615
621
|
*/
|
|
616
622
|
'claim_Not_Cov_Ex_Code'?: string | null;
|
|
617
623
|
/**
|
|
618
|
-
*
|
|
624
|
+
* This Denial Ex Code will deny a claim that comes in for a member that is not enrolled for the date of service.
|
|
619
625
|
* @type {string}
|
|
620
626
|
* @memberof CompanyData
|
|
621
627
|
*/
|
|
622
628
|
'claim_Not_Enrolled_Ex_Code'?: string | null;
|
|
623
629
|
/**
|
|
624
|
-
*
|
|
630
|
+
* When selected, instead of using the Not Enrolled Ex Code, put the Pre and Post Enrolled Ex Codes instead 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.
|
|
625
631
|
* @type {boolean}
|
|
626
632
|
* @memberof CompanyData
|
|
627
633
|
*/
|
|
628
634
|
'claim_Not_Enrolled_Ex_Code_Null_Use_Pre_Post': boolean;
|
|
629
635
|
/**
|
|
630
|
-
*
|
|
636
|
+
* This Denial Ex Code will deny a claim if services are after the enrollment date.
|
|
631
637
|
* @type {string}
|
|
632
638
|
* @memberof CompanyData
|
|
633
639
|
*/
|
|
634
640
|
'claim_Not_Enrolled_Post_Ex_Code'?: string | null;
|
|
635
641
|
/**
|
|
636
|
-
*
|
|
642
|
+
* This Denial Ex Code will deny a claim if services are prior to the enrollment date.
|
|
637
643
|
* @type {string}
|
|
638
644
|
* @memberof CompanyData
|
|
639
645
|
*/
|
|
640
646
|
'claim_Not_Enrolled_Pre_Ex_Code'?: string | null;
|
|
641
647
|
/**
|
|
642
|
-
*
|
|
648
|
+
* This pend code will be applied to a claim when the date of service exceeds the date on the enrollment record for student coverage.
|
|
643
649
|
* @type {string}
|
|
644
650
|
* @memberof CompanyData
|
|
645
651
|
*/
|
|
646
652
|
'claim_Not_Student_Ex_Code'?: string | null;
|
|
647
653
|
/**
|
|
648
|
-
*
|
|
654
|
+
* This Ex Code is used when the Authorization has Other Coverage Primary selected
|
|
649
655
|
* @type {string}
|
|
650
656
|
* @memberof CompanyData
|
|
651
657
|
*/
|
|
652
658
|
'claim_Other_Coverage_Ex_Code'?: string | null;
|
|
653
659
|
/**
|
|
654
|
-
*
|
|
660
|
+
* This Ex Code is used when the claim exceeds an Annual Max Payable
|
|
655
661
|
* @type {string}
|
|
656
662
|
* @memberof CompanyData
|
|
657
663
|
*/
|
|
658
664
|
'claim_Over_Max_Ex_Code'?: string | null;
|
|
659
665
|
/**
|
|
660
|
-
*
|
|
666
|
+
* This Ex Code is used when the Annual Max Payable Out of Network has been exceeded
|
|
661
667
|
* @type {string}
|
|
662
668
|
* @memberof CompanyData
|
|
663
669
|
*/
|
|
664
670
|
'claim_Over_Max_OON_Ex_Code'?: string | null;
|
|
665
671
|
/**
|
|
666
|
-
*
|
|
672
|
+
* This Ex Code is used when the Annual Max Payable In Network has been exceeded
|
|
667
673
|
* @type {string}
|
|
668
674
|
* @memberof CompanyData
|
|
669
675
|
*/
|
|
670
676
|
'claim_Over_Max_PPO_Ex_Code'?: string | null;
|
|
671
677
|
/**
|
|
672
|
-
*
|
|
678
|
+
* Trigger the Claim Age Ex Code when the Age of the Patient is above this value
|
|
673
679
|
* @type {number}
|
|
674
680
|
* @memberof CompanyData
|
|
675
681
|
*/
|
|
676
682
|
'claim_Pend_Age_Max'?: number | null;
|
|
677
683
|
/**
|
|
678
|
-
*
|
|
684
|
+
* Trigger the Claim Age Ex Code when the Age of the Patient is below this value
|
|
679
685
|
* @type {number}
|
|
680
686
|
* @memberof CompanyData
|
|
681
687
|
*/
|
|
682
688
|
'claim_Pend_Age_Min'?: number | null;
|
|
683
689
|
/**
|
|
684
|
-
*
|
|
690
|
+
* Trigger the Claim Amt Ex Code when the Claim Payable exceeds this amount
|
|
685
691
|
* @type {number}
|
|
686
692
|
* @memberof CompanyData
|
|
687
693
|
*/
|
|
688
694
|
'claim_Pend_Amount'?: number | null;
|
|
689
695
|
/**
|
|
690
|
-
*
|
|
696
|
+
* This Denial Ex Code will deny a claim when the procedure code/diagnosis code is defined for a specific age.
|
|
691
697
|
* @type {string}
|
|
692
698
|
* @memberof CompanyData
|
|
693
699
|
*/
|
|
694
700
|
'claim_Procedure_Age_Ex_Code'?: string | null;
|
|
695
701
|
/**
|
|
696
|
-
*
|
|
702
|
+
* This Denial Ex Code will deny a claim when the procedure code/diagnosis code is defined for a specific gender.
|
|
697
703
|
* @type {string}
|
|
698
704
|
* @memberof CompanyData
|
|
699
705
|
*/
|
|
700
706
|
'claim_Procedure_Gender_Ex_Code'?: string | null;
|
|
701
707
|
/**
|
|
702
|
-
*
|
|
708
|
+
* If outside the payable date range (this value represents days ahead from date of adjudication), error
|
|
703
709
|
* @type {number}
|
|
704
710
|
* @memberof CompanyData
|
|
705
711
|
*/
|
|
706
712
|
'claim_Service_Date_Range'?: number | null;
|
|
707
713
|
/**
|
|
708
|
-
*
|
|
714
|
+
* When a Service Thru date happens outside the normal plan end date
|
|
709
715
|
* @type {string}
|
|
710
716
|
* @memberof CompanyData
|
|
711
717
|
*/
|
|
712
718
|
'claim_Service_Outside_Enrollment_Ex_Code'?: string | null;
|
|
713
719
|
/**
|
|
714
|
-
*
|
|
720
|
+
* This Ex Code is used when multiple Plan Years found
|
|
715
721
|
* @type {string}
|
|
716
722
|
* @memberof CompanyData
|
|
717
723
|
*/
|
|
718
724
|
'claim_Splits_Plan_Year_Ex_Code'?: string | null;
|
|
719
725
|
/**
|
|
720
|
-
*
|
|
726
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
721
727
|
* @type {number}
|
|
722
728
|
* @memberof CompanyData
|
|
723
729
|
*/
|
|
724
730
|
'class_Length'?: number | null;
|
|
725
731
|
/**
|
|
726
|
-
*
|
|
732
|
+
* A flag indicating that any Auth Penalty Ex Code will be removed from a claim line if it has an auth associated. 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.
|
|
733
|
+
* @type {boolean}
|
|
734
|
+
* @memberof CompanyData
|
|
735
|
+
*/
|
|
736
|
+
'clear_Auth_Penalty_ExCode': boolean;
|
|
737
|
+
/**
|
|
738
|
+
* Client\'s 3 character ID
|
|
727
739
|
* @type {string}
|
|
728
740
|
* @memberof CompanyData
|
|
729
741
|
*/
|
|
730
742
|
'client_ID'?: string | null;
|
|
731
743
|
/**
|
|
732
|
-
*
|
|
744
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
733
745
|
* @type {string}
|
|
734
746
|
* @memberof CompanyData
|
|
735
747
|
*/
|
|
736
748
|
'client_Name'?: string | null;
|
|
737
749
|
/**
|
|
738
|
-
*
|
|
750
|
+
* This Informational Ex Code will be applied to a claim when the Subscriber level Coinsurance has been met for the family. An Info code must be applied as a claim detail line may have a partial denial. A deny code will deny the entire line.
|
|
739
751
|
* @type {string}
|
|
740
752
|
* @memberof CompanyData
|
|
741
753
|
*/
|
|
742
754
|
'coIns_Max_Ex_Code'?: string | null;
|
|
743
755
|
/**
|
|
744
|
-
*
|
|
756
|
+
* This Informational Ex Code will be applied to a claim when the Member Coinsurance has been satisfied. An Info code must be applied as a claim detail line may have a partial denial. A Deny code would deny the entire detail line.
|
|
745
757
|
* @type {string}
|
|
746
758
|
* @memberof CompanyData
|
|
747
759
|
*/
|
|
748
760
|
'coIns_Max_Ex_Code_Member'?: string | null;
|
|
749
761
|
/**
|
|
750
|
-
*
|
|
762
|
+
* Co-Pay based on Billed Amount rather than Plan_Price 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.
|
|
751
763
|
* @type {boolean}
|
|
752
764
|
* @memberof CompanyData
|
|
753
765
|
*/
|
|
754
766
|
'coPay_By_Billed': boolean;
|
|
755
767
|
/**
|
|
756
|
-
*
|
|
768
|
+
* The app client ID associated with the user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
|
|
757
769
|
* @type {string}
|
|
758
770
|
* @memberof CompanyData
|
|
759
771
|
*/
|
|
760
772
|
'cogito_App_Client_ID'?: string | null;
|
|
761
773
|
/**
|
|
762
|
-
*
|
|
774
|
+
* The app client Secret associated with the user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
|
|
763
775
|
* @type {string}
|
|
764
776
|
* @memberof CompanyData
|
|
765
777
|
*/
|
|
766
778
|
'cogito_App_Client_Secret'?: string | null;
|
|
767
779
|
/**
|
|
768
|
-
*
|
|
780
|
+
* The ID of the Amazon Cognito user pool. Exclusively for use in VBASoftware and VBAPI Cognito integration with AWS.
|
|
769
781
|
* @type {string}
|
|
770
782
|
* @memberof CompanyData
|
|
771
783
|
*/
|
|
772
784
|
'cogito_User_Pool_ID'?: string | null;
|
|
773
785
|
/**
|
|
774
|
-
*
|
|
786
|
+
* When this flag is set to yes, the notes report from the Notes screen will remove the page breaks 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.
|
|
775
787
|
* @type {boolean}
|
|
776
788
|
* @memberof CompanyData
|
|
777
789
|
*/
|
|
778
790
|
'combined_Notes_Report_Fg': boolean;
|
|
779
791
|
/**
|
|
780
|
-
*
|
|
792
|
+
* Default Commisssion Disenroll Adjustment Reason
|
|
781
793
|
* @type {string}
|
|
782
794
|
* @memberof CompanyData
|
|
783
795
|
*/
|
|
784
796
|
'comm_Disenroll_Adj_Reason'?: string | null;
|
|
785
797
|
/**
|
|
786
|
-
*
|
|
798
|
+
* Default Commisssion Enroll Adjustment Reason
|
|
787
799
|
* @type {string}
|
|
788
800
|
* @memberof CompanyData
|
|
789
801
|
*/
|
|
790
802
|
'comm_Enroll_Adj_Reason'?: string | null;
|
|
791
803
|
/**
|
|
792
|
-
*
|
|
804
|
+
* Default Commisssion Enrolled By value
|
|
793
805
|
* @type {number}
|
|
794
806
|
* @memberof CompanyData
|
|
795
807
|
*/
|
|
796
808
|
'comm_Enrolled_By'?: number | null;
|
|
797
809
|
/**
|
|
798
|
-
*
|
|
810
|
+
* Default Commisssion Enrolled Thru value
|
|
799
811
|
* @type {number}
|
|
800
812
|
* @memberof CompanyData
|
|
801
813
|
*/
|
|
802
814
|
'comm_Enrolled_Thru'?: number | null;
|
|
803
815
|
/**
|
|
804
|
-
*
|
|
816
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
805
817
|
* @type {number}
|
|
806
818
|
* @memberof CompanyData
|
|
807
819
|
*/
|
|
808
820
|
'company_Length'?: number | null;
|
|
809
821
|
/**
|
|
810
|
-
*
|
|
822
|
+
* Client ID of the Client
|
|
811
823
|
* @type {string}
|
|
812
824
|
* @memberof CompanyData
|
|
813
825
|
*/
|
|
814
826
|
'company_Short'?: string | null;
|
|
815
827
|
/**
|
|
816
|
-
*
|
|
828
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
817
829
|
* @type {number}
|
|
818
830
|
* @memberof CompanyData
|
|
819
831
|
*/
|
|
820
832
|
'context4_ClmUcrPct'?: number | null;
|
|
821
833
|
/**
|
|
822
|
-
*
|
|
834
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
823
835
|
* @type {number}
|
|
824
836
|
* @memberof CompanyData
|
|
825
837
|
*/
|
|
826
838
|
'context4_ClmUcrPct_OON'?: number | null;
|
|
827
839
|
/**
|
|
828
|
-
*
|
|
840
|
+
* The type of Fee for Context4 Pricing
|
|
829
841
|
* @type {string}
|
|
830
842
|
* @memberof CompanyData
|
|
831
843
|
*/
|
|
832
844
|
'context4_FeeSelector'?: string | null;
|
|
833
845
|
/**
|
|
834
|
-
*
|
|
846
|
+
* The type of Fee for Context4 Pricing when OON
|
|
835
847
|
* @type {string}
|
|
836
848
|
* @memberof CompanyData
|
|
837
849
|
*/
|
|
838
850
|
'context4_FeeSelector_OON'?: string | null;
|
|
839
851
|
/**
|
|
840
|
-
*
|
|
852
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
841
853
|
* @type {number}
|
|
842
854
|
* @memberof CompanyData
|
|
843
855
|
*/
|
|
844
856
|
'context4_MedicarePct'?: number | null;
|
|
845
857
|
/**
|
|
846
|
-
*
|
|
858
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
847
859
|
* @type {number}
|
|
848
860
|
* @memberof CompanyData
|
|
849
861
|
*/
|
|
850
862
|
'context4_MedicarePct_OON'?: number | null;
|
|
851
863
|
/**
|
|
852
|
-
*
|
|
864
|
+
* The Password for Context4 Pricing
|
|
853
865
|
* @type {string}
|
|
854
866
|
* @memberof CompanyData
|
|
855
867
|
*/
|
|
856
868
|
'context4_Password'?: string | null;
|
|
857
869
|
/**
|
|
858
|
-
*
|
|
870
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
859
871
|
* @type {string}
|
|
860
872
|
* @memberof CompanyData
|
|
861
873
|
*/
|
|
862
874
|
'context4_PayorType'?: string | null;
|
|
863
875
|
/**
|
|
864
|
-
*
|
|
876
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
865
877
|
* @type {number}
|
|
866
878
|
* @memberof CompanyData
|
|
867
879
|
*/
|
|
868
880
|
'context4_PayorType_OON'?: number | null;
|
|
869
881
|
/**
|
|
870
|
-
*
|
|
882
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
871
883
|
* @type {number}
|
|
872
884
|
* @memberof CompanyData
|
|
873
885
|
*/
|
|
874
886
|
'context4_PctOfChg'?: number | null;
|
|
875
887
|
/**
|
|
876
|
-
*
|
|
888
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
877
889
|
* @type {number}
|
|
878
890
|
* @memberof CompanyData
|
|
879
891
|
*/
|
|
880
892
|
'context4_PctOfChg_OON'?: number | null;
|
|
881
893
|
/**
|
|
882
|
-
*
|
|
894
|
+
* When set, if Plan Price exceeds Billed Price, set Plan Price equal to Billed Price for Context4 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.
|
|
883
895
|
* @type {boolean}
|
|
884
896
|
* @memberof CompanyData
|
|
885
897
|
*/
|
|
886
898
|
'context4_PlanPriceNotGreaterBilledFg': boolean;
|
|
887
899
|
/**
|
|
888
|
-
*
|
|
900
|
+
* Whether or not the Billing Address information is sent to Context4 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.
|
|
889
901
|
* @type {boolean}
|
|
890
902
|
* @memberof CompanyData
|
|
891
903
|
*/
|
|
892
904
|
'context4_SendBillingAddressFg': boolean;
|
|
893
905
|
/**
|
|
894
|
-
*
|
|
906
|
+
* The User ID for Context4 Pricing
|
|
895
907
|
* @type {string}
|
|
896
908
|
* @memberof CompanyData
|
|
897
909
|
*/
|
|
898
910
|
'context4_UserID'?: string | null;
|
|
899
911
|
/**
|
|
900
|
-
*
|
|
912
|
+
* The WebURI for Context4 Pricing
|
|
901
913
|
* @type {string}
|
|
902
914
|
* @memberof CompanyData
|
|
903
915
|
*/
|
|
904
916
|
'context4_WebURI'?: string | null;
|
|
905
917
|
/**
|
|
906
|
-
*
|
|
918
|
+
* The Delete WebURI for Context4 Pricing
|
|
907
919
|
* @type {string}
|
|
908
920
|
* @memberof CompanyData
|
|
909
921
|
*/
|
|
910
922
|
'context4_WebURI_Delete'?: string | null;
|
|
911
923
|
/**
|
|
912
|
-
*
|
|
924
|
+
* The Ex Code to apply when adjudicating a claim that has a copay greater than zero.
|
|
925
|
+
* @type {string}
|
|
926
|
+
* @memberof CompanyData
|
|
927
|
+
*/
|
|
928
|
+
'copay_Ex_Code'?: string | null;
|
|
929
|
+
/**
|
|
930
|
+
* Default Country
|
|
913
931
|
* @type {string}
|
|
914
932
|
* @memberof CompanyData
|
|
915
933
|
*/
|
|
916
934
|
'country_ID'?: string | null;
|
|
917
935
|
/**
|
|
918
|
-
*
|
|
936
|
+
* When selected, turn on Credentialing
|
|
919
937
|
* @type {string}
|
|
920
938
|
* @memberof CompanyData
|
|
921
939
|
*/
|
|
922
940
|
'credentialing'?: string | null;
|
|
923
941
|
/**
|
|
924
|
-
*
|
|
942
|
+
* This pend code will be applied when the tooth number on the claim is found to have been previously crowned.
|
|
925
943
|
* @type {string}
|
|
926
944
|
* @memberof CompanyData
|
|
927
945
|
*/
|
|
928
946
|
'crowned_Tooth_Ex_Code'?: string | null;
|
|
929
947
|
/**
|
|
930
|
-
*
|
|
948
|
+
* Used for currency format when saving to Excel in Formatted
|
|
931
949
|
* @type {string}
|
|
932
950
|
* @memberof CompanyData
|
|
933
951
|
*/
|
|
934
952
|
'currency_Format'?: string | null;
|
|
935
953
|
/**
|
|
936
|
-
*
|
|
954
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
937
955
|
* @type {string}
|
|
938
956
|
* @memberof CompanyData
|
|
939
957
|
*/
|
|
940
958
|
'dB_Version_Date'?: string | null;
|
|
941
959
|
/**
|
|
942
|
-
*
|
|
960
|
+
* Selection this option will set the default DRG schedule.
|
|
943
961
|
* @type {string}
|
|
944
962
|
* @memberof CompanyData
|
|
945
963
|
*/
|
|
946
964
|
'drG_Schedule'?: string | null;
|
|
947
965
|
/**
|
|
948
|
-
*
|
|
966
|
+
* Stores the latest Release Version
|
|
949
967
|
* @type {string}
|
|
950
968
|
* @memberof CompanyData
|
|
951
969
|
*/
|
|
952
970
|
'database_Version'?: string | null;
|
|
953
971
|
/**
|
|
954
|
-
*
|
|
972
|
+
* Date format used when saving reports as formatted Excel
|
|
955
973
|
* @type {string}
|
|
956
974
|
* @memberof CompanyData
|
|
957
975
|
*/
|
|
@@ -961,1485 +979,1497 @@ export interface CompanyData {
|
|
|
961
979
|
* @type {string}
|
|
962
980
|
* @memberof CompanyData
|
|
963
981
|
*/
|
|
982
|
+
'deductible_Ex_Code'?: string | null;
|
|
983
|
+
/**
|
|
984
|
+
* This Informational Ex Code will be applied to a claim when the Subscriber level deductible has been met for the family. An Info code must be applied as a claim detail line may have a partial denial. A deny code will deny the entire line.
|
|
985
|
+
* @type {string}
|
|
986
|
+
* @memberof CompanyData
|
|
987
|
+
*/
|
|
964
988
|
'deductible_Max_Ex_Code'?: string | null;
|
|
965
989
|
/**
|
|
966
|
-
*
|
|
990
|
+
* This Informational Ex Code will be applied to a claim when the Member Deductible has been satisfied. An Info code must be applied as a claim detail line may have a partial denial. A Deny code would deny the entire detail line.
|
|
967
991
|
* @type {string}
|
|
968
992
|
* @memberof CompanyData
|
|
969
993
|
*/
|
|
970
994
|
'deductible_Max_Ex_Code_Member'?: string | null;
|
|
971
995
|
/**
|
|
972
|
-
*
|
|
996
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
973
997
|
* @type {string}
|
|
974
998
|
* @memberof CompanyData
|
|
975
999
|
*/
|
|
976
1000
|
'default_1099_Flag'?: string | null;
|
|
977
1001
|
/**
|
|
978
|
-
*
|
|
1002
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
979
1003
|
* @type {string}
|
|
980
1004
|
* @memberof CompanyData
|
|
981
1005
|
*/
|
|
982
1006
|
'default_Auth_Code'?: string | null;
|
|
983
1007
|
/**
|
|
984
|
-
*
|
|
1008
|
+
* Defines the default check stock.
|
|
985
1009
|
* @type {number}
|
|
986
1010
|
* @memberof CompanyData
|
|
987
1011
|
*/
|
|
988
1012
|
'default_Check_Stock'?: number | null;
|
|
989
1013
|
/**
|
|
990
|
-
*
|
|
1014
|
+
* Default Currency to be used
|
|
991
1015
|
* @type {string}
|
|
992
1016
|
* @memberof CompanyData
|
|
993
1017
|
*/
|
|
994
1018
|
'default_Currency_ID'?: string | null;
|
|
995
1019
|
/**
|
|
996
|
-
*
|
|
1020
|
+
* Defines the default EOB report.
|
|
997
1021
|
* @type {number}
|
|
998
1022
|
* @memberof CompanyData
|
|
999
1023
|
*/
|
|
1000
1024
|
'default_EOB_Report'?: number | null;
|
|
1001
1025
|
/**
|
|
1002
|
-
*
|
|
1026
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1003
1027
|
* @type {number}
|
|
1004
1028
|
* @memberof CompanyData
|
|
1005
1029
|
*/
|
|
1006
1030
|
'default_Federal_Tax'?: number | null;
|
|
1007
1031
|
/**
|
|
1008
|
-
*
|
|
1032
|
+
* Default limit to when Federal Tax applies
|
|
1009
1033
|
* @type {number}
|
|
1010
1034
|
* @memberof CompanyData
|
|
1011
1035
|
*/
|
|
1012
1036
|
'default_Federal_Tax_Day_Limit'?: number | null;
|
|
1013
1037
|
/**
|
|
1014
|
-
*
|
|
1038
|
+
* The default Federal Tax percentage
|
|
1015
1039
|
* @type {number}
|
|
1016
1040
|
* @memberof CompanyData
|
|
1017
1041
|
*/
|
|
1018
1042
|
'default_Federal_Tax_Pct'?: number | null;
|
|
1019
1043
|
/**
|
|
1020
|
-
*
|
|
1044
|
+
* Default limit to the amount of wages that can be used to calculate Federal Tax
|
|
1021
1045
|
* @type {number}
|
|
1022
1046
|
* @memberof CompanyData
|
|
1023
1047
|
*/
|
|
1024
1048
|
'default_Federal_Wage_Limit'?: number | null;
|
|
1025
1049
|
/**
|
|
1026
|
-
*
|
|
1050
|
+
* Indicates the desired default format for generated IDs.
|
|
1027
1051
|
* @type {string}
|
|
1028
1052
|
* @memberof CompanyData
|
|
1029
1053
|
*/
|
|
1030
1054
|
'default_ID_Card_Request_Type'?: string | null;
|
|
1031
1055
|
/**
|
|
1032
|
-
*
|
|
1056
|
+
* A part of invoice Process Automation
|
|
1033
1057
|
* @type {number}
|
|
1034
1058
|
* @memberof CompanyData
|
|
1035
1059
|
*/
|
|
1036
1060
|
'default_Invoice_ReportDefinition_Key'?: number | null;
|
|
1037
1061
|
/**
|
|
1038
|
-
*
|
|
1062
|
+
* Sets the default login sound.
|
|
1039
1063
|
* @type {string}
|
|
1040
1064
|
* @memberof CompanyData
|
|
1041
1065
|
*/
|
|
1042
1066
|
'default_Login_Sound'?: string | null;
|
|
1043
1067
|
/**
|
|
1044
|
-
*
|
|
1068
|
+
* Default limit to when Medicare Tax applies
|
|
1045
1069
|
* @type {number}
|
|
1046
1070
|
* @memberof CompanyData
|
|
1047
1071
|
*/
|
|
1048
1072
|
'default_Medicare_Tax_Day_Limit'?: number | null;
|
|
1049
1073
|
/**
|
|
1050
|
-
*
|
|
1074
|
+
* Default limit to the amount of wages that can be used to calculate Medicare Tax
|
|
1051
1075
|
* @type {number}
|
|
1052
1076
|
* @memberof CompanyData
|
|
1053
1077
|
*/
|
|
1054
1078
|
'default_Medicare_Wage_Limit'?: number | null;
|
|
1055
1079
|
/**
|
|
1056
|
-
*
|
|
1080
|
+
* Used to calculate the Check Paid Date
|
|
1057
1081
|
* @type {number}
|
|
1058
1082
|
* @memberof CompanyData
|
|
1059
1083
|
*/
|
|
1060
1084
|
'default_Pay_Date_Range'?: number | null;
|
|
1061
1085
|
/**
|
|
1062
|
-
*
|
|
1086
|
+
* Payor ID that is defaulted to.
|
|
1063
1087
|
* @type {string}
|
|
1064
1088
|
* @memberof CompanyData
|
|
1065
1089
|
*/
|
|
1066
1090
|
'default_Payor_ID'?: string | null;
|
|
1067
1091
|
/**
|
|
1068
|
-
*
|
|
1092
|
+
* Default limit to when Social Security Tax applies
|
|
1069
1093
|
* @type {number}
|
|
1070
1094
|
* @memberof CompanyData
|
|
1071
1095
|
*/
|
|
1072
1096
|
'default_SS_Tax_Day_Limit'?: number | null;
|
|
1073
1097
|
/**
|
|
1074
|
-
*
|
|
1098
|
+
* Default limit to the amount of wages that can be used to calculate Social Security Tax
|
|
1075
1099
|
* @type {number}
|
|
1076
1100
|
* @memberof CompanyData
|
|
1077
1101
|
*/
|
|
1078
1102
|
'default_SS_Wage_Limit'?: number | null;
|
|
1079
1103
|
/**
|
|
1080
|
-
*
|
|
1104
|
+
* Default limit to when State Tax applies
|
|
1081
1105
|
* @type {number}
|
|
1082
1106
|
* @memberof CompanyData
|
|
1083
1107
|
*/
|
|
1084
1108
|
'default_State_Tax_Day_Limit'?: number | null;
|
|
1085
1109
|
/**
|
|
1086
|
-
*
|
|
1110
|
+
* Default limit to the amount of wages that can be used to calculate State Tax
|
|
1087
1111
|
* @type {number}
|
|
1088
1112
|
* @memberof CompanyData
|
|
1089
1113
|
*/
|
|
1090
1114
|
'default_State_Wage_Limit'?: number | null;
|
|
1091
1115
|
/**
|
|
1092
|
-
*
|
|
1116
|
+
* Default Diagnostic Code Type for Disability and Life claims
|
|
1093
1117
|
* @type {string}
|
|
1094
1118
|
* @memberof CompanyData
|
|
1095
1119
|
*/
|
|
1096
1120
|
'diagnostic_Code_Type_Default': string;
|
|
1097
1121
|
/**
|
|
1098
|
-
*
|
|
1122
|
+
* This flag disallows special characters to be used in the Plan ID column. 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.
|
|
1099
1123
|
* @type {boolean}
|
|
1100
1124
|
* @memberof CompanyData
|
|
1101
1125
|
*/
|
|
1102
1126
|
'disallow_Spec_Char_In_Plan_ID': boolean;
|
|
1103
1127
|
/**
|
|
1104
|
-
*
|
|
1128
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1105
1129
|
* @type {number}
|
|
1106
1130
|
* @memberof CompanyData
|
|
1107
1131
|
*/
|
|
1108
1132
|
'disenroll_Adj_Reason'?: number | null;
|
|
1109
1133
|
/**
|
|
1110
|
-
*
|
|
1134
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1111
1135
|
* @type {string}
|
|
1112
1136
|
* @memberof CompanyData
|
|
1113
1137
|
*/
|
|
1114
1138
|
'disenroll_Auth_Code'?: string | null;
|
|
1115
1139
|
/**
|
|
1116
|
-
*
|
|
1140
|
+
* When selected, if the claim is Out of Network, show zero dollars in the PPO Discount 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.
|
|
1117
1141
|
* @type {boolean}
|
|
1118
1142
|
* @memberof CompanyData
|
|
1119
1143
|
*/
|
|
1120
1144
|
'display_PPO_Null_Network': boolean;
|
|
1121
1145
|
/**
|
|
1122
|
-
*
|
|
1146
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1123
1147
|
* @type {number}
|
|
1124
1148
|
* @memberof CompanyData
|
|
1125
1149
|
*/
|
|
1126
1150
|
'division_Length'?: number | null;
|
|
1127
1151
|
/**
|
|
1128
|
-
*
|
|
1152
|
+
* Sets the number of days before a password may be duplicated (reused).
|
|
1129
1153
|
* @type {number}
|
|
1130
1154
|
* @memberof CompanyData
|
|
1131
1155
|
*/
|
|
1132
1156
|
'dup_Password_Days'?: number | null;
|
|
1133
1157
|
/**
|
|
1134
|
-
*
|
|
1158
|
+
* Choose the applicable duplicate rule for the application. See Duplicate Sets in Claim Services > Claim Configuration to maintain the Duplicate Rule options.
|
|
1135
1159
|
* @type {number}
|
|
1136
1160
|
* @memberof CompanyData
|
|
1137
1161
|
*/
|
|
1138
1162
|
'duplicateMaster_Key'?: number | null;
|
|
1139
1163
|
/**
|
|
1140
|
-
*
|
|
1164
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1141
1165
|
* @type {string}
|
|
1142
1166
|
* @memberof CompanyData
|
|
1143
1167
|
*/
|
|
1144
1168
|
'edI_Installed'?: string | null;
|
|
1145
1169
|
/**
|
|
1146
|
-
*
|
|
1170
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1147
1171
|
* @type {string}
|
|
1148
1172
|
* @memberof CompanyData
|
|
1149
1173
|
*/
|
|
1150
1174
|
'eoB_Disclaimer'?: string | null;
|
|
1151
1175
|
/**
|
|
1152
|
-
*
|
|
1176
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1153
1177
|
* @type {string}
|
|
1154
1178
|
* @memberof CompanyData
|
|
1155
1179
|
*/
|
|
1156
1180
|
'eoB_Report_Location'?: string | null;
|
|
1157
1181
|
/**
|
|
1158
|
-
*
|
|
1182
|
+
* Choose the applicable place of service for emergency room services.
|
|
1159
1183
|
* @type {string}
|
|
1160
1184
|
* @memberof CompanyData
|
|
1161
1185
|
*/
|
|
1162
1186
|
'eR_Place_Of_Service'?: string | null;
|
|
1163
1187
|
/**
|
|
1164
|
-
*
|
|
1188
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1165
1189
|
* @type {number}
|
|
1166
1190
|
* @memberof CompanyData
|
|
1167
1191
|
*/
|
|
1168
1192
|
'enroll_Adj_Reason'?: number | null;
|
|
1169
1193
|
/**
|
|
1170
|
-
*
|
|
1194
|
+
* Date when the record was added to the system.
|
|
1171
1195
|
* @type {string}
|
|
1172
1196
|
* @memberof CompanyData
|
|
1173
1197
|
*/
|
|
1174
1198
|
'entry_Date'?: string;
|
|
1175
1199
|
/**
|
|
1176
|
-
*
|
|
1200
|
+
* User that first added the record to the system.
|
|
1177
1201
|
* @type {string}
|
|
1178
1202
|
* @memberof CompanyData
|
|
1179
1203
|
*/
|
|
1180
1204
|
'entry_User'?: string | null;
|
|
1181
1205
|
/**
|
|
1182
|
-
*
|
|
1206
|
+
* Checking this box will cause claims to error if an invalid Diagnosis Code is billed. Left unchecked with a deny Ex Code selected the line item will automatically deny.
|
|
1183
1207
|
* @type {boolean}
|
|
1184
1208
|
* @memberof CompanyData
|
|
1185
1209
|
*/
|
|
1186
1210
|
'error_Invalid_Diag': boolean;
|
|
1187
1211
|
/**
|
|
1188
|
-
*
|
|
1212
|
+
* Checking this box will cause claims to error if an invalid Procedure Code is billed. Left unchecked with a deny Ex Code selected the line item will automatically deny.
|
|
1189
1213
|
* @type {boolean}
|
|
1190
1214
|
* @memberof CompanyData
|
|
1191
1215
|
*/
|
|
1192
1216
|
'error_Invalid_Proc': boolean;
|
|
1193
1217
|
/**
|
|
1194
|
-
*
|
|
1218
|
+
* When selected, if there are multiple Plan Years found, error instead of triggering Claim Splits Plan Year Ex Code
|
|
1195
1219
|
* @type {boolean}
|
|
1196
1220
|
* @memberof CompanyData
|
|
1197
1221
|
*/
|
|
1198
1222
|
'error_Multiple_Plan_Years': boolean;
|
|
1199
1223
|
/**
|
|
1200
|
-
*
|
|
1224
|
+
* If selected and there\'s no Payee assigned to the Provider, set Send_Check_To Provider
|
|
1201
1225
|
* @type {boolean}
|
|
1202
1226
|
* @memberof CompanyData
|
|
1203
1227
|
*/
|
|
1204
1228
|
'error_Paid_To_Provider'?: boolean | null;
|
|
1205
1229
|
/**
|
|
1206
|
-
*
|
|
1230
|
+
* Checking this box will cause claims to error if a Termed Provider is selected. Left unchecked with a deny Ex Code selected the claim will automatically deny.
|
|
1207
1231
|
* @type {boolean}
|
|
1208
1232
|
* @memberof CompanyData
|
|
1209
1233
|
*/
|
|
1210
1234
|
'error_Termed_Provider': boolean;
|
|
1211
1235
|
/**
|
|
1212
|
-
*
|
|
1236
|
+
* This Ex Code is used when the Service Date exceeds the Exhause Date on a Disability Claim
|
|
1213
1237
|
* @type {string}
|
|
1214
1238
|
* @memberof CompanyData
|
|
1215
1239
|
*/
|
|
1216
1240
|
'exceed_Exhaust_Date_Ex_Code'?: string | null;
|
|
1217
1241
|
/**
|
|
1218
|
-
*
|
|
1242
|
+
* This pend code will be applied when the claim date of service exceeds the date defined as the return to work day on the disability claim.
|
|
1219
1243
|
* @type {string}
|
|
1220
1244
|
* @memberof CompanyData
|
|
1221
1245
|
*/
|
|
1222
1246
|
'exceed_Return_To_Work_Ex_Code'?: string | null;
|
|
1223
1247
|
/**
|
|
1224
|
-
*
|
|
1248
|
+
* This pend code will be applied when the claim date of service exceeds the paid through date defined on the member record.
|
|
1225
1249
|
* @type {string}
|
|
1226
1250
|
* @memberof CompanyData
|
|
1227
1251
|
*/
|
|
1228
1252
|
'exceeds_PaidThrough_Ex_Code'?: string | null;
|
|
1229
1253
|
/**
|
|
1230
|
-
*
|
|
1254
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1231
1255
|
* @type {number}
|
|
1232
1256
|
* @memberof CompanyData
|
|
1233
1257
|
*/
|
|
1234
1258
|
'extended_Term_Default'?: number | null;
|
|
1235
1259
|
/**
|
|
1236
|
-
*
|
|
1260
|
+
* Country Code for the fax number of the Subscriber.
|
|
1237
1261
|
* @type {string}
|
|
1238
1262
|
* @memberof CompanyData
|
|
1239
1263
|
*/
|
|
1240
1264
|
'fax_Country_Code'?: string | null;
|
|
1241
1265
|
/**
|
|
1242
|
-
*
|
|
1266
|
+
* Fax number of the Client.
|
|
1243
1267
|
* @type {string}
|
|
1244
1268
|
* @memberof CompanyData
|
|
1245
1269
|
*/
|
|
1246
1270
|
'fax_Number'?: string | null;
|
|
1247
1271
|
/**
|
|
1248
|
-
*
|
|
1272
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1249
1273
|
* @type {string}
|
|
1250
1274
|
* @memberof CompanyData
|
|
1251
1275
|
*/
|
|
1252
1276
|
'federal_ID'?: string | null;
|
|
1253
1277
|
/**
|
|
1254
|
-
*
|
|
1278
|
+
* No longer used in the system 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.
|
|
1255
1279
|
* @type {boolean}
|
|
1256
1280
|
* @memberof CompanyData
|
|
1257
1281
|
*/
|
|
1258
1282
|
'fee_Sched_Match_Claim_Year': boolean;
|
|
1259
1283
|
/**
|
|
1260
|
-
*
|
|
1284
|
+
* When this is checked, Fee Schedule Ex Codes from the FeeSched and FeeSchedDetail tables will be added as MANUAL ex codes. This means adjudication will not wipe these away at the start of adjudication. Note: 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.
|
|
1261
1285
|
* @type {boolean}
|
|
1262
1286
|
* @memberof CompanyData
|
|
1263
1287
|
*/
|
|
1264
1288
|
'fee_Schedule_Ex_Codes_Manual': boolean;
|
|
1265
1289
|
/**
|
|
1266
|
-
*
|
|
1290
|
+
* Whether or not the Modifiers of a Fee Schedule have to match exact 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.
|
|
1267
1291
|
* @type {boolean}
|
|
1268
1292
|
* @memberof CompanyData
|
|
1269
1293
|
*/
|
|
1270
1294
|
'fee_Schedule_Exact_Match_Fg': boolean;
|
|
1271
1295
|
/**
|
|
1272
|
-
*
|
|
1296
|
+
* Ex Code to set when the member has Filled a Tooth
|
|
1273
1297
|
* @type {string}
|
|
1274
1298
|
* @memberof CompanyData
|
|
1275
1299
|
*/
|
|
1276
1300
|
'filled_Tooth_Ex_Code'?: string | null;
|
|
1277
1301
|
/**
|
|
1278
|
-
*
|
|
1302
|
+
* Ex code that is added when a benefit code is automatically selected on a claim detail where multiple benefit codes all match with equivalent payment details
|
|
1279
1303
|
* @type {string}
|
|
1280
1304
|
* @memberof CompanyData
|
|
1281
1305
|
*/
|
|
1282
1306
|
'first_Benefit_Auto_Selected_Ex_Code'?: string | null;
|
|
1283
1307
|
/**
|
|
1284
|
-
*
|
|
1308
|
+
* This Ex Code is used when a Flex Claim is submitted after the Grace period
|
|
1285
1309
|
* @type {string}
|
|
1286
1310
|
* @memberof CompanyData
|
|
1287
1311
|
*/
|
|
1288
1312
|
'flex_Claim_After_Grace_Period_Ex_Code'?: string | null;
|
|
1289
1313
|
/**
|
|
1290
|
-
*
|
|
1314
|
+
* This Ex Code is used when a Flex Claim is submitted after the Submission period
|
|
1291
1315
|
* @type {string}
|
|
1292
1316
|
* @memberof CompanyData
|
|
1293
1317
|
*/
|
|
1294
1318
|
'flex_Claim_After_Submit_Period_Ex_Code'?: string | null;
|
|
1295
1319
|
/**
|
|
1296
|
-
*
|
|
1320
|
+
* This Ex Code is used when the Flex Claim has exceeded the balance
|
|
1297
1321
|
* @type {string}
|
|
1298
1322
|
* @memberof CompanyData
|
|
1299
1323
|
*/
|
|
1300
1324
|
'flex_Claim_Funds_Exhausted_Ex_Code'?: string | null;
|
|
1301
1325
|
/**
|
|
1302
|
-
*
|
|
1326
|
+
* Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of `False` for this field if a value is not provided. 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.
|
|
1303
1327
|
* @type {boolean}
|
|
1304
1328
|
* @memberof CompanyData
|
|
1305
1329
|
*/
|
|
1306
1330
|
'force_Call_Track_Note': boolean;
|
|
1307
1331
|
/**
|
|
1308
|
-
*
|
|
1332
|
+
* If selected, the claim must have a Received_Date, ELSE it will Error 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.
|
|
1309
1333
|
* @type {boolean}
|
|
1310
1334
|
* @memberof CompanyData
|
|
1311
1335
|
*/
|
|
1312
1336
|
'force_Claim_Rec_Date': boolean;
|
|
1313
1337
|
/**
|
|
1314
|
-
*
|
|
1338
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1315
1339
|
* @type {string}
|
|
1316
1340
|
* @memberof CompanyData
|
|
1317
1341
|
*/
|
|
1318
1342
|
'force_Claim_Sub_ID'?: string | null;
|
|
1319
1343
|
/**
|
|
1320
|
-
*
|
|
1344
|
+
* Use Latest Enrollment 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.
|
|
1321
1345
|
* @type {boolean}
|
|
1322
1346
|
* @memberof CompanyData
|
|
1323
1347
|
*/
|
|
1324
1348
|
'force_Latest_Enrollment': boolean;
|
|
1325
1349
|
/**
|
|
1326
|
-
*
|
|
1350
|
+
* If selected and the procedure code is only 3 length, add a zero to verify the procedure code 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.
|
|
1327
1351
|
* @type {boolean}
|
|
1328
1352
|
* @memberof CompanyData
|
|
1329
1353
|
*/
|
|
1330
1354
|
'force_Leading_Zero_On_Rev_Code': boolean;
|
|
1331
1355
|
/**
|
|
1332
|
-
*
|
|
1356
|
+
* When selected, Add all the backout Distribution records when voiding a check 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.
|
|
1333
1357
|
* @type {boolean}
|
|
1334
1358
|
* @memberof CompanyData
|
|
1335
1359
|
*/
|
|
1336
1360
|
'full_Backout_On_Void_Distribution': boolean;
|
|
1337
1361
|
/**
|
|
1338
|
-
*
|
|
1362
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1339
1363
|
* @type {string}
|
|
1340
1364
|
* @memberof CompanyData
|
|
1341
1365
|
*/
|
|
1342
1366
|
'full_Month_Billing': string;
|
|
1343
1367
|
/**
|
|
1344
|
-
*
|
|
1368
|
+
* Used to stop other users from generating invoices while another user is generating commissions.
|
|
1345
1369
|
* @type {string}
|
|
1346
1370
|
* @memberof CompanyData
|
|
1347
1371
|
*/
|
|
1348
1372
|
'generate_Comm_Date'?: string | null;
|
|
1349
1373
|
/**
|
|
1350
|
-
*
|
|
1374
|
+
* Used to stop other users from generating invoices while another user is generating commissions.
|
|
1351
1375
|
* @type {string}
|
|
1352
1376
|
* @memberof CompanyData
|
|
1353
1377
|
*/
|
|
1354
1378
|
'generate_Comm_User'?: string | null;
|
|
1355
1379
|
/**
|
|
1356
|
-
*
|
|
1380
|
+
* Used to stop other users from generating invoices while another user is generating invoices
|
|
1357
1381
|
* @type {string}
|
|
1358
1382
|
* @memberof CompanyData
|
|
1359
1383
|
*/
|
|
1360
1384
|
'generate_Inv_Date'?: string | null;
|
|
1361
1385
|
/**
|
|
1362
|
-
*
|
|
1386
|
+
* Used to stop other users from generating invoices while another user is generating invoices
|
|
1363
1387
|
* @type {string}
|
|
1364
1388
|
* @memberof CompanyData
|
|
1365
1389
|
*/
|
|
1366
1390
|
'generate_Inv_User'?: string | null;
|
|
1367
1391
|
/**
|
|
1368
|
-
*
|
|
1392
|
+
* Check this checkbox to allow for a negative invoice to create. This will also allow a $0 invoice to create. 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.
|
|
1369
1393
|
* @type {boolean}
|
|
1370
1394
|
* @memberof CompanyData
|
|
1371
1395
|
*/
|
|
1372
1396
|
'generate_Negative_Inv': boolean;
|
|
1373
1397
|
/**
|
|
1374
|
-
*
|
|
1398
|
+
* When Generating Invoices, look for distributions after this date
|
|
1375
1399
|
* @type {string}
|
|
1376
1400
|
* @memberof CompanyData
|
|
1377
1401
|
*/
|
|
1378
1402
|
'generate_PremDist_After'?: string | null;
|
|
1379
1403
|
/**
|
|
1380
|
-
*
|
|
1404
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1381
1405
|
* @type {string}
|
|
1382
1406
|
* @memberof CompanyData
|
|
1383
1407
|
*/
|
|
1384
1408
|
'global_CMU_ID'?: string | null;
|
|
1385
1409
|
/**
|
|
1386
|
-
*
|
|
1410
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1387
1411
|
* @type {number}
|
|
1388
1412
|
* @memberof CompanyData
|
|
1389
1413
|
*/
|
|
1390
1414
|
'grace_Logins'?: number | null;
|
|
1391
1415
|
/**
|
|
1392
|
-
*
|
|
1416
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1393
1417
|
* @type {number}
|
|
1394
1418
|
* @memberof CompanyData
|
|
1395
1419
|
*/
|
|
1396
1420
|
'group_Length'?: number | null;
|
|
1397
1421
|
/**
|
|
1398
|
-
*
|
|
1422
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1399
1423
|
* @type {string}
|
|
1400
1424
|
* @memberof CompanyData
|
|
1401
1425
|
*/
|
|
1402
1426
|
'iD_Card_Location'?: string | null;
|
|
1403
1427
|
/**
|
|
1404
|
-
*
|
|
1428
|
+
* Country Code for IVR or Customer Service number.
|
|
1405
1429
|
* @type {string}
|
|
1406
1430
|
* @memberof CompanyData
|
|
1407
1431
|
*/
|
|
1408
1432
|
'ivR_CS_Country_Code'?: string | null;
|
|
1409
1433
|
/**
|
|
1410
|
-
*
|
|
1434
|
+
* IVR or Customer Service number of the Client.
|
|
1411
1435
|
* @type {string}
|
|
1412
1436
|
* @memberof CompanyData
|
|
1413
1437
|
*/
|
|
1414
1438
|
'ivR_CS_Phone_Number'?: string | null;
|
|
1415
1439
|
/**
|
|
1416
|
-
*
|
|
1440
|
+
* Overrides Case Manager Hierarchy and allows the assigning of cases up or down 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.
|
|
1417
1441
|
* @type {boolean}
|
|
1418
1442
|
* @memberof CompanyData
|
|
1419
1443
|
*/
|
|
1420
1444
|
'ignore_Care_Management_Hierarchy_Fg': boolean;
|
|
1421
1445
|
/**
|
|
1422
|
-
*
|
|
1446
|
+
* When a claim has a Provider using a Payee that is marked as inactive
|
|
1423
1447
|
* @type {string}
|
|
1424
1448
|
* @memberof CompanyData
|
|
1425
1449
|
*/
|
|
1426
1450
|
'inactive_Payee_Ex_Code'?: string | null;
|
|
1427
1451
|
/**
|
|
1428
|
-
*
|
|
1452
|
+
* Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of `False` for this field if a value is not provided. 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.
|
|
1429
1453
|
* @type {boolean}
|
|
1430
1454
|
* @memberof CompanyData
|
|
1431
1455
|
*/
|
|
1432
1456
|
'include_Invalid_Enrollments': boolean;
|
|
1433
1457
|
/**
|
|
1434
|
-
*
|
|
1458
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1435
1459
|
* @type {number}
|
|
1436
1460
|
* @memberof CompanyData
|
|
1437
1461
|
*/
|
|
1438
1462
|
'inv_Grace_Period'?: number | null;
|
|
1439
1463
|
/**
|
|
1440
|
-
*
|
|
1464
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1441
1465
|
* @type {string}
|
|
1442
1466
|
* @memberof CompanyData
|
|
1443
1467
|
*/
|
|
1444
1468
|
'inv_Grace_Period_Type'?: string | null;
|
|
1445
1469
|
/**
|
|
1446
|
-
*
|
|
1470
|
+
* This Ex Code is used when the Diagnosis Code is invalid
|
|
1447
1471
|
* @type {string}
|
|
1448
1472
|
* @memberof CompanyData
|
|
1449
1473
|
*/
|
|
1450
1474
|
'invalid_Diag_Ex_Code'?: string | null;
|
|
1451
1475
|
/**
|
|
1452
|
-
*
|
|
1476
|
+
* This Ex Code is used when the Procedure Code is invalid
|
|
1453
1477
|
* @type {string}
|
|
1454
1478
|
* @memberof CompanyData
|
|
1455
1479
|
*/
|
|
1456
1480
|
'invalid_Proc_Ex_Code'?: string | null;
|
|
1457
1481
|
/**
|
|
1458
|
-
*
|
|
1482
|
+
* Default reason for Invoice Closed
|
|
1459
1483
|
* @type {number}
|
|
1460
1484
|
* @memberof CompanyData
|
|
1461
1485
|
*/
|
|
1462
1486
|
'invoice_Close_Adj_Reason'?: number | null;
|
|
1463
1487
|
/**
|
|
1464
|
-
*
|
|
1488
|
+
* Date used when configuring Enrolled By Date for Invoices 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.
|
|
1465
1489
|
* @type {number}
|
|
1466
1490
|
* @memberof CompanyData
|
|
1467
1491
|
*/
|
|
1468
1492
|
'invoice_Enrolled_By': number;
|
|
1469
1493
|
/**
|
|
1470
|
-
*
|
|
1494
|
+
* Date used when configuring Enrolled Thru Date for Invoices
|
|
1471
1495
|
* @type {number}
|
|
1472
1496
|
* @memberof CompanyData
|
|
1473
1497
|
*/
|
|
1474
1498
|
'invoice_Enrolled_Thru'?: number | null;
|
|
1475
1499
|
/**
|
|
1476
|
-
*
|
|
1500
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1477
1501
|
* @type {string}
|
|
1478
1502
|
* @memberof CompanyData
|
|
1479
1503
|
*/
|
|
1480
1504
|
'invoice_Grace_Ex_Code'?: string | null;
|
|
1481
1505
|
/**
|
|
1482
|
-
*
|
|
1506
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1483
1507
|
* @type {number}
|
|
1484
1508
|
* @memberof CompanyData
|
|
1485
1509
|
*/
|
|
1486
1510
|
'invoice_Grace_Period'?: number | null;
|
|
1487
1511
|
/**
|
|
1488
|
-
*
|
|
1512
|
+
* Default Invoice Remit Account
|
|
1489
1513
|
* @type {number}
|
|
1490
1514
|
* @memberof CompanyData
|
|
1491
1515
|
*/
|
|
1492
1516
|
'invoice_Remit_Account_Key'?: number | null;
|
|
1493
1517
|
/**
|
|
1494
|
-
*
|
|
1518
|
+
* Default Invoice Remit Address
|
|
1495
1519
|
* @type {string}
|
|
1496
1520
|
* @memberof CompanyData
|
|
1497
1521
|
*/
|
|
1498
1522
|
'invoice_Remit_Address1'?: string | null;
|
|
1499
1523
|
/**
|
|
1500
|
-
*
|
|
1524
|
+
* Default Invoice Remit Address2
|
|
1501
1525
|
* @type {string}
|
|
1502
1526
|
* @memberof CompanyData
|
|
1503
1527
|
*/
|
|
1504
1528
|
'invoice_Remit_Address2'?: string | null;
|
|
1505
1529
|
/**
|
|
1506
|
-
*
|
|
1530
|
+
* Default Invoice Remit City
|
|
1507
1531
|
* @type {string}
|
|
1508
1532
|
* @memberof CompanyData
|
|
1509
1533
|
*/
|
|
1510
1534
|
'invoice_Remit_City'?: string | null;
|
|
1511
1535
|
/**
|
|
1512
|
-
*
|
|
1536
|
+
* Default Invoice Remit Country Code
|
|
1513
1537
|
* @type {string}
|
|
1514
1538
|
* @memberof CompanyData
|
|
1515
1539
|
*/
|
|
1516
1540
|
'invoice_Remit_Country_Code'?: string | null;
|
|
1517
1541
|
/**
|
|
1518
|
-
*
|
|
1542
|
+
* Default Invoice Remit Country
|
|
1519
1543
|
* @type {string}
|
|
1520
1544
|
* @memberof CompanyData
|
|
1521
1545
|
*/
|
|
1522
1546
|
'invoice_Remit_Country_ID'?: string | null;
|
|
1523
1547
|
/**
|
|
1524
|
-
*
|
|
1548
|
+
* Default Invoice Remit Name
|
|
1525
1549
|
* @type {string}
|
|
1526
1550
|
* @memberof CompanyData
|
|
1527
1551
|
*/
|
|
1528
1552
|
'invoice_Remit_Name'?: string | null;
|
|
1529
1553
|
/**
|
|
1530
|
-
*
|
|
1554
|
+
* Default Invoice Remit Phone Number
|
|
1531
1555
|
* @type {string}
|
|
1532
1556
|
* @memberof CompanyData
|
|
1533
1557
|
*/
|
|
1534
1558
|
'invoice_Remit_Phone_Number'?: string | null;
|
|
1535
1559
|
/**
|
|
1536
|
-
*
|
|
1560
|
+
* Default Invoice Remit State
|
|
1537
1561
|
* @type {string}
|
|
1538
1562
|
* @memberof CompanyData
|
|
1539
1563
|
*/
|
|
1540
1564
|
'invoice_Remit_State'?: string | null;
|
|
1541
1565
|
/**
|
|
1542
|
-
*
|
|
1566
|
+
* Default Invoice Remit Zip Code
|
|
1543
1567
|
* @type {string}
|
|
1544
1568
|
* @memberof CompanyData
|
|
1545
1569
|
*/
|
|
1546
1570
|
'invoice_Remit_Zip_Code'?: string | null;
|
|
1547
1571
|
/**
|
|
1548
|
-
*
|
|
1572
|
+
* Not used in system configuration. Used on external and/or custom procedures. 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.
|
|
1549
1573
|
* @type {number}
|
|
1550
1574
|
* @memberof CompanyData
|
|
1551
1575
|
*/
|
|
1552
1576
|
'lag_Time': number;
|
|
1553
1577
|
/**
|
|
1554
|
-
*
|
|
1578
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1555
1579
|
* @type {string}
|
|
1556
1580
|
* @memberof CompanyData
|
|
1557
1581
|
*/
|
|
1558
1582
|
'last_Age_Disenroll'?: string | null;
|
|
1559
1583
|
/**
|
|
1560
|
-
*
|
|
1584
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1561
1585
|
* @type {number}
|
|
1562
1586
|
* @memberof CompanyData
|
|
1563
1587
|
*/
|
|
1564
1588
|
'last_Authorization'?: number | null;
|
|
1565
1589
|
/**
|
|
1566
|
-
*
|
|
1590
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1567
1591
|
* @type {string}
|
|
1568
1592
|
* @memberof CompanyData
|
|
1569
1593
|
*/
|
|
1570
1594
|
'last_Billing'?: string | null;
|
|
1571
1595
|
/**
|
|
1572
|
-
*
|
|
1596
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1573
1597
|
* @type {number}
|
|
1574
1598
|
* @memberof CompanyData
|
|
1575
1599
|
*/
|
|
1576
1600
|
'last_Case_Number'?: number | null;
|
|
1577
1601
|
/**
|
|
1578
|
-
*
|
|
1602
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1579
1603
|
* @type {number}
|
|
1580
1604
|
* @memberof CompanyData
|
|
1581
1605
|
*/
|
|
1582
1606
|
'last_Check_Batch'?: number | null;
|
|
1583
1607
|
/**
|
|
1584
|
-
*
|
|
1608
|
+
* Used to determine the next Claim Number
|
|
1585
1609
|
* @type {number}
|
|
1586
1610
|
* @memberof CompanyData
|
|
1587
1611
|
*/
|
|
1588
1612
|
'last_Claim_Number'?: number | null;
|
|
1589
1613
|
/**
|
|
1590
|
-
*
|
|
1614
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1591
1615
|
* @type {number}
|
|
1592
1616
|
* @memberof CompanyData
|
|
1593
1617
|
*/
|
|
1594
1618
|
'last_Day_Worked_Range'?: number | null;
|
|
1595
1619
|
/**
|
|
1596
|
-
*
|
|
1620
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1597
1621
|
* @type {number}
|
|
1598
1622
|
* @memberof CompanyData
|
|
1599
1623
|
*/
|
|
1600
1624
|
'last_Encounter'?: number | null;
|
|
1601
1625
|
/**
|
|
1602
|
-
*
|
|
1626
|
+
* Filled out after an Invoice is generated, likely used for reporting or as a reference
|
|
1603
1627
|
* @type {number}
|
|
1604
1628
|
* @memberof CompanyData
|
|
1605
1629
|
*/
|
|
1606
1630
|
'last_Invoice'?: number | null;
|
|
1607
1631
|
/**
|
|
1608
|
-
*
|
|
1632
|
+
* If selected, only the user that created the Auth Review can update the Auth Review 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
1633
|
* @type {boolean}
|
|
1610
1634
|
* @memberof CompanyData
|
|
1611
1635
|
*/
|
|
1612
1636
|
'lock_Auth_Review': boolean;
|
|
1613
1637
|
/**
|
|
1614
|
-
*
|
|
1638
|
+
* When this is checked, Auth Reviews cannot be updated or modified by anyone. They can still be added. 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
1639
|
* @type {boolean}
|
|
1616
1640
|
* @memberof CompanyData
|
|
1617
1641
|
*/
|
|
1618
1642
|
'lock_Auth_Review_All': boolean;
|
|
1619
1643
|
/**
|
|
1620
|
-
*
|
|
1644
|
+
* Flag that enables the logging of calls to Baseload for provider information Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
1621
1645
|
* @type {boolean}
|
|
1622
1646
|
* @memberof CompanyData
|
|
1623
1647
|
*/
|
|
1624
1648
|
'log_BaseLoad_Call': boolean;
|
|
1625
1649
|
/**
|
|
1626
|
-
*
|
|
1650
|
+
* Stores the file location for logos.
|
|
1627
1651
|
* @type {string}
|
|
1628
1652
|
* @memberof CompanyData
|
|
1629
1653
|
*/
|
|
1630
1654
|
'logo_File'?: string | null;
|
|
1631
1655
|
/**
|
|
1632
|
-
*
|
|
1656
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1633
1657
|
* @type {string}
|
|
1634
1658
|
* @memberof CompanyData
|
|
1635
1659
|
*/
|
|
1636
1660
|
'long_State_Names'?: string | null;
|
|
1637
1661
|
/**
|
|
1638
|
-
*
|
|
1662
|
+
* Client\'s e-mail server AuthMode (Not sure, just passed in as general settings)
|
|
1639
1663
|
* @type {number}
|
|
1640
1664
|
* @memberof CompanyData
|
|
1641
1665
|
*/
|
|
1642
1666
|
'mail_AuthMode'?: number | null;
|
|
1643
1667
|
/**
|
|
1644
|
-
*
|
|
1668
|
+
* Client\'s e-mail server Password
|
|
1645
1669
|
* @type {string}
|
|
1646
1670
|
* @memberof CompanyData
|
|
1647
1671
|
*/
|
|
1648
1672
|
'mail_Password'?: string | null;
|
|
1649
1673
|
/**
|
|
1650
|
-
*
|
|
1674
|
+
* Client\'s e-mail server Port
|
|
1651
1675
|
* @type {number}
|
|
1652
1676
|
* @memberof CompanyData
|
|
1653
1677
|
*/
|
|
1654
1678
|
'mail_Port'?: number | null;
|
|
1655
1679
|
/**
|
|
1656
|
-
*
|
|
1680
|
+
* Client\'s e-mail server
|
|
1657
1681
|
* @type {string}
|
|
1658
1682
|
* @memberof CompanyData
|
|
1659
1683
|
*/
|
|
1660
1684
|
'mail_Server'?: string | null;
|
|
1661
1685
|
/**
|
|
1662
|
-
*
|
|
1686
|
+
* Client\'s e-mail server SSL setting 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.
|
|
1663
1687
|
* @type {boolean}
|
|
1664
1688
|
* @memberof CompanyData
|
|
1665
1689
|
*/
|
|
1666
1690
|
'mail_Use_SSL': boolean;
|
|
1667
1691
|
/**
|
|
1668
|
-
*
|
|
1692
|
+
* Client\'s e-mail server User Name
|
|
1669
1693
|
* @type {string}
|
|
1670
1694
|
* @memberof CompanyData
|
|
1671
1695
|
*/
|
|
1672
1696
|
'mail_User'?: string | null;
|
|
1673
1697
|
/**
|
|
1674
|
-
*
|
|
1698
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1675
1699
|
* @type {string}
|
|
1676
1700
|
* @memberof CompanyData
|
|
1677
1701
|
*/
|
|
1678
1702
|
'medicare_On_Benefit': string;
|
|
1679
1703
|
/**
|
|
1680
|
-
*
|
|
1704
|
+
* This flag indicates if a full address and date of birth are not required when creating a new member 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.
|
|
1681
1705
|
* @type {boolean}
|
|
1682
1706
|
* @memberof CompanyData
|
|
1683
1707
|
*/
|
|
1684
1708
|
'member_Address_DOB_Not_Reqd': boolean;
|
|
1685
1709
|
/**
|
|
1686
|
-
*
|
|
1710
|
+
* When selected, adjudication will attempt to match a patient on their First Name, Last Name and Birth Date
|
|
1687
1711
|
* @type {boolean}
|
|
1688
1712
|
* @memberof CompanyData
|
|
1689
1713
|
*/
|
|
1690
1714
|
'member_Match_By_Name_BirthDate': boolean;
|
|
1691
1715
|
/**
|
|
1692
|
-
*
|
|
1716
|
+
* This Denial Ex Code will deny a claim when the modifier entered is not listed as active on the modifier table.
|
|
1693
1717
|
* @type {string}
|
|
1694
1718
|
* @memberof CompanyData
|
|
1695
1719
|
*/
|
|
1696
1720
|
'modifier_Not_Eff_Ex_Code'?: string | null;
|
|
1697
1721
|
/**
|
|
1698
|
-
*
|
|
1722
|
+
* If filled out and there are multiple Auths that are valid, insert the Ex Code
|
|
1699
1723
|
* @type {string}
|
|
1700
1724
|
* @memberof CompanyData
|
|
1701
1725
|
*/
|
|
1702
1726
|
'multiple_Auth_Ex_Code'?: string | null;
|
|
1703
1727
|
/**
|
|
1704
|
-
*
|
|
1728
|
+
* Name of the Company.
|
|
1705
1729
|
* @type {string}
|
|
1706
1730
|
* @memberof CompanyData
|
|
1707
1731
|
*/
|
|
1708
1732
|
'name'?: string | null;
|
|
1709
1733
|
/**
|
|
1710
|
-
*
|
|
1734
|
+
* When the Network ID on the claim does not match what the system would have selected, throw this ex code
|
|
1711
1735
|
* @type {string}
|
|
1712
1736
|
* @memberof CompanyData
|
|
1713
1737
|
*/
|
|
1714
1738
|
'network_Does_Not_Match_Repriced_Network_Ex_Code'?: string | null;
|
|
1715
1739
|
/**
|
|
1716
|
-
*
|
|
1740
|
+
* Reason for the new Member.
|
|
1717
1741
|
* @type {number}
|
|
1718
1742
|
* @memberof CompanyData
|
|
1719
1743
|
*/
|
|
1720
1744
|
'new_Member_Reason'?: number | null;
|
|
1721
1745
|
/**
|
|
1722
|
-
*
|
|
1746
|
+
* If selected, Note Attachments will be saved to the Database instead of in a local file location Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
1723
1747
|
* @type {boolean}
|
|
1724
1748
|
* @memberof CompanyData
|
|
1725
1749
|
*/
|
|
1726
1750
|
'note_Attachment_DB': boolean;
|
|
1727
1751
|
/**
|
|
1728
|
-
*
|
|
1752
|
+
* Indicates the local location for note attachments. When a note attachment is opened, it will make a copy from the remote location to the local location before opening the file.
|
|
1729
1753
|
* @type {string}
|
|
1730
1754
|
* @memberof CompanyData
|
|
1731
1755
|
*/
|
|
1732
1756
|
'note_Attachment_Local_Default'?: string | null;
|
|
1733
1757
|
/**
|
|
1734
|
-
*
|
|
1758
|
+
* Indicates the remote location where note attachments will be saved. A network location should be populated at this location.
|
|
1735
1759
|
* @type {string}
|
|
1736
1760
|
* @memberof CompanyData
|
|
1737
1761
|
*/
|
|
1738
1762
|
'note_Attachment_Remote_Default'?: string | null;
|
|
1739
1763
|
/**
|
|
1740
|
-
*
|
|
1764
|
+
* This Ex Code is used when the claim exceeds the OOP Maximum
|
|
1741
1765
|
* @type {string}
|
|
1742
1766
|
* @memberof CompanyData
|
|
1743
1767
|
*/
|
|
1744
1768
|
'ooP_Max_Ex_Code'?: string | null;
|
|
1745
1769
|
/**
|
|
1746
|
-
*
|
|
1770
|
+
* This Informational Ex Code will be applied to a claim when the Member level out of pocket has been exceeded.
|
|
1747
1771
|
* @type {string}
|
|
1748
1772
|
* @memberof CompanyData
|
|
1749
1773
|
*/
|
|
1750
1774
|
'ooP_Max_Ex_Code_Member'?: string | null;
|
|
1751
1775
|
/**
|
|
1752
|
-
*
|
|
1776
|
+
* This Informational Ex Code will be applied to all claims processed as out of network.
|
|
1753
1777
|
* @type {string}
|
|
1754
1778
|
* @memberof CompanyData
|
|
1755
1779
|
*/
|
|
1756
1780
|
'out_Of_Net_Ex_Code'?: string | null;
|
|
1757
1781
|
/**
|
|
1758
|
-
*
|
|
1782
|
+
* Override\'s the default Deduction Type of 502
|
|
1759
1783
|
* @type {string}
|
|
1760
1784
|
* @memberof CompanyData
|
|
1761
1785
|
*/
|
|
1762
1786
|
'overpayment_Deduction_Type'?: string | null;
|
|
1763
1787
|
/**
|
|
1764
|
-
*
|
|
1788
|
+
* This Ex Code is used when a Benefit is marked PCP Only and the Member does not have a valid PCP
|
|
1765
1789
|
* @type {string}
|
|
1766
1790
|
* @memberof CompanyData
|
|
1767
1791
|
*/
|
|
1768
1792
|
'pcP_Only_Ex_Code'?: string | null;
|
|
1769
1793
|
/**
|
|
1770
|
-
*
|
|
1794
|
+
* Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of `False` for this field if a value is not provided. 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.
|
|
1771
1795
|
* @type {boolean}
|
|
1772
1796
|
* @memberof CompanyData
|
|
1773
1797
|
*/
|
|
1774
1798
|
'partial_Cap': boolean;
|
|
1775
1799
|
/**
|
|
1776
|
-
*
|
|
1800
|
+
* Sets the number of days before password expiration.
|
|
1777
1801
|
* @type {number}
|
|
1778
1802
|
* @memberof CompanyData
|
|
1779
1803
|
*/
|
|
1780
1804
|
'password_Expiration'?: number | null;
|
|
1781
1805
|
/**
|
|
1782
|
-
*
|
|
1806
|
+
* Sets the minimum length required for application passwords.
|
|
1783
1807
|
* @type {number}
|
|
1784
1808
|
* @memberof CompanyData
|
|
1785
1809
|
*/
|
|
1786
1810
|
'password_Minimum'?: number | null;
|
|
1787
1811
|
/**
|
|
1788
|
-
*
|
|
1812
|
+
* Whether or not invoices will be prorated 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.
|
|
1789
1813
|
* @type {boolean}
|
|
1790
1814
|
* @memberof CompanyData
|
|
1791
1815
|
*/
|
|
1792
1816
|
'payment_Proration': boolean;
|
|
1793
1817
|
/**
|
|
1794
|
-
*
|
|
1818
|
+
* Country Code for the phone number of the Subscriber.
|
|
1795
1819
|
* @type {string}
|
|
1796
1820
|
* @memberof CompanyData
|
|
1797
1821
|
*/
|
|
1798
1822
|
'phone_Country_Code'?: string | null;
|
|
1799
1823
|
/**
|
|
1800
|
-
*
|
|
1824
|
+
* Phone format used when saving reports as formatted Excel
|
|
1801
1825
|
* @type {string}
|
|
1802
1826
|
* @memberof CompanyData
|
|
1803
1827
|
*/
|
|
1804
1828
|
'phone_Format'?: string | null;
|
|
1805
1829
|
/**
|
|
1806
|
-
*
|
|
1830
|
+
* Phone number of the Client.
|
|
1807
1831
|
* @type {string}
|
|
1808
1832
|
* @memberof CompanyData
|
|
1809
1833
|
*/
|
|
1810
1834
|
'phone_Number'?: string | null;
|
|
1811
1835
|
/**
|
|
1812
|
-
*
|
|
1836
|
+
* This Ex Code is used when a Place Code is not valid for an Auth, Benefit, Co Ins or Co Pay
|
|
1813
1837
|
* @type {string}
|
|
1814
1838
|
* @memberof CompanyData
|
|
1815
1839
|
*/
|
|
1816
1840
|
'place_Code_Not_Setup_Ex_Code'?: string | null;
|
|
1817
1841
|
/**
|
|
1818
|
-
*
|
|
1842
|
+
* When Always Pay In Network is checked, if this is filled out and the claim is currently out of network, change the Network ID to this value.
|
|
1819
1843
|
* @type {string}
|
|
1820
1844
|
* @memberof CompanyData
|
|
1821
1845
|
*/
|
|
1822
1846
|
'planBenefit_Override_Network_ID'?: string | null;
|
|
1823
1847
|
/**
|
|
1824
|
-
*
|
|
1848
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1825
1849
|
* @type {number}
|
|
1826
1850
|
* @memberof CompanyData
|
|
1827
1851
|
*/
|
|
1828
1852
|
'plan_Length'?: number | null;
|
|
1829
1853
|
/**
|
|
1830
|
-
*
|
|
1854
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1831
1855
|
* @type {number}
|
|
1832
1856
|
* @memberof CompanyData
|
|
1833
1857
|
*/
|
|
1834
1858
|
'policy_Forfeiture_Grace_Period'?: number | null;
|
|
1835
1859
|
/**
|
|
1836
|
-
*
|
|
1860
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1837
1861
|
* @type {string}
|
|
1838
1862
|
* @memberof CompanyData
|
|
1839
1863
|
*/
|
|
1840
1864
|
'policy_Forfeiture_Grace_Period_Type'?: string | null;
|
|
1841
1865
|
/**
|
|
1842
|
-
*
|
|
1866
|
+
* This flag denotes whether or not Premiums will be prorated when a Member Disenrolls 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.
|
|
1843
1867
|
* @type {boolean}
|
|
1844
1868
|
* @memberof CompanyData
|
|
1845
1869
|
*/
|
|
1846
1870
|
'premium_Proration': boolean;
|
|
1847
1871
|
/**
|
|
1848
|
-
*
|
|
1872
|
+
* This defines the primary bank account.
|
|
1849
1873
|
* @type {number}
|
|
1850
1874
|
* @memberof CompanyData
|
|
1851
1875
|
*/
|
|
1852
1876
|
'primary_Account_Key'?: number | null;
|
|
1853
1877
|
/**
|
|
1854
|
-
*
|
|
1878
|
+
* When this flag is set to yes, adjudication will process Auths on Pended claims. 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.
|
|
1855
1879
|
* @type {boolean}
|
|
1856
1880
|
* @memberof CompanyData
|
|
1857
1881
|
*/
|
|
1858
1882
|
'process_Auths_When_Pended': boolean;
|
|
1859
1883
|
/**
|
|
1860
|
-
*
|
|
1884
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1861
1885
|
* @type {string}
|
|
1862
1886
|
* @memberof CompanyData
|
|
1863
1887
|
*/
|
|
1864
1888
|
'processing_Mode'?: string | null;
|
|
1865
1889
|
/**
|
|
1866
|
-
*
|
|
1890
|
+
* Ex Code to set when the member has used a Prosthesis Tooth
|
|
1867
1891
|
* @type {string}
|
|
1868
1892
|
* @memberof CompanyData
|
|
1869
1893
|
*/
|
|
1870
1894
|
'prosthesis_Tooth_Ex_Code'?: string | null;
|
|
1871
1895
|
/**
|
|
1872
|
-
*
|
|
1896
|
+
* This flag indicates the alternate ID on the member update screen cannot be changed 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.
|
|
1873
1897
|
* @type {boolean}
|
|
1874
1898
|
* @memberof CompanyData
|
|
1875
1899
|
*/
|
|
1876
1900
|
'protect_Alternate_ID': boolean;
|
|
1877
1901
|
/**
|
|
1878
|
-
*
|
|
1902
|
+
* If a provider is exempt from Authorizations, throw this ex code
|
|
1879
1903
|
* @type {string}
|
|
1880
1904
|
* @memberof CompanyData
|
|
1881
1905
|
*/
|
|
1882
1906
|
'provider_Auth_Exempt_Procedure_Ex_Code'?: string | null;
|
|
1883
1907
|
/**
|
|
1884
|
-
*
|
|
1908
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1885
1909
|
* @type {string}
|
|
1886
1910
|
* @memberof CompanyData
|
|
1887
1911
|
*/
|
|
1888
1912
|
'provider_Not_Active_Auth_Code'?: string | null;
|
|
1889
1913
|
/**
|
|
1890
|
-
*
|
|
1914
|
+
* This pend code will be applied when the tooth number on the claim is found to have been previously pulled.
|
|
1891
1915
|
* @type {string}
|
|
1892
1916
|
* @memberof CompanyData
|
|
1893
1917
|
*/
|
|
1894
1918
|
'pulled_Tooth_Ex_Code'?: string | null;
|
|
1895
1919
|
/**
|
|
1896
|
-
*
|
|
1920
|
+
* Ex Code to be applied to claims that use QPA Method 1
|
|
1897
1921
|
* @type {string}
|
|
1898
1922
|
* @memberof CompanyData
|
|
1899
1923
|
*/
|
|
1900
1924
|
'qpA_Method_1_Ex_Code'?: string | null;
|
|
1901
1925
|
/**
|
|
1902
|
-
*
|
|
1926
|
+
* Ex Code to be applied to claims that use QPA Method 2
|
|
1903
1927
|
* @type {string}
|
|
1904
1928
|
* @memberof CompanyData
|
|
1905
1929
|
*/
|
|
1906
1930
|
'qpA_Method_2_Ex_Code'?: string | null;
|
|
1907
1931
|
/**
|
|
1908
|
-
*
|
|
1932
|
+
* Default value for an RX Claim\'s Paid Date: Service Date, Fill Date or Prescription Date
|
|
1909
1933
|
* @type {string}
|
|
1910
1934
|
* @memberof CompanyData
|
|
1911
1935
|
*/
|
|
1912
1936
|
'rX_ATP_Paid_Date_Type'?: string | null;
|
|
1913
1937
|
/**
|
|
1914
|
-
*
|
|
1938
|
+
* Default Issue Duratoin Value for RPU Type
|
|
1915
1939
|
* @type {number}
|
|
1916
1940
|
* @memberof CompanyData
|
|
1917
1941
|
*/
|
|
1918
1942
|
'reduced_Paid_Up_Default'?: number | null;
|
|
1919
1943
|
/**
|
|
1920
|
-
*
|
|
1944
|
+
* Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of `False` for this field if a value is not provided. 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.
|
|
1921
1945
|
* @type {boolean}
|
|
1922
1946
|
* @memberof CompanyData
|
|
1923
1947
|
*/
|
|
1924
1948
|
'reins_Split_Claim': boolean;
|
|
1925
1949
|
/**
|
|
1926
|
-
*
|
|
1950
|
+
* If set to yes, bring up the list of Repetitive Payments on a timer
|
|
1927
1951
|
* @type {boolean}
|
|
1928
1952
|
* @memberof CompanyData
|
|
1929
1953
|
*/
|
|
1930
1954
|
'repetitive_Payment'?: boolean | null;
|
|
1931
1955
|
/**
|
|
1932
|
-
*
|
|
1956
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1933
1957
|
* @type {string}
|
|
1934
1958
|
* @memberof CompanyData
|
|
1935
1959
|
*/
|
|
1936
1960
|
'repriced_Line'?: string | null;
|
|
1937
1961
|
/**
|
|
1938
|
-
*
|
|
1962
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1939
1963
|
* @type {string}
|
|
1940
1964
|
* @memberof CompanyData
|
|
1941
1965
|
*/
|
|
1942
1966
|
'request_Provider_Email'?: string | null;
|
|
1943
1967
|
/**
|
|
1944
|
-
*
|
|
1968
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1945
1969
|
* @type {string}
|
|
1946
1970
|
* @memberof CompanyData
|
|
1947
1971
|
*/
|
|
1948
1972
|
'request_Reassess_Email'?: string | null;
|
|
1949
1973
|
/**
|
|
1950
|
-
*
|
|
1974
|
+
* This flag indicates the NPI and Federal ID fields on a Provider record have length restrictions of 10/9 characters respectively 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.
|
|
1951
1975
|
* @type {boolean}
|
|
1952
1976
|
* @memberof CompanyData
|
|
1953
1977
|
*/
|
|
1954
1978
|
'restrict_NPI_Federal_ID': boolean;
|
|
1955
1979
|
/**
|
|
1956
|
-
*
|
|
1980
|
+
* Defined Return to Work Range for a disability claim
|
|
1957
1981
|
* @type {number}
|
|
1958
1982
|
* @memberof CompanyData
|
|
1959
1983
|
*/
|
|
1960
1984
|
'return_To_Work_Range'?: number | null;
|
|
1961
1985
|
/**
|
|
1962
|
-
*
|
|
1986
|
+
* Indicates the file location where scanned images are kept.
|
|
1963
1987
|
* @type {string}
|
|
1964
1988
|
* @memberof CompanyData
|
|
1965
1989
|
*/
|
|
1966
1990
|
'scanned_Images_Folder'?: string | null;
|
|
1967
1991
|
/**
|
|
1968
|
-
*
|
|
1992
|
+
* If selected, set the Paid Through Date once an invoice is closed 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.
|
|
1969
1993
|
* @type {boolean}
|
|
1970
1994
|
* @memberof CompanyData
|
|
1971
1995
|
*/
|
|
1972
1996
|
'set_Paid_Through': boolean;
|
|
1973
1997
|
/**
|
|
1974
|
-
*
|
|
1998
|
+
* If selected put all refunds into the same Check Batch
|
|
1975
1999
|
* @type {boolean}
|
|
1976
2000
|
* @memberof CompanyData
|
|
1977
2001
|
*/
|
|
1978
2002
|
'single_Refund_Check_Batch': boolean;
|
|
1979
2003
|
/**
|
|
1980
|
-
*
|
|
2004
|
+
* State of the Company\'s address.
|
|
1981
2005
|
* @type {string}
|
|
1982
2006
|
* @memberof CompanyData
|
|
1983
2007
|
*/
|
|
1984
2008
|
'state'?: string | null;
|
|
1985
2009
|
/**
|
|
1986
|
-
*
|
|
2010
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1987
2011
|
* @type {string}
|
|
1988
2012
|
* @memberof CompanyData
|
|
1989
2013
|
*/
|
|
1990
2014
|
'subscriber_ID_Format'?: string | null;
|
|
1991
2015
|
/**
|
|
1992
|
-
*
|
|
2016
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
1993
2017
|
* @type {number}
|
|
1994
2018
|
* @memberof CompanyData
|
|
1995
2019
|
*/
|
|
1996
2020
|
'subscriber_Length'?: number | null;
|
|
1997
2021
|
/**
|
|
1998
|
-
*
|
|
2022
|
+
* Enter the time, in seconds, that will be allowed to elapse before the application closes.
|
|
1999
2023
|
* @type {number}
|
|
2000
2024
|
* @memberof CompanyData
|
|
2001
2025
|
*/
|
|
2002
2026
|
'system_Idle'?: number | null;
|
|
2003
2027
|
/**
|
|
2004
|
-
*
|
|
2028
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
2005
2029
|
* @type {string}
|
|
2006
2030
|
* @memberof CompanyData
|
|
2007
2031
|
*/
|
|
2008
2032
|
'tax_Control_Location'?: string | null;
|
|
2009
2033
|
/**
|
|
2010
|
-
*
|
|
2034
|
+
* Whether Tax is calculated on date of adjudication or Service Date of claim 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.
|
|
2011
2035
|
* @type {boolean}
|
|
2012
2036
|
* @memberof CompanyData
|
|
2013
2037
|
*/
|
|
2014
2038
|
'tax_On_Adjudcation_Date_Fg': boolean;
|
|
2015
2039
|
/**
|
|
2016
|
-
*
|
|
2040
|
+
* How many rows in the criteria table to temporarily save
|
|
2017
2041
|
* @type {number}
|
|
2018
2042
|
* @memberof CompanyData
|
|
2019
2043
|
*/
|
|
2020
2044
|
'temporary_Save_Criteria_Count'?: number | null;
|
|
2021
2045
|
/**
|
|
2022
|
-
*
|
|
2046
|
+
* This Ex Code is used when the Provider\'s Term Date is before the Service Date
|
|
2023
2047
|
* @type {string}
|
|
2024
2048
|
* @memberof CompanyData
|
|
2025
2049
|
*/
|
|
2026
2050
|
'termed_Provider_Ex_Code'?: string | null;
|
|
2027
2051
|
/**
|
|
2028
|
-
*
|
|
2052
|
+
* Country Code for the toll free phone number of the Client.
|
|
2029
2053
|
* @type {string}
|
|
2030
2054
|
* @memberof CompanyData
|
|
2031
2055
|
*/
|
|
2032
2056
|
'toll_Free_Country_Code'?: string | null;
|
|
2033
2057
|
/**
|
|
2034
|
-
*
|
|
2058
|
+
* Toll free phone number of the Client.
|
|
2035
2059
|
* @type {string}
|
|
2036
2060
|
* @memberof CompanyData
|
|
2037
2061
|
*/
|
|
2038
2062
|
'toll_Free_Phone_Number'?: string | null;
|
|
2039
2063
|
/**
|
|
2040
|
-
*
|
|
2064
|
+
* This pend code will be applied when the tooth number on the claim is found to have previous tooth activity.
|
|
2041
2065
|
* @type {string}
|
|
2042
2066
|
* @memberof CompanyData
|
|
2043
2067
|
*/
|
|
2044
2068
|
'tooth_Activity_Ex_Code'?: string | null;
|
|
2045
2069
|
/**
|
|
2046
|
-
*
|
|
2070
|
+
* Choose the applicable tooth chart for the application.
|
|
2047
2071
|
* @type {string}
|
|
2048
2072
|
* @memberof CompanyData
|
|
2049
2073
|
*/
|
|
2050
2074
|
'tooth_Chart_Type'?: string | null;
|
|
2051
2075
|
/**
|
|
2052
|
-
*
|
|
2076
|
+
* This Ex Code is used when Usual and Customary is used.
|
|
2053
2077
|
* @type {string}
|
|
2054
2078
|
* @memberof CompanyData
|
|
2055
2079
|
*/
|
|
2056
2080
|
'uC_Price_Used_Ex_Code'?: string | null;
|
|
2057
2081
|
/**
|
|
2058
|
-
*
|
|
2082
|
+
* Whether or not the Plan Price is multiplied by number of units for Usual and Customary 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.
|
|
2059
2083
|
* @type {boolean}
|
|
2060
2084
|
* @memberof CompanyData
|
|
2061
2085
|
*/
|
|
2062
2086
|
'uC_Unit_Mulitply': boolean;
|
|
2063
2087
|
/**
|
|
2064
|
-
*
|
|
2088
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
2065
2089
|
* @type {string}
|
|
2066
2090
|
* @memberof CompanyData
|
|
2067
2091
|
*/
|
|
2068
2092
|
'unassigned_Provider'?: string | null;
|
|
2069
2093
|
/**
|
|
2070
|
-
*
|
|
2094
|
+
* Date when the record was last updated in the system.
|
|
2071
2095
|
* @type {string}
|
|
2072
2096
|
* @memberof CompanyData
|
|
2073
2097
|
*/
|
|
2074
2098
|
'update_Date'?: string;
|
|
2075
2099
|
/**
|
|
2076
|
-
*
|
|
2100
|
+
* User that last updated the record in the system.
|
|
2077
2101
|
* @type {string}
|
|
2078
2102
|
* @memberof CompanyData
|
|
2079
2103
|
*/
|
|
2080
2104
|
'update_User'?: string | null;
|
|
2081
2105
|
/**
|
|
2082
|
-
*
|
|
2106
|
+
* Whether or not to validate User Amount Limits for Payable or Total Payable 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.
|
|
2083
2107
|
* @type {boolean}
|
|
2084
2108
|
* @memberof CompanyData
|
|
2085
2109
|
*/
|
|
2086
2110
|
'useGreaterUserAmountLimit_Fg': boolean;
|
|
2087
2111
|
/**
|
|
2088
|
-
*
|
|
2112
|
+
* Whether or not to split Authorizations 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.
|
|
2089
2113
|
* @type {boolean}
|
|
2090
2114
|
* @memberof CompanyData
|
|
2091
2115
|
*/
|
|
2092
2116
|
'use_Auth_Over_Unit_Split': boolean;
|
|
2093
2117
|
/**
|
|
2094
|
-
*
|
|
2118
|
+
* No longer used in the system 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.
|
|
2095
2119
|
* @type {boolean}
|
|
2096
2120
|
* @memberof CompanyData
|
|
2097
2121
|
*/
|
|
2098
2122
|
'use_Change_Data_Capture': boolean;
|
|
2099
2123
|
/**
|
|
2100
|
-
*
|
|
2124
|
+
* Whether or not to use the Default Currency 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.
|
|
2101
2125
|
* @type {boolean}
|
|
2102
2126
|
* @memberof CompanyData
|
|
2103
2127
|
*/
|
|
2104
2128
|
'use_Currency': boolean;
|
|
2105
2129
|
/**
|
|
2106
|
-
*
|
|
2130
|
+
* When selected, Disability Claims will be verified to be within the payable date range and if not, the claim will not 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.
|
|
2107
2131
|
* @type {boolean}
|
|
2108
2132
|
* @memberof CompanyData
|
|
2109
2133
|
*/
|
|
2110
2134
|
'use_Disability_From_Date': boolean;
|
|
2111
2135
|
/**
|
|
2112
|
-
*
|
|
2136
|
+
* Fills out NoteReference among other things for Notes
|
|
2113
2137
|
* @type {boolean}
|
|
2114
2138
|
* @memberof CompanyData
|
|
2115
2139
|
*/
|
|
2116
2140
|
'use_Expanded_Notes': boolean;
|
|
2117
2141
|
/**
|
|
2118
|
-
*
|
|
2142
|
+
* Use first Fee Schedule match found 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.
|
|
2119
2143
|
* @type {boolean}
|
|
2120
2144
|
* @memberof CompanyData
|
|
2121
2145
|
*/
|
|
2122
2146
|
'use_First_Match_Pricing': boolean;
|
|
2123
2147
|
/**
|
|
2124
|
-
*
|
|
2148
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
2125
2149
|
* @type {string}
|
|
2126
2150
|
* @memberof CompanyData
|
|
2127
2151
|
*/
|
|
2128
2152
|
'use_Other_Name'?: string | null;
|
|
2129
2153
|
/**
|
|
2130
|
-
*
|
|
2154
|
+
* If selected, during Age Restrictions, only look at the left most Diag Pointer on a Claim 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.
|
|
2131
2155
|
* @type {boolean}
|
|
2132
2156
|
* @memberof CompanyData
|
|
2133
2157
|
*/
|
|
2134
2158
|
'use_Primary_Diag_Match': boolean;
|
|
2135
2159
|
/**
|
|
2136
|
-
*
|
|
2160
|
+
* When determining Include Excludes for Capitation Diagnosis Codes, if set to yes, only look at the first pointer. 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.
|
|
2137
2161
|
* @type {boolean}
|
|
2138
2162
|
* @memberof CompanyData
|
|
2139
2163
|
*/
|
|
2140
2164
|
'use_Primary_Diag_Match_Capitation': boolean;
|
|
2141
2165
|
/**
|
|
2142
|
-
*
|
|
2166
|
+
* Not used in system configuration. Used on external and/or custom procedures. Note: The database will apply a default value of `False` for this field if a value is not provided. 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.
|
|
2143
2167
|
* @type {boolean}
|
|
2144
2168
|
* @memberof CompanyData
|
|
2145
2169
|
*/
|
|
2146
2170
|
'use_Salary': boolean;
|
|
2147
2171
|
/**
|
|
2148
|
-
*
|
|
2172
|
+
* Whether or not to use the Tax Control object rather than 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.
|
|
2149
2173
|
* @type {boolean}
|
|
2150
2174
|
* @memberof CompanyData
|
|
2151
2175
|
*/
|
|
2152
2176
|
'use_Tax_Control': boolean;
|
|
2153
2177
|
/**
|
|
2154
|
-
*
|
|
2178
|
+
* Whether or not Zip Code with auto poulate city/state based on Zip Code 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.
|
|
2155
2179
|
* @type {boolean}
|
|
2156
2180
|
* @memberof CompanyData
|
|
2157
2181
|
*/
|
|
2158
2182
|
'use_Zip_Code_Auto_Populate': boolean;
|
|
2159
2183
|
/**
|
|
2160
|
-
*
|
|
2184
|
+
* Whether or not VBADataintegration is on or not 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.
|
|
2161
2185
|
* @type {boolean}
|
|
2162
2186
|
* @memberof CompanyData
|
|
2163
2187
|
*/
|
|
2164
2188
|
'vbaDataIntegration': boolean;
|
|
2165
2189
|
/**
|
|
2166
|
-
*
|
|
2190
|
+
* DBMS setup information for VBA Data Integration
|
|
2167
2191
|
* @type {string}
|
|
2168
2192
|
* @memberof CompanyData
|
|
2169
2193
|
*/
|
|
2170
2194
|
'vbaDataIntegration_DBMS'?: string | null;
|
|
2171
2195
|
/**
|
|
2172
|
-
*
|
|
2196
|
+
* DBMS setup information for VBA Data Integration
|
|
2173
2197
|
* @type {string}
|
|
2174
2198
|
* @memberof CompanyData
|
|
2175
2199
|
*/
|
|
2176
2200
|
'vbaDataIntegration_DBParm'?: string | null;
|
|
2177
2201
|
/**
|
|
2178
|
-
*
|
|
2202
|
+
* Database setup information for VBA Data Integration
|
|
2179
2203
|
* @type {string}
|
|
2180
2204
|
* @memberof CompanyData
|
|
2181
2205
|
*/
|
|
2182
2206
|
'vbaDataIntegration_Database'?: string | null;
|
|
2183
2207
|
/**
|
|
2184
|
-
*
|
|
2208
|
+
* Server setup information for VBA Data Integration
|
|
2185
2209
|
* @type {string}
|
|
2186
2210
|
* @memberof CompanyData
|
|
2187
2211
|
*/
|
|
2188
2212
|
'vbaDataIntegration_Server'?: string | null;
|
|
2189
2213
|
/**
|
|
2190
|
-
*
|
|
2214
|
+
* Whether or not this is a Gateway client 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.
|
|
2191
2215
|
* @type {boolean}
|
|
2192
2216
|
* @memberof CompanyData
|
|
2193
2217
|
*/
|
|
2194
2218
|
'vbaGateway': boolean;
|
|
2195
2219
|
/**
|
|
2196
|
-
*
|
|
2220
|
+
* Gateway\'s DBMS
|
|
2197
2221
|
* @type {string}
|
|
2198
2222
|
* @memberof CompanyData
|
|
2199
2223
|
*/
|
|
2200
2224
|
'vbaGateway_DBMS'?: string | null;
|
|
2201
2225
|
/**
|
|
2202
|
-
*
|
|
2226
|
+
* Gateway\'s Database Parameters
|
|
2203
2227
|
* @type {string}
|
|
2204
2228
|
* @memberof CompanyData
|
|
2205
2229
|
*/
|
|
2206
2230
|
'vbaGateway_DBParm'?: string | null;
|
|
2207
2231
|
/**
|
|
2208
|
-
*
|
|
2232
|
+
* Gateway\'s Database
|
|
2209
2233
|
* @type {string}
|
|
2210
2234
|
* @memberof CompanyData
|
|
2211
2235
|
*/
|
|
2212
2236
|
'vbaGateway_Database'?: string | null;
|
|
2213
2237
|
/**
|
|
2214
|
-
*
|
|
2238
|
+
* Gateway\'s SFTP Host
|
|
2215
2239
|
* @type {string}
|
|
2216
2240
|
* @memberof CompanyData
|
|
2217
2241
|
*/
|
|
2218
2242
|
'vbaGateway_SFTP_Host'?: string | null;
|
|
2219
2243
|
/**
|
|
2220
|
-
*
|
|
2244
|
+
* Gateway\'s SFTP LogFile
|
|
2221
2245
|
* @type {string}
|
|
2222
2246
|
* @memberof CompanyData
|
|
2223
2247
|
*/
|
|
2224
2248
|
'vbaGateway_SFTP_LogFile'?: string | null;
|
|
2225
2249
|
/**
|
|
2226
|
-
*
|
|
2250
|
+
* Gateway\'s SFTP MLST 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.
|
|
2227
2251
|
* @type {boolean}
|
|
2228
2252
|
* @memberof CompanyData
|
|
2229
2253
|
*/
|
|
2230
2254
|
'vbaGateway_SFTP_MLST': boolean;
|
|
2231
2255
|
/**
|
|
2232
|
-
*
|
|
2256
|
+
* Gateway\'s SFTP Passive 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.
|
|
2233
2257
|
* @type {boolean}
|
|
2234
2258
|
* @memberof CompanyData
|
|
2235
2259
|
*/
|
|
2236
2260
|
'vbaGateway_SFTP_Passive': boolean;
|
|
2237
2261
|
/**
|
|
2238
|
-
*
|
|
2262
|
+
* Gateway\'s SFTP Password
|
|
2239
2263
|
* @type {string}
|
|
2240
2264
|
* @memberof CompanyData
|
|
2241
2265
|
*/
|
|
2242
2266
|
'vbaGateway_SFTP_Password'?: string | null;
|
|
2243
2267
|
/**
|
|
2244
|
-
*
|
|
2268
|
+
* Gateway\'s SFTP Port
|
|
2245
2269
|
* @type {number}
|
|
2246
2270
|
* @memberof CompanyData
|
|
2247
2271
|
*/
|
|
2248
2272
|
'vbaGateway_SFTP_Port'?: number | null;
|
|
2249
2273
|
/**
|
|
2250
|
-
*
|
|
2274
|
+
* Gateway\'s SFTP Protocol
|
|
2251
2275
|
* @type {number}
|
|
2252
2276
|
* @memberof CompanyData
|
|
2253
2277
|
*/
|
|
2254
2278
|
'vbaGateway_SFTP_Protocol'?: number | null;
|
|
2255
2279
|
/**
|
|
2256
|
-
*
|
|
2280
|
+
* Gateway\'s SFTP User ID
|
|
2257
2281
|
* @type {string}
|
|
2258
2282
|
* @memberof CompanyData
|
|
2259
2283
|
*/
|
|
2260
2284
|
'vbaGateway_SFTP_User'?: string | null;
|
|
2261
2285
|
/**
|
|
2262
|
-
*
|
|
2286
|
+
* Gateway\'s Server
|
|
2263
2287
|
* @type {string}
|
|
2264
2288
|
* @memberof CompanyData
|
|
2265
2289
|
*/
|
|
2266
2290
|
'vbaGateway_Server'?: string | null;
|
|
2267
2291
|
/**
|
|
2268
|
-
*
|
|
2292
|
+
* For internal Developer use only.
|
|
2269
2293
|
* @type {string}
|
|
2270
2294
|
* @memberof CompanyData
|
|
2271
2295
|
*/
|
|
2272
2296
|
'vbapI_ClaimQueue_URL'?: string | null;
|
|
2273
2297
|
/**
|
|
2274
|
-
*
|
|
2298
|
+
* For internal Developer use only.
|
|
2275
2299
|
* @type {string}
|
|
2276
2300
|
* @memberof CompanyData
|
|
2277
2301
|
*/
|
|
2278
2302
|
'vbapI_Client_Code'?: string | null;
|
|
2279
2303
|
/**
|
|
2280
|
-
*
|
|
2304
|
+
* Timer for kicking off VBA Report to see if an Event is ready to be Processed
|
|
2281
2305
|
* @type {number}
|
|
2282
2306
|
* @memberof CompanyData
|
|
2283
2307
|
*/
|
|
2284
2308
|
'vbaReport_Event_Timer'?: number | null;
|
|
2285
2309
|
/**
|
|
2286
|
-
*
|
|
2310
|
+
* Client\'s Process Automation Auth Mode (Not sure, just passed in as general settings)
|
|
2287
2311
|
* @type {number}
|
|
2288
2312
|
* @memberof CompanyData
|
|
2289
2313
|
*/
|
|
2290
2314
|
'vbaReport_Mail_AuthMode'?: number | null;
|
|
2291
2315
|
/**
|
|
2292
|
-
*
|
|
2316
|
+
* Client\'s Process Automation Password
|
|
2293
2317
|
* @type {string}
|
|
2294
2318
|
* @memberof CompanyData
|
|
2295
2319
|
*/
|
|
2296
2320
|
'vbaReport_Mail_Password'?: string | null;
|
|
2297
2321
|
/**
|
|
2298
|
-
*
|
|
2322
|
+
* Client\'s Process Automation server Port
|
|
2299
2323
|
* @type {number}
|
|
2300
2324
|
* @memberof CompanyData
|
|
2301
2325
|
*/
|
|
2302
2326
|
'vbaReport_Mail_Port'?: number | null;
|
|
2303
2327
|
/**
|
|
2304
|
-
*
|
|
2328
|
+
* Client\'s Process Automation server
|
|
2305
2329
|
* @type {string}
|
|
2306
2330
|
* @memberof CompanyData
|
|
2307
2331
|
*/
|
|
2308
2332
|
'vbaReport_Mail_Server'?: string | null;
|
|
2309
2333
|
/**
|
|
2310
|
-
*
|
|
2334
|
+
* Client\'s Process Automation SSL Setting 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.
|
|
2311
2335
|
* @type {boolean}
|
|
2312
2336
|
* @memberof CompanyData
|
|
2313
2337
|
*/
|
|
2314
2338
|
'vbaReport_Mail_Use_SSL': boolean;
|
|
2315
2339
|
/**
|
|
2316
|
-
*
|
|
2340
|
+
* Client\'s Process Automation User Name
|
|
2317
2341
|
* @type {string}
|
|
2318
2342
|
* @memberof CompanyData
|
|
2319
2343
|
*/
|
|
2320
2344
|
'vbaReport_Mail_User'?: string | null;
|
|
2321
2345
|
/**
|
|
2322
|
-
*
|
|
2346
|
+
* Value retrieved in VbA Report, nothing done with it
|
|
2323
2347
|
* @type {number}
|
|
2324
2348
|
* @memberof CompanyData
|
|
2325
2349
|
*/
|
|
2326
2350
|
'vbaReport_SO_Count'?: number | null;
|
|
2327
2351
|
/**
|
|
2328
|
-
*
|
|
2352
|
+
* Timer for kicking off VBA Report to see if a Series is ready to be Processed
|
|
2329
2353
|
* @type {number}
|
|
2330
2354
|
* @memberof CompanyData
|
|
2331
2355
|
*/
|
|
2332
2356
|
'vbaReport_Series_Timer'?: number | null;
|
|
2333
2357
|
/**
|
|
2334
|
-
*
|
|
2358
|
+
* Current Status of VBAReport (Pause, Stop, Running)
|
|
2335
2359
|
* @type {string}
|
|
2336
2360
|
* @memberof CompanyData
|
|
2337
2361
|
*/
|
|
2338
2362
|
'vbaReport_Status'?: string | null;
|
|
2339
2363
|
/**
|
|
2340
|
-
*
|
|
2364
|
+
* Timer for kicking off VBA Report to see if a Report is ready to be Processed
|
|
2341
2365
|
* @type {number}
|
|
2342
2366
|
* @memberof CompanyData
|
|
2343
2367
|
*/
|
|
2344
2368
|
'vbaReport_Timer'?: number | null;
|
|
2345
2369
|
/**
|
|
2346
|
-
*
|
|
2370
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
2347
2371
|
* @type {number}
|
|
2348
2372
|
* @memberof CompanyData
|
|
2349
2373
|
*/
|
|
2350
2374
|
'vbAdjudicate_SO_Count'?: number | null;
|
|
2351
2375
|
/**
|
|
2352
|
-
*
|
|
2376
|
+
* Current Status of Adjudication (Pause, Stop, Running)
|
|
2353
2377
|
* @type {string}
|
|
2354
2378
|
* @memberof CompanyData
|
|
2355
2379
|
*/
|
|
2356
2380
|
'vbAdjudicate_Status'?: string | null;
|
|
2357
2381
|
/**
|
|
2358
|
-
*
|
|
2382
|
+
* Not used in system configuration. Used on external and/or custom procedures.
|
|
2359
2383
|
* @type {number}
|
|
2360
2384
|
* @memberof CompanyData
|
|
2361
2385
|
*/
|
|
2362
2386
|
'vbAdjudicate_Timer'?: number | null;
|
|
2363
2387
|
/**
|
|
2364
|
-
*
|
|
2388
|
+
* Whether or not to validate Authorizations based on Federal ID 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.
|
|
2365
2389
|
* @type {boolean}
|
|
2366
2390
|
* @memberof CompanyData
|
|
2367
2391
|
*/
|
|
2368
2392
|
'validate_Federal_ID_On_Auth': boolean;
|
|
2369
2393
|
/**
|
|
2370
|
-
*
|
|
2394
|
+
* If set to yes, the Provider must match on the Claim with the Auth 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.
|
|
2371
2395
|
* @type {boolean}
|
|
2372
2396
|
* @memberof CompanyData
|
|
2373
2397
|
*/
|
|
2374
2398
|
'validate_Provider_On_Auth': boolean;
|
|
2375
2399
|
/**
|
|
2376
|
-
*
|
|
2400
|
+
* When used, a Void backout will use today\'s date instead of processed date 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.
|
|
2377
2401
|
* @type {boolean}
|
|
2378
2402
|
* @memberof CompanyData
|
|
2379
2403
|
*/
|
|
2380
2404
|
'void_Backout_Use_Current_Date': boolean;
|
|
2381
2405
|
/**
|
|
2382
|
-
*
|
|
2406
|
+
* This Ex Code is used when the Maximum Volume is used to lower the Volume to maximum
|
|
2383
2407
|
* @type {string}
|
|
2384
2408
|
* @memberof CompanyData
|
|
2385
2409
|
*/
|
|
2386
2410
|
'volume_Max_Met_Ex_Code'?: string | null;
|
|
2387
2411
|
/**
|
|
2388
|
-
*
|
|
2412
|
+
* This Ex Code is used when the Minimum Volume is used to raise the Volume to minimum
|
|
2389
2413
|
* @type {string}
|
|
2390
2414
|
* @memberof CompanyData
|
|
2391
2415
|
*/
|
|
2392
2416
|
'volume_Min_Met_Ex_Code'?: string | null;
|
|
2393
2417
|
/**
|
|
2394
|
-
*
|
|
2418
|
+
* This indicates how many workflows will be executed per iteration from VBAdjudicateGovernor
|
|
2395
2419
|
* @type {number}
|
|
2396
2420
|
* @memberof CompanyData
|
|
2397
2421
|
*/
|
|
2398
2422
|
'workflow_Execute_Count'?: number | null;
|
|
2399
2423
|
/**
|
|
2400
|
-
*
|
|
2424
|
+
* Default EOB Code not found ex code used when one is not sent for Zelis
|
|
2401
2425
|
* @type {string}
|
|
2402
2426
|
* @memberof CompanyData
|
|
2403
2427
|
*/
|
|
2404
2428
|
'zelis_EOBCode_Not_Found_Ex_Code'?: string | null;
|
|
2405
2429
|
/**
|
|
2406
|
-
*
|
|
2430
|
+
* Default Edit Code not found ex code used when one is not sent for Zelis
|
|
2407
2431
|
* @type {string}
|
|
2408
2432
|
* @memberof CompanyData
|
|
2409
2433
|
*/
|
|
2410
2434
|
'zelis_EditCode_Not_Found_Ex_Code'?: string | null;
|
|
2411
2435
|
/**
|
|
2412
|
-
*
|
|
2436
|
+
* When the Zelis In Network Ex Code is set, and the Ex Code is on the claim and sent to Zelis, the claim will always be sent as \"In Network\" regardless if the claim is In or Out of Network
|
|
2413
2437
|
* @type {string}
|
|
2414
2438
|
* @memberof CompanyData
|
|
2415
2439
|
*/
|
|
2416
2440
|
'zelis_In_Network_Ex_Code'?: string | null;
|
|
2417
2441
|
/**
|
|
2418
|
-
*
|
|
2442
|
+
* Login information for Zelis Repricing API
|
|
2419
2443
|
* @type {string}
|
|
2420
2444
|
* @memberof CompanyData
|
|
2421
2445
|
*/
|
|
2422
2446
|
'zelis_Login'?: string | null;
|
|
2423
2447
|
/**
|
|
2424
|
-
*
|
|
2448
|
+
* Password information for Zelis Repricing API
|
|
2425
2449
|
* @type {string}
|
|
2426
2450
|
* @memberof CompanyData
|
|
2427
2451
|
*/
|
|
2428
2452
|
'zelis_Password'?: string | null;
|
|
2429
2453
|
/**
|
|
2430
|
-
*
|
|
2454
|
+
* Whether or not the system should be polling Zelis Repricing 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.
|
|
2431
2455
|
* @type {boolean}
|
|
2432
2456
|
* @memberof CompanyData
|
|
2433
2457
|
*/
|
|
2434
2458
|
'zelis_Poll': boolean;
|
|
2435
2459
|
/**
|
|
2436
|
-
*
|
|
2460
|
+
* Indicates if Zelis Polling is \"In Testing\". When \"In Testing\", polling activity will fire for the first call to Zelis only, so that Zelis has the claim, then not make any additional polling entries until the client indicates the test is complete. Disabling this will then proceed to make new polling entries on claims in QUEUED and INPROCESS as normal. Note: The database will apply a default value of `False` for this field if a value is not provided. This field is also marked as NOT NULL in the database and therefore required by the API. If you do not have a value for this field, supply the database default value of `False` to meet the API requirements and ensure that the functionality occurs as expected.
|
|
2461
|
+
* @type {boolean}
|
|
2462
|
+
* @memberof CompanyData
|
|
2463
|
+
*/
|
|
2464
|
+
'zelis_Poll_Testing': boolean;
|
|
2465
|
+
/**
|
|
2466
|
+
* URL used to connect to the Zelis Cost Containment System
|
|
2437
2467
|
* @type {string}
|
|
2438
2468
|
* @memberof CompanyData
|
|
2439
2469
|
*/
|
|
2440
2470
|
'zelis_URL'?: string | null;
|
|
2441
2471
|
/**
|
|
2442
|
-
*
|
|
2472
|
+
* Zip code of the Client.
|
|
2443
2473
|
* @type {string}
|
|
2444
2474
|
* @memberof CompanyData
|
|
2445
2475
|
*/
|