samplehc 0.16.0__py3-none-any.whl → 0.18.0__py3-none-any.whl
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.
- samplehc/_client.py +1 -38
- samplehc/_version.py +1 -1
- samplehc/resources/__init__.py +0 -14
- samplehc/resources/v2/__init__.py +0 -98
- samplehc/resources/v2/async_results.py +0 -79
- samplehc/resources/v2/documents/__init__.py +0 -14
- samplehc/resources/v2/documents/documents.py +0 -194
- samplehc/resources/v2/v2.py +0 -224
- samplehc/types/__init__.py +0 -5
- samplehc/types/v2/__init__.py +0 -53
- samplehc/types/v2/documents/__init__.py +0 -3
- {samplehc-0.16.0.dist-info → samplehc-0.18.0.dist-info}/METADATA +22 -27
- samplehc-0.18.0.dist-info/RECORD +92 -0
- samplehc/resources/v1/__init__.py +0 -19
- samplehc/resources/v1/v1.py +0 -298
- samplehc/resources/v2/clearinghouse/__init__.py +0 -47
- samplehc/resources/v2/clearinghouse/claim.py +0 -407
- samplehc/resources/v2/clearinghouse/clearinghouse.py +0 -844
- samplehc/resources/v2/clearinghouse/payers.py +0 -224
- samplehc/resources/v2/documents/pdf_template.py +0 -165
- samplehc/resources/v2/hie/__init__.py +0 -47
- samplehc/resources/v2/hie/adt.py +0 -249
- samplehc/resources/v2/hie/documents.py +0 -390
- samplehc/resources/v2/hie/hie.py +0 -134
- samplehc/resources/v2/integrations/__init__.py +0 -131
- samplehc/resources/v2/integrations/bank/__init__.py +0 -33
- samplehc/resources/v2/integrations/bank/bank.py +0 -102
- samplehc/resources/v2/integrations/bank/transactions.py +0 -185
- samplehc/resources/v2/integrations/careviso.py +0 -372
- samplehc/resources/v2/integrations/glidian/__init__.py +0 -33
- samplehc/resources/v2/integrations/glidian/glidian.py +0 -425
- samplehc/resources/v2/integrations/glidian/prior_authorizations/__init__.py +0 -33
- samplehc/resources/v2/integrations/glidian/prior_authorizations/clinical_questions.py +0 -276
- samplehc/resources/v2/integrations/glidian/prior_authorizations/prior_authorizations.py +0 -527
- samplehc/resources/v2/integrations/integrations.py +0 -326
- samplehc/resources/v2/integrations/kno2/__init__.py +0 -33
- samplehc/resources/v2/integrations/kno2/kno2.py +0 -102
- samplehc/resources/v2/integrations/kno2/messages.py +0 -260
- samplehc/resources/v2/integrations/salesforce.py +0 -277
- samplehc/resources/v2/integrations/snowflake.py +0 -173
- samplehc/resources/v2/integrations/wellsky/__init__.py +0 -33
- samplehc/resources/v2/integrations/wellsky/patients.py +0 -324
- samplehc/resources/v2/integrations/wellsky/wellsky.py +0 -102
- samplehc/resources/v2/integrations/xcures.py +0 -197
- samplehc/resources/v2/policies.py +0 -655
- samplehc/resources/v2/tasks/__init__.py +0 -33
- samplehc/resources/v2/tasks/state.py +0 -266
- samplehc/resources/v2/tasks/tasks.py +0 -754
- samplehc/resources/v2/workflow_runs/__init__.py +0 -33
- samplehc/resources/v2/workflow_runs/step.py +0 -169
- samplehc/resources/v2/workflow_runs/workflow_runs.py +0 -479
- samplehc/resources/v2/workflows.py +0 -365
- samplehc/types/v1/__init__.py +0 -3
- samplehc/types/v1_query_audit_logs_params.py +0 -12
- samplehc/types/v1_query_audit_logs_response.py +0 -16
- samplehc/types/v1_sql_execute_params.py +0 -27
- samplehc/types/v1_sql_execute_response.py +0 -27
- samplehc/types/v2/async_result_retrieve_response.py +0 -18
- samplehc/types/v2/clearinghouse/__init__.py +0 -9
- samplehc/types/v2/clearinghouse/claim_submit_params.py +0 -2693
- samplehc/types/v2/clearinghouse/claim_submit_response.py +0 -23
- samplehc/types/v2/clearinghouse/payer_list_response.py +0 -27
- samplehc/types/v2/clearinghouse/payer_search_params.py +0 -12
- samplehc/types/v2/clearinghouse/payer_search_response.py +0 -33
- samplehc/types/v2/clearinghouse_calculate_patient_cost_params.py +0 -3129
- samplehc/types/v2/clearinghouse_check_claim_status_params.py +0 -41
- samplehc/types/v2/clearinghouse_check_eligibility_params.py +0 -36
- samplehc/types/v2/clearinghouse_check_eligibility_response.py +0 -15
- samplehc/types/v2/clearinghouse_coordination_of_benefits_params.py +0 -35
- samplehc/types/v2/clearinghouse_run_discovery_params.py +0 -59
- samplehc/types/v2/clearinghouse_run_discovery_response.py +0 -13
- samplehc/types/v2/document_unzip_async_response.py +0 -12
- samplehc/types/v2/document_unzip_response.py +0 -20
- samplehc/types/v2/documents/pdf_template_retrieve_metadata_response.py +0 -17
- samplehc/types/v2/hie/__init__.py +0 -8
- samplehc/types/v2/hie/adt_subscribe_params.py +0 -92
- samplehc/types/v2/hie/document_query_params.py +0 -92
- samplehc/types/v2/hie/document_query_response.py +0 -16
- samplehc/types/v2/hie/document_upload_params.py +0 -54
- samplehc/types/v2/integrations/__init__.py +0 -23
- samplehc/types/v2/integrations/bank/__init__.py +0 -6
- samplehc/types/v2/integrations/bank/transaction_sync_params.py +0 -15
- samplehc/types/v2/integrations/bank/transaction_sync_response.py +0 -26
- samplehc/types/v2/integrations/careviso_get_payers_response.py +0 -19
- samplehc/types/v2/integrations/careviso_submit_prior_authorization_params.py +0 -90
- samplehc/types/v2/integrations/glidian/__init__.py +0 -20
- samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_params.py +0 -32
- samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_response.py +0 -24
- samplehc/types/v2/integrations/glidian/prior_authorization_retrieve_record_response.py +0 -13
- samplehc/types/v2/integrations/glidian/prior_authorization_submit_response.py +0 -16
- samplehc/types/v2/integrations/glidian/prior_authorization_update_record_params.py +0 -20
- samplehc/types/v2/integrations/glidian/prior_authorization_update_record_response.py +0 -16
- samplehc/types/v2/integrations/glidian/prior_authorizations/__init__.py +0 -7
- samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_list_response.py +0 -42
- samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_params.py +0 -23
- samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_response.py +0 -19
- samplehc/types/v2/integrations/glidian_get_submission_requirements_params.py +0 -17
- samplehc/types/v2/integrations/glidian_get_submission_requirements_response.py +0 -31
- samplehc/types/v2/integrations/glidian_list_payers_params.py +0 -11
- samplehc/types/v2/integrations/glidian_list_payers_response.py +0 -17
- samplehc/types/v2/integrations/glidian_list_services_params.py +0 -13
- samplehc/types/v2/integrations/glidian_list_services_response.py +0 -19
- samplehc/types/v2/integrations/kno2/__init__.py +0 -6
- samplehc/types/v2/integrations/kno2/message_get_attachment_response.py +0 -15
- samplehc/types/v2/integrations/kno2/message_retrieve_response.py +0 -13
- samplehc/types/v2/integrations/salesforce_run_crud_action_params.py +0 -22
- samplehc/types/v2/integrations/salesforce_run_soql_query_params.py +0 -11
- samplehc/types/v2/integrations/snowflake_query_params.py +0 -12
- samplehc/types/v2/integrations/snowflake_query_response.py +0 -8
- samplehc/types/v2/integrations/wellsky/__init__.py +0 -6
- samplehc/types/v2/integrations/wellsky/patient_add_params.py +0 -13
- samplehc/types/v2/integrations/wellsky/patient_search_params.py +0 -32
- samplehc/types/v2/integrations/xcure_make_request_params.py +0 -18
- samplehc/types/v2/ledger/__init__.py +0 -3
- samplehc/types/v2/policy_list_companies_params.py +0 -18
- samplehc/types/v2/policy_list_companies_response.py +0 -24
- samplehc/types/v2/policy_list_params.py +0 -47
- samplehc/types/v2/policy_list_plans_params.py +0 -18
- samplehc/types/v2/policy_list_plans_response.py +0 -30
- samplehc/types/v2/policy_list_response.py +0 -67
- samplehc/types/v2/policy_retrieve_presigned_url_response.py +0 -17
- samplehc/types/v2/policy_retrieve_text_response.py +0 -12
- samplehc/types/v2/task_cancel_response.py +0 -12
- samplehc/types/v2/task_complete_params.py +0 -12
- samplehc/types/v2/task_complete_response.py +0 -16
- samplehc/types/v2/task_get_suspended_payload_response.py +0 -8
- samplehc/types/v2/task_retrieve_response.py +0 -22
- samplehc/types/v2/task_retry_response.py +0 -10
- samplehc/types/v2/task_update_column_params.py +0 -19
- samplehc/types/v2/task_update_column_response.py +0 -9
- samplehc/types/v2/task_update_screen_time_params.py +0 -14
- samplehc/types/v2/task_update_screen_time_response.py +0 -8
- samplehc/types/v2/tasks/__init__.py +0 -7
- samplehc/types/v2/tasks/state_get_response.py +0 -8
- samplehc/types/v2/tasks/state_update_params.py +0 -13
- samplehc/types/v2/tasks/state_update_response.py +0 -9
- samplehc/types/v2/workflow_deploy_response.py +0 -12
- samplehc/types/v2/workflow_query_params.py +0 -12
- samplehc/types/v2/workflow_query_response.py +0 -8
- samplehc/types/v2/workflow_run_get_start_data_response.py +0 -14
- samplehc/types/v2/workflow_run_resume_when_complete_params.py +0 -14
- samplehc/types/v2/workflow_run_resume_when_complete_response.py +0 -12
- samplehc/types/v2/workflow_run_retrieve_response.py +0 -16
- samplehc/types/v2/workflow_runs/__init__.py +0 -5
- samplehc/types/v2/workflow_runs/step_get_output_response.py +0 -14
- samplehc/types/v2/workflow_start_params.py +0 -17
- samplehc/types/v2/workflow_start_response.py +0 -25
- samplehc-0.16.0.dist-info/RECORD +0 -226
- {samplehc-0.16.0.dist-info → samplehc-0.18.0.dist-info}/WHEEL +0 -0
- {samplehc-0.16.0.dist-info → samplehc-0.18.0.dist-info}/licenses/LICENSE +0 -0
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# File generated from our OpenAPI spec by Stainless. See CONTRIBUTING.md for details.
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from __future__ import annotations
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from typing import List, Iterable
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from typing_extensions import Literal, Required, Annotated, TypedDict
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from ..._types import SequenceNotStr
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from ..._utils import PropertyInfo
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__all__ = [
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"ClearinghouseCalculatePatientCostParams",
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"EligibilityResponse",
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"EligibilityResponseBenefitsInformation",
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"EligibilityResponseBenefitsInformationAdditionalInformation",
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"EligibilityResponseBenefitsInformationBenefitsAdditionalInformation",
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"EligibilityResponseBenefitsInformationBenefitsDateInformation",
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"EligibilityResponseBenefitsInformationBenefitsDateInformationAdmission",
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"EligibilityResponseBenefitsInformationBenefitsDateInformationDischarge",
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"EligibilityResponseBenefitsInformationBenefitsRelatedEntity",
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"EligibilityResponseBenefitsInformationBenefitsRelatedEntityAddress",
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"EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformation",
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"EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformationContact",
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"EligibilityResponseBenefitsInformationBenefitsRelatedEntityProviderInformation",
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"EligibilityResponseBenefitsInformationBenefitsServiceDelivery",
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"EligibilityResponseBenefitsInformationCompositeMedicalProcedureIdentifier",
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"EligibilityResponseBenefitsInformationEligibilityAdditionalInformation",
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"EligibilityResponseBenefitsInformationEligibilityAdditionalInformationList",
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"EligibilityResponseDependent",
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"EligibilityResponseDependentAaaError",
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"EligibilityResponseDependentAddress",
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"EligibilityResponseDependentHealthCareDiagnosisCode",
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"EligibilityResponseDependentResponseProvider",
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"EligibilityResponseDependentResponseProviderAaaError",
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"EligibilityResponseDependentResponseProviderAddress",
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"EligibilityResponseError",
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"EligibilityResponseMeta",
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"EligibilityResponsePayer",
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"EligibilityResponsePayerAaaError",
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"EligibilityResponsePayerContactInformation",
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"EligibilityResponsePayerContactInformationContact",
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"EligibilityResponsePlanDateInformation",
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"EligibilityResponsePlanInformation",
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"EligibilityResponsePlanStatus",
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"EligibilityResponseProvider",
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"EligibilityResponseProviderAaaError",
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"EligibilityResponseProviderAddress",
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"EligibilityResponseSubscriber",
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"EligibilityResponseSubscriberAaaError",
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"EligibilityResponseSubscriberAddress",
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"EligibilityResponseSubscriberHealthCareDiagnosisCode",
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"EligibilityResponseSubscriberResponseProvider",
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"EligibilityResponseSubscriberResponseProviderAaaError",
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"EligibilityResponseSubscriberResponseProviderAddress",
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"EligibilityResponseSubscriberTraceNumber",
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"EligibilityResponseWarning",
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]
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class ClearinghouseCalculatePatientCostParams(TypedDict, total=False):
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eligibility_responses: Required[
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Annotated[Iterable[EligibilityResponse], PropertyInfo(alias="eligibilityResponses")]
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]
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"""
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The eligibility responses that the patient has in order of preference (primary,
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secondary, etc.).
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"""
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line_items: Required[Annotated[Iterable[LineItem], PropertyInfo(alias="lineItems")]]
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"""The line items you are estimating the patient cost for"""
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class EligibilityResponseBenefitsInformationAdditionalInformation(TypedDict, total=False):
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description: str
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class EligibilityResponseBenefitsInformationBenefitsAdditionalInformation(TypedDict, total=False):
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coverage_list_id: Annotated[str, PropertyInfo(alias="coverageListId")]
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drug_formulary_number: Annotated[str, PropertyInfo(alias="drugFormularyNumber")]
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family_unit_number: Annotated[str, PropertyInfo(alias="familyUnitNumber")]
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group_description: Annotated[str, PropertyInfo(alias="groupDescription")]
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group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
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hic_number: Annotated[str, PropertyInfo(alias="hicNumber")]
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insurance_policy_number: Annotated[str, PropertyInfo(alias="insurancePolicyNumber")]
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medicaid_recepient_id_number: Annotated[str, PropertyInfo(alias="medicaidRecepientIdNumber")]
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medical_assistance_category: Annotated[str, PropertyInfo(alias="medicalAssistanceCategory")]
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member_id: Annotated[str, PropertyInfo(alias="memberId")]
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plan_description: Annotated[str, PropertyInfo(alias="planDescription")]
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plan_network_description: Annotated[str, PropertyInfo(alias="planNetworkDescription")]
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plan_network_id_number: Annotated[str, PropertyInfo(alias="planNetworkIdNumber")]
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plan_number: Annotated[str, PropertyInfo(alias="planNumber")]
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prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
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referral_number: Annotated[str, PropertyInfo(alias="referralNumber")]
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class EligibilityResponseBenefitsInformationBenefitsDateInformationAdmission(TypedDict, total=False):
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end_date: Annotated[str, PropertyInfo(alias="endDate")]
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class EligibilityResponseBenefitsInformationBenefitsDateInformationDischarge(TypedDict, total=False):
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end_date: Annotated[str, PropertyInfo(alias="endDate")]
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class EligibilityResponseBenefitsInformationBenefitsDateInformation(TypedDict, total=False):
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admission: str
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admissions: Iterable[EligibilityResponseBenefitsInformationBenefitsDateInformationAdmission]
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benefit: str
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benefit_begin: Annotated[str, PropertyInfo(alias="benefitBegin")]
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benefit_end: Annotated[str, PropertyInfo(alias="benefitEnd")]
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certification: str
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cobra_begin: Annotated[str, PropertyInfo(alias="cobraBegin")]
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cobra_end: Annotated[str, PropertyInfo(alias="cobraEnd")]
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completion: str
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coordination_of_benefits: Annotated[str, PropertyInfo(alias="coordinationOfBenefits")]
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date_of_death: Annotated[str, PropertyInfo(alias="dateOfDeath")]
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date_of_last_update: Annotated[str, PropertyInfo(alias="dateOfLastUpdate")]
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discharge: str
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discharges: Iterable[EligibilityResponseBenefitsInformationBenefitsDateInformationDischarge]
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effective_date_of_change: Annotated[str, PropertyInfo(alias="effectiveDateOfChange")]
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eligibility: str
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eligibility_begin: Annotated[str, PropertyInfo(alias="eligibilityBegin")]
|
|
168
|
-
|
|
169
|
-
eligibility_end: Annotated[str, PropertyInfo(alias="eligibilityEnd")]
|
|
170
|
-
|
|
171
|
-
enrollment: str
|
|
172
|
-
|
|
173
|
-
issue: str
|
|
174
|
-
|
|
175
|
-
latest_visit_or_consultation: Annotated[str, PropertyInfo(alias="latestVisitOrConsultation")]
|
|
176
|
-
|
|
177
|
-
period_end: Annotated[str, PropertyInfo(alias="periodEnd")]
|
|
178
|
-
|
|
179
|
-
period_start: Annotated[str, PropertyInfo(alias="periodStart")]
|
|
180
|
-
|
|
181
|
-
plan: str
|
|
182
|
-
|
|
183
|
-
plan_begin: Annotated[str, PropertyInfo(alias="planBegin")]
|
|
184
|
-
|
|
185
|
-
plan_end: Annotated[str, PropertyInfo(alias="planEnd")]
|
|
186
|
-
|
|
187
|
-
policy_effective: Annotated[str, PropertyInfo(alias="policyEffective")]
|
|
188
|
-
|
|
189
|
-
policy_expiration: Annotated[str, PropertyInfo(alias="policyExpiration")]
|
|
190
|
-
|
|
191
|
-
premium_paidto_date_begin: Annotated[str, PropertyInfo(alias="premiumPaidtoDateBegin")]
|
|
192
|
-
|
|
193
|
-
premium_paid_to_date_end: Annotated[str, PropertyInfo(alias="premiumPaidToDateEnd")]
|
|
194
|
-
|
|
195
|
-
primary_care_provider: Annotated[str, PropertyInfo(alias="primaryCareProvider")]
|
|
196
|
-
|
|
197
|
-
service: str
|
|
198
|
-
|
|
199
|
-
status: str
|
|
200
|
-
|
|
201
|
-
|
|
202
|
-
class EligibilityResponseBenefitsInformationBenefitsRelatedEntityAddress(TypedDict, total=False):
|
|
203
|
-
address1: str
|
|
204
|
-
|
|
205
|
-
address2: str
|
|
206
|
-
|
|
207
|
-
city: str
|
|
208
|
-
|
|
209
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
210
|
-
|
|
211
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
212
|
-
|
|
213
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
214
|
-
|
|
215
|
-
state: Literal[
|
|
216
|
-
"NL",
|
|
217
|
-
"PE",
|
|
218
|
-
"NS",
|
|
219
|
-
"NB",
|
|
220
|
-
"QC",
|
|
221
|
-
"ON",
|
|
222
|
-
"MB",
|
|
223
|
-
"SK",
|
|
224
|
-
"AB",
|
|
225
|
-
"BC",
|
|
226
|
-
"YT",
|
|
227
|
-
"NT",
|
|
228
|
-
"NU",
|
|
229
|
-
"DC",
|
|
230
|
-
"AS",
|
|
231
|
-
"GU",
|
|
232
|
-
"MP",
|
|
233
|
-
"PR",
|
|
234
|
-
"UM",
|
|
235
|
-
"VI",
|
|
236
|
-
"AK",
|
|
237
|
-
"AL",
|
|
238
|
-
"AR",
|
|
239
|
-
"AZ",
|
|
240
|
-
"CA",
|
|
241
|
-
"CO",
|
|
242
|
-
"CT",
|
|
243
|
-
"DE",
|
|
244
|
-
"FL",
|
|
245
|
-
"GA",
|
|
246
|
-
"HI",
|
|
247
|
-
"IA",
|
|
248
|
-
"ID",
|
|
249
|
-
"IL",
|
|
250
|
-
"IN",
|
|
251
|
-
"KS",
|
|
252
|
-
"KY",
|
|
253
|
-
"LA",
|
|
254
|
-
"MA",
|
|
255
|
-
"MD",
|
|
256
|
-
"ME",
|
|
257
|
-
"MI",
|
|
258
|
-
"MN",
|
|
259
|
-
"MO",
|
|
260
|
-
"MS",
|
|
261
|
-
"MT",
|
|
262
|
-
"NC",
|
|
263
|
-
"ND",
|
|
264
|
-
"NE",
|
|
265
|
-
"NH",
|
|
266
|
-
"NJ",
|
|
267
|
-
"NM",
|
|
268
|
-
"NV",
|
|
269
|
-
"NY",
|
|
270
|
-
"OH",
|
|
271
|
-
"OK",
|
|
272
|
-
"OR",
|
|
273
|
-
"PA",
|
|
274
|
-
"RI",
|
|
275
|
-
"SC",
|
|
276
|
-
"SD",
|
|
277
|
-
"TN",
|
|
278
|
-
"TX",
|
|
279
|
-
"UT",
|
|
280
|
-
"VA",
|
|
281
|
-
"VT",
|
|
282
|
-
"WA",
|
|
283
|
-
"WI",
|
|
284
|
-
"WV",
|
|
285
|
-
"WY",
|
|
286
|
-
]
|
|
287
|
-
|
|
288
|
-
|
|
289
|
-
class EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformationContact(TypedDict, total=False):
|
|
290
|
-
communication_mode: Annotated[
|
|
291
|
-
Literal[
|
|
292
|
-
"Electronic Data Interchange Access Number",
|
|
293
|
-
"Electronic Mail",
|
|
294
|
-
"Facsimile",
|
|
295
|
-
"Telephone",
|
|
296
|
-
"Uniform Resource Locator (URL)",
|
|
297
|
-
],
|
|
298
|
-
PropertyInfo(alias="communicationMode"),
|
|
299
|
-
]
|
|
300
|
-
|
|
301
|
-
communication_number: Annotated[str, PropertyInfo(alias="communicationNumber")]
|
|
302
|
-
|
|
303
|
-
|
|
304
|
-
class EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformation(TypedDict, total=False):
|
|
305
|
-
contacts: Iterable[EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformationContact]
|
|
306
|
-
|
|
307
|
-
name: str
|
|
308
|
-
|
|
309
|
-
|
|
310
|
-
class EligibilityResponseBenefitsInformationBenefitsRelatedEntityProviderInformation(TypedDict, total=False):
|
|
311
|
-
provider_code: Annotated[
|
|
312
|
-
Literal[
|
|
313
|
-
"AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU"
|
|
314
|
-
],
|
|
315
|
-
PropertyInfo(alias="providerCode"),
|
|
316
|
-
]
|
|
317
|
-
|
|
318
|
-
reference_identification: Annotated[str, PropertyInfo(alias="referenceIdentification")]
|
|
319
|
-
|
|
320
|
-
|
|
321
|
-
class EligibilityResponseBenefitsInformationBenefitsRelatedEntity(TypedDict, total=False):
|
|
322
|
-
address: EligibilityResponseBenefitsInformationBenefitsRelatedEntityAddress
|
|
323
|
-
|
|
324
|
-
contact_information: Annotated[
|
|
325
|
-
EligibilityResponseBenefitsInformationBenefitsRelatedEntityContactInformation,
|
|
326
|
-
PropertyInfo(alias="contactInformation"),
|
|
327
|
-
]
|
|
328
|
-
|
|
329
|
-
entity_firstname: Annotated[str, PropertyInfo(alias="entityFirstname")]
|
|
330
|
-
|
|
331
|
-
entity_identification: Annotated[
|
|
332
|
-
Literal["24", "34", "46", "FA", "FI", "II", "MI", "NI", "PI", "PP", "SV", "XV", "XX"],
|
|
333
|
-
PropertyInfo(alias="entityIdentification"),
|
|
334
|
-
]
|
|
335
|
-
|
|
336
|
-
entity_identification_value: Annotated[str, PropertyInfo(alias="entityIdentificationValue")]
|
|
337
|
-
|
|
338
|
-
entity_identifier: Annotated[
|
|
339
|
-
Literal[
|
|
340
|
-
"Contracted Service Provider",
|
|
341
|
-
"Preferred Provider Organization (PPO)",
|
|
342
|
-
"Provider",
|
|
343
|
-
"Third-Party Administrator",
|
|
344
|
-
"Employer",
|
|
345
|
-
"Other Physician",
|
|
346
|
-
"Facility",
|
|
347
|
-
"Gateway Provider",
|
|
348
|
-
"Group",
|
|
349
|
-
"Independent Physicians Association (IPA)",
|
|
350
|
-
"Insured or Subscriber",
|
|
351
|
-
"Legal Representative",
|
|
352
|
-
"Origin Carrier",
|
|
353
|
-
"Primary Care Provider",
|
|
354
|
-
"Prior Insurance Carrier",
|
|
355
|
-
"Plan Sponsor",
|
|
356
|
-
"Payer",
|
|
357
|
-
"Primary Payer",
|
|
358
|
-
"Secondary Payer",
|
|
359
|
-
"Tertiary Payer",
|
|
360
|
-
"Party Performing Verification",
|
|
361
|
-
"Vendor",
|
|
362
|
-
"Organization Completing Configuration Change",
|
|
363
|
-
"Utilization Management Organization",
|
|
364
|
-
"Managed Care Organization",
|
|
365
|
-
],
|
|
366
|
-
PropertyInfo(alias="entityIdentifier"),
|
|
367
|
-
]
|
|
368
|
-
|
|
369
|
-
entity_middlename: Annotated[str, PropertyInfo(alias="entityMiddlename")]
|
|
370
|
-
|
|
371
|
-
entity_name: Annotated[str, PropertyInfo(alias="entityName")]
|
|
372
|
-
|
|
373
|
-
entity_relationship: Annotated[
|
|
374
|
-
Literal["01", "02", "27", "41", "48", "65", "72"], PropertyInfo(alias="entityRelationship")
|
|
375
|
-
]
|
|
376
|
-
|
|
377
|
-
entity_suffix: Annotated[str, PropertyInfo(alias="entitySuffix")]
|
|
378
|
-
|
|
379
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
380
|
-
|
|
381
|
-
provider_information: Annotated[
|
|
382
|
-
EligibilityResponseBenefitsInformationBenefitsRelatedEntityProviderInformation,
|
|
383
|
-
PropertyInfo(alias="providerInformation"),
|
|
384
|
-
]
|
|
385
|
-
|
|
386
|
-
|
|
387
|
-
class EligibilityResponseBenefitsInformationBenefitsServiceDelivery(TypedDict, total=False):
|
|
388
|
-
delivery_or_calendar_pattern_code: Annotated[
|
|
389
|
-
Literal[
|
|
390
|
-
"1st Week of the Month",
|
|
391
|
-
"2nd Week of the Month",
|
|
392
|
-
"3rd Week of the Month",
|
|
393
|
-
"4th Week of the Month",
|
|
394
|
-
"5th Week of the Month",
|
|
395
|
-
"1st & 3rd Week of the Month",
|
|
396
|
-
"2nd & 4th Week of the Month",
|
|
397
|
-
"1st Working Day of Period",
|
|
398
|
-
"Last Working Day of Period",
|
|
399
|
-
"Monday through Friday",
|
|
400
|
-
"Monday through Saturday",
|
|
401
|
-
"Monday through Sunday",
|
|
402
|
-
"Monday",
|
|
403
|
-
"Tuesday",
|
|
404
|
-
"Wednesday",
|
|
405
|
-
"Thursday",
|
|
406
|
-
"Friday",
|
|
407
|
-
"Saturday",
|
|
408
|
-
"Sunday",
|
|
409
|
-
"Monday through Thursday",
|
|
410
|
-
"Immediately",
|
|
411
|
-
"As Directed",
|
|
412
|
-
"Daily Mon. Through Fri.",
|
|
413
|
-
"1/2 Mon. & 1/2 Tues.",
|
|
414
|
-
"1/2 Tues. & 1/2 Thurs.",
|
|
415
|
-
"1/2 Wed. & 1/2 Fri.",
|
|
416
|
-
"Once Anytime Mon. through Fri.",
|
|
417
|
-
"Tuesday through Friday",
|
|
418
|
-
"Monday, Tuesday and Thursday",
|
|
419
|
-
"Monday, Tuesday and Friday",
|
|
420
|
-
"Wednesday and Thursday",
|
|
421
|
-
"Monday, Wednesday and Thursday",
|
|
422
|
-
"Tuesday, Thursday and Friday",
|
|
423
|
-
"1/2 Tues. & 1/2 Fri.",
|
|
424
|
-
"1/2 Mon. & 1/2 Wed.",
|
|
425
|
-
"1/3 Mon., 1/3 Wed., 1/3 Fri.",
|
|
426
|
-
"Whenever Necessary",
|
|
427
|
-
"1/2 By Wed. Bal. By Fri.",
|
|
428
|
-
"None (Also Used to Cancel or Override a Previous Pattern)",
|
|
429
|
-
],
|
|
430
|
-
PropertyInfo(alias="deliveryOrCalendarPatternCode"),
|
|
431
|
-
]
|
|
432
|
-
|
|
433
|
-
delivery_or_calendar_pattern_qualifier: Annotated[
|
|
434
|
-
Literal[
|
|
435
|
-
"1st Week of the Month",
|
|
436
|
-
"2nd Week of the Month",
|
|
437
|
-
"3rd Week of the Month",
|
|
438
|
-
"4th Week of the Month",
|
|
439
|
-
"5th Week of the Month",
|
|
440
|
-
"1st & 3rd Week of the Month",
|
|
441
|
-
"2nd & 4th Week of the Month",
|
|
442
|
-
"1st Working Day of Period",
|
|
443
|
-
"Last Working Day of Period",
|
|
444
|
-
"Monday through Friday",
|
|
445
|
-
"Monday through Saturday",
|
|
446
|
-
"Monday through Sunday",
|
|
447
|
-
"Monday",
|
|
448
|
-
"Tuesday",
|
|
449
|
-
"Wednesday",
|
|
450
|
-
"Thursday",
|
|
451
|
-
"Friday",
|
|
452
|
-
"Saturday",
|
|
453
|
-
"Sunday",
|
|
454
|
-
"Monday through Thursday",
|
|
455
|
-
"Immediately",
|
|
456
|
-
"As Directed",
|
|
457
|
-
"Daily Mon. Through Fri.",
|
|
458
|
-
"1/2 Mon. & 1/2 Tues.",
|
|
459
|
-
"1/2 Tues. & 1/2 Thurs.",
|
|
460
|
-
"1/2 Wed. & 1/2 Fri.",
|
|
461
|
-
"Once Anytime Mon. through Fri.",
|
|
462
|
-
"Tuesday through Friday",
|
|
463
|
-
"Monday, Tuesday and Thursday",
|
|
464
|
-
"Monday, Tuesday and Friday",
|
|
465
|
-
"Wednesday and Thursday",
|
|
466
|
-
"Monday, Wednesday and Thursday",
|
|
467
|
-
"Tuesday, Thursday and Friday",
|
|
468
|
-
"1/2 Tues. & 1/2 Fri.",
|
|
469
|
-
"1/2 Mon. & 1/2 Wed.",
|
|
470
|
-
"1/3 Mon., 1/3 Wed., 1/3 Fri.",
|
|
471
|
-
"Whenever Necessary",
|
|
472
|
-
"1/2 By Wed. Bal. By Fri.",
|
|
473
|
-
"None (Also Used to Cancel or Override a Previous Pattern)",
|
|
474
|
-
],
|
|
475
|
-
PropertyInfo(alias="deliveryOrCalendarPatternQualifier"),
|
|
476
|
-
]
|
|
477
|
-
|
|
478
|
-
delivery_or_calendar_pattern_qualifier_code: Annotated[
|
|
479
|
-
Literal[
|
|
480
|
-
"1",
|
|
481
|
-
"2",
|
|
482
|
-
"3",
|
|
483
|
-
"4",
|
|
484
|
-
"5",
|
|
485
|
-
"6",
|
|
486
|
-
"7",
|
|
487
|
-
"8",
|
|
488
|
-
"9",
|
|
489
|
-
"A",
|
|
490
|
-
"B",
|
|
491
|
-
"C",
|
|
492
|
-
"D",
|
|
493
|
-
"E",
|
|
494
|
-
"F",
|
|
495
|
-
"G",
|
|
496
|
-
"H",
|
|
497
|
-
"J",
|
|
498
|
-
"K",
|
|
499
|
-
"L",
|
|
500
|
-
"M",
|
|
501
|
-
"N",
|
|
502
|
-
"O",
|
|
503
|
-
"P",
|
|
504
|
-
"Q",
|
|
505
|
-
"R",
|
|
506
|
-
"S",
|
|
507
|
-
"SG",
|
|
508
|
-
"SL",
|
|
509
|
-
"SP",
|
|
510
|
-
"SX",
|
|
511
|
-
"SY",
|
|
512
|
-
"SZ",
|
|
513
|
-
"T",
|
|
514
|
-
"U",
|
|
515
|
-
"V",
|
|
516
|
-
"W",
|
|
517
|
-
"X",
|
|
518
|
-
"Y",
|
|
519
|
-
],
|
|
520
|
-
PropertyInfo(alias="deliveryOrCalendarPatternQualifierCode"),
|
|
521
|
-
]
|
|
522
|
-
|
|
523
|
-
delivery_pattern_time_code: Annotated[
|
|
524
|
-
Literal[
|
|
525
|
-
"1st Shift (Normal Working Hours)",
|
|
526
|
-
"2nd Shift",
|
|
527
|
-
"3rd Shift",
|
|
528
|
-
"A.M.",
|
|
529
|
-
"P.M.",
|
|
530
|
-
"As Directed",
|
|
531
|
-
"Any Shift",
|
|
532
|
-
"None (Also Used to Cancel or Override a Previous Pattern)",
|
|
533
|
-
],
|
|
534
|
-
PropertyInfo(alias="deliveryPatternTimeCode"),
|
|
535
|
-
]
|
|
536
|
-
|
|
537
|
-
delivery_pattern_time_qualifier: Annotated[
|
|
538
|
-
Literal[
|
|
539
|
-
"1st Shift (Normal Working Hours)",
|
|
540
|
-
"2nd Shift",
|
|
541
|
-
"3rd Shift",
|
|
542
|
-
"A.M.",
|
|
543
|
-
"P.M.",
|
|
544
|
-
"As Directed",
|
|
545
|
-
"Any Shift",
|
|
546
|
-
"None (Also Used to Cancel or Override a Previous Pattern)",
|
|
547
|
-
],
|
|
548
|
-
PropertyInfo(alias="deliveryPatternTimeQualifier"),
|
|
549
|
-
]
|
|
550
|
-
|
|
551
|
-
delivery_pattern_time_qualifier_code: Annotated[
|
|
552
|
-
Literal["A", "B", "C", "D", "E", "F", "G", "Y"], PropertyInfo(alias="deliveryPatternTimeQualifierCode")
|
|
553
|
-
]
|
|
554
|
-
|
|
555
|
-
num_of_periods: Annotated[str, PropertyInfo(alias="numOfPeriods")]
|
|
556
|
-
|
|
557
|
-
quantity: str
|
|
558
|
-
|
|
559
|
-
quantity_qualifier: Annotated[
|
|
560
|
-
Literal["Days", "Units", "Hours", "Month", "Visits"], PropertyInfo(alias="quantityQualifier")
|
|
561
|
-
]
|
|
562
|
-
|
|
563
|
-
quantity_qualifier_code: Annotated[
|
|
564
|
-
Literal["DY", "FL", "HS", "MN", "VS"], PropertyInfo(alias="quantityQualifierCode")
|
|
565
|
-
]
|
|
566
|
-
|
|
567
|
-
sample_selection_modulus: Annotated[str, PropertyInfo(alias="sampleSelectionModulus")]
|
|
568
|
-
|
|
569
|
-
time_period_qualifier: Annotated[
|
|
570
|
-
Literal[
|
|
571
|
-
"Hour",
|
|
572
|
-
"Day",
|
|
573
|
-
"Years",
|
|
574
|
-
"Service Year",
|
|
575
|
-
"Calendar Year",
|
|
576
|
-
"Year to Date",
|
|
577
|
-
"Contract",
|
|
578
|
-
"Episode",
|
|
579
|
-
"Visit",
|
|
580
|
-
"Outlier",
|
|
581
|
-
"Remaining",
|
|
582
|
-
"Exceeded",
|
|
583
|
-
"Not Exceeded",
|
|
584
|
-
"Lifetime",
|
|
585
|
-
"Lifetime Remaining",
|
|
586
|
-
"Month",
|
|
587
|
-
"Week",
|
|
588
|
-
],
|
|
589
|
-
PropertyInfo(alias="timePeriodQualifier"),
|
|
590
|
-
]
|
|
591
|
-
|
|
592
|
-
time_period_qualifier_code: Annotated[
|
|
593
|
-
Literal["6", "7", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35"],
|
|
594
|
-
PropertyInfo(alias="timePeriodQualifierCode"),
|
|
595
|
-
]
|
|
596
|
-
|
|
597
|
-
unit_for_measurement_code: Annotated[
|
|
598
|
-
Literal["Days", "Months", "Visits", "Week", "Years"], PropertyInfo(alias="unitForMeasurementCode")
|
|
599
|
-
]
|
|
600
|
-
|
|
601
|
-
unit_for_measurement_qualifier: Annotated[
|
|
602
|
-
Literal["Days", "Months", "Visits", "Week", "Years"], PropertyInfo(alias="unitForMeasurementQualifier")
|
|
603
|
-
]
|
|
604
|
-
|
|
605
|
-
unit_for_measurement_qualifier_code: Annotated[
|
|
606
|
-
Literal["DA", "MO", "VS", "WK", "YR"], PropertyInfo(alias="unitForMeasurementQualifierCode")
|
|
607
|
-
]
|
|
608
|
-
|
|
609
|
-
|
|
610
|
-
class EligibilityResponseBenefitsInformationCompositeMedicalProcedureIdentifier(TypedDict, total=False):
|
|
611
|
-
diagnosis_code_pointer: Annotated[SequenceNotStr[str], PropertyInfo(alias="diagnosisCodePointer")]
|
|
612
|
-
|
|
613
|
-
procedure_code: Annotated[str, PropertyInfo(alias="procedureCode")]
|
|
614
|
-
|
|
615
|
-
procedure_modifiers: Annotated[SequenceNotStr[str], PropertyInfo(alias="procedureModifiers")]
|
|
616
|
-
|
|
617
|
-
product_or_service_id: Annotated[str, PropertyInfo(alias="productOrServiceID")]
|
|
618
|
-
|
|
619
|
-
product_or_service_id_qualifier: Annotated[str, PropertyInfo(alias="productOrServiceIdQualifier")]
|
|
620
|
-
|
|
621
|
-
product_or_service_id_qualifier_code: Annotated[str, PropertyInfo(alias="productOrServiceIdQualifierCode")]
|
|
622
|
-
|
|
623
|
-
|
|
624
|
-
class EligibilityResponseBenefitsInformationEligibilityAdditionalInformation(TypedDict, total=False):
|
|
625
|
-
code_category: Annotated[Literal["44"], PropertyInfo(alias="codeCategory")]
|
|
626
|
-
|
|
627
|
-
code_list_qualifier: Annotated[str, PropertyInfo(alias="codeListQualifier")]
|
|
628
|
-
|
|
629
|
-
code_list_qualifier_code: Annotated[Literal["GR", "NI", "ZZ"], PropertyInfo(alias="codeListQualifierCode")]
|
|
630
|
-
|
|
631
|
-
industry: str
|
|
632
|
-
|
|
633
|
-
industry_code: Annotated[str, PropertyInfo(alias="industryCode")]
|
|
634
|
-
|
|
635
|
-
injured_body_part_name: Annotated[str, PropertyInfo(alias="injuredBodyPartName")]
|
|
636
|
-
|
|
637
|
-
|
|
638
|
-
class EligibilityResponseBenefitsInformationEligibilityAdditionalInformationList(TypedDict, total=False):
|
|
639
|
-
code_category: Annotated[Literal["44"], PropertyInfo(alias="codeCategory")]
|
|
640
|
-
|
|
641
|
-
code_list_qualifier: Annotated[str, PropertyInfo(alias="codeListQualifier")]
|
|
642
|
-
|
|
643
|
-
code_list_qualifier_code: Annotated[Literal["GR", "NI", "ZZ"], PropertyInfo(alias="codeListQualifierCode")]
|
|
644
|
-
|
|
645
|
-
industry: str
|
|
646
|
-
|
|
647
|
-
industry_code: Annotated[str, PropertyInfo(alias="industryCode")]
|
|
648
|
-
|
|
649
|
-
injured_body_part_name: Annotated[str, PropertyInfo(alias="injuredBodyPartName")]
|
|
650
|
-
|
|
651
|
-
|
|
652
|
-
class EligibilityResponseBenefitsInformation(TypedDict, total=False):
|
|
653
|
-
additional_information: Annotated[
|
|
654
|
-
Iterable[EligibilityResponseBenefitsInformationAdditionalInformation],
|
|
655
|
-
PropertyInfo(alias="additionalInformation"),
|
|
656
|
-
]
|
|
657
|
-
|
|
658
|
-
auth_or_cert_indicator: Annotated[Literal["N", "U", "Y"], PropertyInfo(alias="authOrCertIndicator")]
|
|
659
|
-
|
|
660
|
-
benefit_amount: Annotated[str, PropertyInfo(alias="benefitAmount")]
|
|
661
|
-
|
|
662
|
-
benefit_percent: Annotated[str, PropertyInfo(alias="benefitPercent")]
|
|
663
|
-
|
|
664
|
-
benefit_quantity: Annotated[str, PropertyInfo(alias="benefitQuantity")]
|
|
665
|
-
|
|
666
|
-
benefits_additional_information: Annotated[
|
|
667
|
-
EligibilityResponseBenefitsInformationBenefitsAdditionalInformation,
|
|
668
|
-
PropertyInfo(alias="benefitsAdditionalInformation"),
|
|
669
|
-
]
|
|
670
|
-
|
|
671
|
-
benefits_date_information: Annotated[
|
|
672
|
-
EligibilityResponseBenefitsInformationBenefitsDateInformation, PropertyInfo(alias="benefitsDateInformation")
|
|
673
|
-
]
|
|
674
|
-
|
|
675
|
-
benefits_related_entities: Annotated[
|
|
676
|
-
Iterable[EligibilityResponseBenefitsInformationBenefitsRelatedEntity],
|
|
677
|
-
PropertyInfo(alias="benefitsRelatedEntities"),
|
|
678
|
-
]
|
|
679
|
-
|
|
680
|
-
benefits_related_entity: Annotated[
|
|
681
|
-
EligibilityResponseBenefitsInformationBenefitsRelatedEntity, PropertyInfo(alias="benefitsRelatedEntity")
|
|
682
|
-
]
|
|
683
|
-
|
|
684
|
-
benefits_service_delivery: Annotated[
|
|
685
|
-
Iterable[EligibilityResponseBenefitsInformationBenefitsServiceDelivery],
|
|
686
|
-
PropertyInfo(alias="benefitsServiceDelivery"),
|
|
687
|
-
]
|
|
688
|
-
|
|
689
|
-
code: Literal[
|
|
690
|
-
"1",
|
|
691
|
-
"2",
|
|
692
|
-
"3",
|
|
693
|
-
"4",
|
|
694
|
-
"5",
|
|
695
|
-
"6",
|
|
696
|
-
"7",
|
|
697
|
-
"8",
|
|
698
|
-
"A",
|
|
699
|
-
"B",
|
|
700
|
-
"C",
|
|
701
|
-
"CB",
|
|
702
|
-
"D",
|
|
703
|
-
"E",
|
|
704
|
-
"F",
|
|
705
|
-
"G",
|
|
706
|
-
"H",
|
|
707
|
-
"I",
|
|
708
|
-
"J",
|
|
709
|
-
"K",
|
|
710
|
-
"L",
|
|
711
|
-
"M",
|
|
712
|
-
"MC",
|
|
713
|
-
"N",
|
|
714
|
-
"O",
|
|
715
|
-
"P",
|
|
716
|
-
"Q",
|
|
717
|
-
"R",
|
|
718
|
-
"S",
|
|
719
|
-
"T",
|
|
720
|
-
"U",
|
|
721
|
-
"V",
|
|
722
|
-
"W",
|
|
723
|
-
"X",
|
|
724
|
-
"Y",
|
|
725
|
-
]
|
|
726
|
-
|
|
727
|
-
composite_medical_procedure_identifier: Annotated[
|
|
728
|
-
EligibilityResponseBenefitsInformationCompositeMedicalProcedureIdentifier,
|
|
729
|
-
PropertyInfo(alias="compositeMedicalProcedureIdentifier"),
|
|
730
|
-
]
|
|
731
|
-
|
|
732
|
-
coverage_level: Annotated[
|
|
733
|
-
Literal[
|
|
734
|
-
"Children Only",
|
|
735
|
-
"Dependents Only",
|
|
736
|
-
"Employee and Children",
|
|
737
|
-
"Employee Only",
|
|
738
|
-
"Employee and Spouse",
|
|
739
|
-
"Family",
|
|
740
|
-
"Individual",
|
|
741
|
-
"Spouse and Children",
|
|
742
|
-
"Spouse Only",
|
|
743
|
-
],
|
|
744
|
-
PropertyInfo(alias="coverageLevel"),
|
|
745
|
-
]
|
|
746
|
-
|
|
747
|
-
coverage_level_code: Annotated[
|
|
748
|
-
Literal["CHD", "DEP", "ECH", "EMP", "ESP", "FAM", "IND", "SPC", "SPO"], PropertyInfo(alias="coverageLevelCode")
|
|
749
|
-
]
|
|
750
|
-
|
|
751
|
-
eligibility_additional_information: Annotated[
|
|
752
|
-
EligibilityResponseBenefitsInformationEligibilityAdditionalInformation,
|
|
753
|
-
PropertyInfo(alias="eligibilityAdditionalInformation"),
|
|
754
|
-
]
|
|
755
|
-
|
|
756
|
-
eligibility_additional_information_list: Annotated[
|
|
757
|
-
Iterable[EligibilityResponseBenefitsInformationEligibilityAdditionalInformationList],
|
|
758
|
-
PropertyInfo(alias="eligibilityAdditionalInformationList"),
|
|
759
|
-
]
|
|
760
|
-
|
|
761
|
-
header_loop_identifier_code: Annotated[str, PropertyInfo(alias="headerLoopIdentifierCode")]
|
|
762
|
-
|
|
763
|
-
in_plan_network_indicator: Annotated[
|
|
764
|
-
Literal["Yes", "No", "Unknown", "Not Applicable"], PropertyInfo(alias="inPlanNetworkIndicator")
|
|
765
|
-
]
|
|
766
|
-
|
|
767
|
-
in_plan_network_indicator_code: Annotated[
|
|
768
|
-
Literal["Y", "N", "U", "W"], PropertyInfo(alias="inPlanNetworkIndicatorCode")
|
|
769
|
-
]
|
|
770
|
-
|
|
771
|
-
insurance_type: Annotated[
|
|
772
|
-
Literal[
|
|
773
|
-
"Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan",
|
|
774
|
-
"Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employer's Group Health Plan",
|
|
775
|
-
"Medicare Secondary, No-fault Insurance including Auto is Primary",
|
|
776
|
-
"Medicare Secondary Worker's Compensation",
|
|
777
|
-
"Medicare Secondary Public Health Service (PHS)or Other Federal Agency",
|
|
778
|
-
"Medicare Secondary Black Lung",
|
|
779
|
-
"Medicare Secondary Veteran's Administration",
|
|
780
|
-
"Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)",
|
|
781
|
-
"Medicare Secondary, Other Liability Insurance is Primary",
|
|
782
|
-
"Auto Insurance Policy",
|
|
783
|
-
"Commercial",
|
|
784
|
-
"Consolidated Omnibus Budget Reconciliation Act (COBRA)",
|
|
785
|
-
"Medicare Conditionally Primary",
|
|
786
|
-
"Disability",
|
|
787
|
-
"Disability Benefits",
|
|
788
|
-
"Exclusive Provider Organization",
|
|
789
|
-
"Family or Friends",
|
|
790
|
-
"Group Policy",
|
|
791
|
-
"Health Maintenance Organization (HMO)",
|
|
792
|
-
"Health Maintenance Organization (HMO) - Medicare Risk",
|
|
793
|
-
"Special Low Income Medicare Beneficiary",
|
|
794
|
-
"Indemnity",
|
|
795
|
-
"Individual Policy",
|
|
796
|
-
"Long Term Care",
|
|
797
|
-
"Long Term Policy",
|
|
798
|
-
"Life Insurance",
|
|
799
|
-
"Litigation",
|
|
800
|
-
"Medicare Part A",
|
|
801
|
-
"Medicare Part B",
|
|
802
|
-
"Medicaid",
|
|
803
|
-
"Medigap Part A",
|
|
804
|
-
"Medigap Part B",
|
|
805
|
-
"Medicare Primary",
|
|
806
|
-
"Other",
|
|
807
|
-
"Property Insurance - Personal",
|
|
808
|
-
"Personal",
|
|
809
|
-
"Personal Payment (Cash - No Insurance)",
|
|
810
|
-
"Preferred Provider Organization (PPO)",
|
|
811
|
-
"Point of Service (POS)",
|
|
812
|
-
"Qualified Medicare Beneficiary",
|
|
813
|
-
"Property Insurance - Real",
|
|
814
|
-
"Supplemental Policy",
|
|
815
|
-
"Tax Equity Fiscal Responsibility Act (TEFRA)",
|
|
816
|
-
"Workers Compensation",
|
|
817
|
-
"Wrap Up Policy",
|
|
818
|
-
],
|
|
819
|
-
PropertyInfo(alias="insuranceType"),
|
|
820
|
-
]
|
|
821
|
-
|
|
822
|
-
insurance_type_code: Annotated[
|
|
823
|
-
Literal[
|
|
824
|
-
"12",
|
|
825
|
-
"13",
|
|
826
|
-
"14",
|
|
827
|
-
"15",
|
|
828
|
-
"16",
|
|
829
|
-
"41",
|
|
830
|
-
"42",
|
|
831
|
-
"43",
|
|
832
|
-
"47",
|
|
833
|
-
"AP",
|
|
834
|
-
"C1",
|
|
835
|
-
"CO",
|
|
836
|
-
"CP",
|
|
837
|
-
"D",
|
|
838
|
-
"DB",
|
|
839
|
-
"EP",
|
|
840
|
-
"FF",
|
|
841
|
-
"GP",
|
|
842
|
-
"HM",
|
|
843
|
-
"HN",
|
|
844
|
-
"HS",
|
|
845
|
-
"IN",
|
|
846
|
-
"IP",
|
|
847
|
-
"LC",
|
|
848
|
-
"LD",
|
|
849
|
-
"LI",
|
|
850
|
-
"LT",
|
|
851
|
-
"MA",
|
|
852
|
-
"MB",
|
|
853
|
-
"MC",
|
|
854
|
-
"MH",
|
|
855
|
-
"MI",
|
|
856
|
-
"MP",
|
|
857
|
-
"OT",
|
|
858
|
-
"PE",
|
|
859
|
-
"PL",
|
|
860
|
-
"PP",
|
|
861
|
-
"PR",
|
|
862
|
-
"PS",
|
|
863
|
-
"QM",
|
|
864
|
-
"RP",
|
|
865
|
-
"SP",
|
|
866
|
-
"TF",
|
|
867
|
-
"WC",
|
|
868
|
-
"WU",
|
|
869
|
-
],
|
|
870
|
-
PropertyInfo(alias="insuranceTypeCode"),
|
|
871
|
-
]
|
|
872
|
-
|
|
873
|
-
name: Literal[
|
|
874
|
-
"Active Coverage",
|
|
875
|
-
"Active - Full Risk Capitation",
|
|
876
|
-
"Active - Services Capitated",
|
|
877
|
-
"Active - Services Capitated to Primary Care Physician",
|
|
878
|
-
"Active - Pending Investigation",
|
|
879
|
-
"Inactive",
|
|
880
|
-
"Inactive - Pending Eligibility Update",
|
|
881
|
-
"Inactive - Pending Investigation",
|
|
882
|
-
"Co-Insurance",
|
|
883
|
-
"Co-Payment",
|
|
884
|
-
"Deductible",
|
|
885
|
-
"Coverage Basis",
|
|
886
|
-
"Benefit Description",
|
|
887
|
-
"Exclusions",
|
|
888
|
-
"Limitations",
|
|
889
|
-
"Out of Pocket (Stop Loss)",
|
|
890
|
-
"Unlimited",
|
|
891
|
-
"Non-Covered",
|
|
892
|
-
"Cost Containment",
|
|
893
|
-
"Reserve",
|
|
894
|
-
"Primary Care Provider",
|
|
895
|
-
"Pre-existing Condition",
|
|
896
|
-
"Managed Care Coordinator",
|
|
897
|
-
"Services Restricted to Following Provider",
|
|
898
|
-
"Not Deemed a Medical Necessity",
|
|
899
|
-
"Benefit Disclaimer",
|
|
900
|
-
"Second Surgical Opinion Required",
|
|
901
|
-
"Other or Additional Payor",
|
|
902
|
-
"Prior Year(s) History",
|
|
903
|
-
"Card(s) Reported Lost/Stolen",
|
|
904
|
-
"Contact Following Entity for Eligibility or Benefit Information",
|
|
905
|
-
"Cannot Process",
|
|
906
|
-
"Other Source of Data",
|
|
907
|
-
"Health Care Facility",
|
|
908
|
-
"Spend Down",
|
|
909
|
-
]
|
|
910
|
-
|
|
911
|
-
plan_coverage: Annotated[str, PropertyInfo(alias="planCoverage")]
|
|
912
|
-
|
|
913
|
-
quantity_qualifier: Annotated[
|
|
914
|
-
Literal[
|
|
915
|
-
"Minimum",
|
|
916
|
-
"Quantity Used",
|
|
917
|
-
"Covered - Actual",
|
|
918
|
-
"Covered - Estimated",
|
|
919
|
-
"Number of Co-insurance Days",
|
|
920
|
-
"Deductible Blood Units",
|
|
921
|
-
"Days",
|
|
922
|
-
"Hours",
|
|
923
|
-
"Life-time Reserve - Actual",
|
|
924
|
-
"Life-time Reserve - Estimated",
|
|
925
|
-
"Maximum",
|
|
926
|
-
"Month",
|
|
927
|
-
"Number of Services or Procedures",
|
|
928
|
-
"Quantity Approved",
|
|
929
|
-
"Age, High Value",
|
|
930
|
-
"Age, Low Value",
|
|
931
|
-
"Visits",
|
|
932
|
-
"Years",
|
|
933
|
-
],
|
|
934
|
-
PropertyInfo(alias="quantityQualifier"),
|
|
935
|
-
]
|
|
936
|
-
|
|
937
|
-
quantity_qualifier_code: Annotated[
|
|
938
|
-
Literal[
|
|
939
|
-
"8H", "99", "CA", "CE", "D3", "DB", "DY", "HS", "LA", "LE", "M2", "MN", "P6", "QA", "S7", "S8", "VS", "YY"
|
|
940
|
-
],
|
|
941
|
-
PropertyInfo(alias="quantityQualifierCode"),
|
|
942
|
-
]
|
|
943
|
-
|
|
944
|
-
service_type_codes: Annotated[
|
|
945
|
-
List[
|
|
946
|
-
Literal[
|
|
947
|
-
"1",
|
|
948
|
-
"2",
|
|
949
|
-
"3",
|
|
950
|
-
"4",
|
|
951
|
-
"5",
|
|
952
|
-
"6",
|
|
953
|
-
"7",
|
|
954
|
-
"8",
|
|
955
|
-
"9",
|
|
956
|
-
"10",
|
|
957
|
-
"11",
|
|
958
|
-
"12",
|
|
959
|
-
"13",
|
|
960
|
-
"14",
|
|
961
|
-
"15",
|
|
962
|
-
"16",
|
|
963
|
-
"17",
|
|
964
|
-
"18",
|
|
965
|
-
"19",
|
|
966
|
-
"20",
|
|
967
|
-
"21",
|
|
968
|
-
"22",
|
|
969
|
-
"23",
|
|
970
|
-
"24",
|
|
971
|
-
"25",
|
|
972
|
-
"26",
|
|
973
|
-
"27",
|
|
974
|
-
"28",
|
|
975
|
-
"30",
|
|
976
|
-
"32",
|
|
977
|
-
"33",
|
|
978
|
-
"34",
|
|
979
|
-
"35",
|
|
980
|
-
"36",
|
|
981
|
-
"37",
|
|
982
|
-
"38",
|
|
983
|
-
"39",
|
|
984
|
-
"40",
|
|
985
|
-
"41",
|
|
986
|
-
"42",
|
|
987
|
-
"43",
|
|
988
|
-
"44",
|
|
989
|
-
"45",
|
|
990
|
-
"46",
|
|
991
|
-
"47",
|
|
992
|
-
"48",
|
|
993
|
-
"49",
|
|
994
|
-
"50",
|
|
995
|
-
"51",
|
|
996
|
-
"52",
|
|
997
|
-
"53",
|
|
998
|
-
"54",
|
|
999
|
-
"55",
|
|
1000
|
-
"56",
|
|
1001
|
-
"57",
|
|
1002
|
-
"58",
|
|
1003
|
-
"59",
|
|
1004
|
-
"60",
|
|
1005
|
-
"61",
|
|
1006
|
-
"62",
|
|
1007
|
-
"63",
|
|
1008
|
-
"64",
|
|
1009
|
-
"65",
|
|
1010
|
-
"66",
|
|
1011
|
-
"67",
|
|
1012
|
-
"68",
|
|
1013
|
-
"69",
|
|
1014
|
-
"70",
|
|
1015
|
-
"71",
|
|
1016
|
-
"72",
|
|
1017
|
-
"73",
|
|
1018
|
-
"74",
|
|
1019
|
-
"75",
|
|
1020
|
-
"76",
|
|
1021
|
-
"77",
|
|
1022
|
-
"78",
|
|
1023
|
-
"79",
|
|
1024
|
-
"80",
|
|
1025
|
-
"81",
|
|
1026
|
-
"82",
|
|
1027
|
-
"83",
|
|
1028
|
-
"84",
|
|
1029
|
-
"85",
|
|
1030
|
-
"86",
|
|
1031
|
-
"87",
|
|
1032
|
-
"88",
|
|
1033
|
-
"89",
|
|
1034
|
-
"90",
|
|
1035
|
-
"91",
|
|
1036
|
-
"92",
|
|
1037
|
-
"93",
|
|
1038
|
-
"94",
|
|
1039
|
-
"95",
|
|
1040
|
-
"96",
|
|
1041
|
-
"97",
|
|
1042
|
-
"98",
|
|
1043
|
-
"99",
|
|
1044
|
-
"A0",
|
|
1045
|
-
"A1",
|
|
1046
|
-
"A2",
|
|
1047
|
-
"A3",
|
|
1048
|
-
"A4",
|
|
1049
|
-
"A5",
|
|
1050
|
-
"A6",
|
|
1051
|
-
"A7",
|
|
1052
|
-
"A8",
|
|
1053
|
-
"A9",
|
|
1054
|
-
"AA",
|
|
1055
|
-
"AB",
|
|
1056
|
-
"AC",
|
|
1057
|
-
"AD",
|
|
1058
|
-
"AE",
|
|
1059
|
-
"AF",
|
|
1060
|
-
"AG",
|
|
1061
|
-
"AH",
|
|
1062
|
-
"AI",
|
|
1063
|
-
"AJ",
|
|
1064
|
-
"AK",
|
|
1065
|
-
"AL",
|
|
1066
|
-
"AM",
|
|
1067
|
-
"AN",
|
|
1068
|
-
"AO",
|
|
1069
|
-
"AQ",
|
|
1070
|
-
"AR",
|
|
1071
|
-
"B1",
|
|
1072
|
-
"B2",
|
|
1073
|
-
"B3",
|
|
1074
|
-
"BA",
|
|
1075
|
-
"BB",
|
|
1076
|
-
"BC",
|
|
1077
|
-
"BD",
|
|
1078
|
-
"BE",
|
|
1079
|
-
"BF",
|
|
1080
|
-
"BG",
|
|
1081
|
-
"BH",
|
|
1082
|
-
"BI",
|
|
1083
|
-
"BJ",
|
|
1084
|
-
"BK",
|
|
1085
|
-
"BL",
|
|
1086
|
-
"BM",
|
|
1087
|
-
"BN",
|
|
1088
|
-
"BP",
|
|
1089
|
-
"BQ",
|
|
1090
|
-
"BR",
|
|
1091
|
-
"BS",
|
|
1092
|
-
"BT",
|
|
1093
|
-
"BU",
|
|
1094
|
-
"BV",
|
|
1095
|
-
"BW",
|
|
1096
|
-
"BX",
|
|
1097
|
-
"BY",
|
|
1098
|
-
"BZ",
|
|
1099
|
-
"C1",
|
|
1100
|
-
"CA",
|
|
1101
|
-
"CB",
|
|
1102
|
-
"CC",
|
|
1103
|
-
"CD",
|
|
1104
|
-
"CE",
|
|
1105
|
-
"CF",
|
|
1106
|
-
"CG",
|
|
1107
|
-
"CH",
|
|
1108
|
-
"CI",
|
|
1109
|
-
"CJ",
|
|
1110
|
-
"CK",
|
|
1111
|
-
"CL",
|
|
1112
|
-
"CM",
|
|
1113
|
-
"CN",
|
|
1114
|
-
"CO",
|
|
1115
|
-
"CP",
|
|
1116
|
-
"CQ",
|
|
1117
|
-
"DG",
|
|
1118
|
-
"DM",
|
|
1119
|
-
"DS",
|
|
1120
|
-
"GF",
|
|
1121
|
-
"GN",
|
|
1122
|
-
"GY",
|
|
1123
|
-
"IC",
|
|
1124
|
-
"MH",
|
|
1125
|
-
"NI",
|
|
1126
|
-
"ON",
|
|
1127
|
-
"PT",
|
|
1128
|
-
"PU",
|
|
1129
|
-
"RN",
|
|
1130
|
-
"RT",
|
|
1131
|
-
"TC",
|
|
1132
|
-
"TN",
|
|
1133
|
-
"UC",
|
|
1134
|
-
]
|
|
1135
|
-
],
|
|
1136
|
-
PropertyInfo(alias="serviceTypeCodes"),
|
|
1137
|
-
]
|
|
1138
|
-
|
|
1139
|
-
service_types: Annotated[
|
|
1140
|
-
List[
|
|
1141
|
-
Literal[
|
|
1142
|
-
"Medical Care",
|
|
1143
|
-
"Surgical",
|
|
1144
|
-
"Consultation",
|
|
1145
|
-
"Diagnostic X-Ray",
|
|
1146
|
-
"Diagnostic Lab",
|
|
1147
|
-
"Radiation Therapy",
|
|
1148
|
-
"Anesthesia",
|
|
1149
|
-
"Surgical Assistance",
|
|
1150
|
-
"Other Medical",
|
|
1151
|
-
"Blood Charges",
|
|
1152
|
-
"Used Durable Medical Equipment",
|
|
1153
|
-
"Durable Medical Equipment Purchase",
|
|
1154
|
-
"Ambulatory Service Center Facility",
|
|
1155
|
-
"Renal Supplies in the Home",
|
|
1156
|
-
"Alternate Method Dialysis",
|
|
1157
|
-
"Chronic Renal Disease (CRD) Equipment",
|
|
1158
|
-
"Pre-Admission Testing",
|
|
1159
|
-
"Durable Medical Equipment Rental",
|
|
1160
|
-
"Pneumonia Vaccine",
|
|
1161
|
-
"Second Surgical Opinion",
|
|
1162
|
-
"Third Surgical Opinion",
|
|
1163
|
-
"Social Work",
|
|
1164
|
-
"Diagnostic Dental",
|
|
1165
|
-
"Periodontics",
|
|
1166
|
-
"Restorative",
|
|
1167
|
-
"Endodontics",
|
|
1168
|
-
"Maxillofacial Prosthetics",
|
|
1169
|
-
"Adjunctive Dental Services",
|
|
1170
|
-
"Health Benefit Plan Coverage",
|
|
1171
|
-
"Plan Waiting Period",
|
|
1172
|
-
"Chiropractic",
|
|
1173
|
-
"Chiropractic Office Visits",
|
|
1174
|
-
"Dental Care",
|
|
1175
|
-
"Dental Crowns",
|
|
1176
|
-
"Dental Accident",
|
|
1177
|
-
"Orthodontics",
|
|
1178
|
-
"Prosthodontics",
|
|
1179
|
-
"Oral Surgery",
|
|
1180
|
-
"Routine (Preventive) Dental",
|
|
1181
|
-
"Home Health Care",
|
|
1182
|
-
"Home Health Prescriptions",
|
|
1183
|
-
"Home Health Visits",
|
|
1184
|
-
"Hospice",
|
|
1185
|
-
"Respite Care",
|
|
1186
|
-
"Hospital",
|
|
1187
|
-
"Hospital - Inpatient",
|
|
1188
|
-
"Hospital - Room and Board",
|
|
1189
|
-
"Hospital - Outpatient",
|
|
1190
|
-
"Hospital - Emergency Accident",
|
|
1191
|
-
"Hospital - Emergency Medical",
|
|
1192
|
-
"Hospital - Ambulatory Surgical",
|
|
1193
|
-
"Long Term Care",
|
|
1194
|
-
"Major Medical",
|
|
1195
|
-
"Medically Related Transportation",
|
|
1196
|
-
"Air Transportation",
|
|
1197
|
-
"Cabulance",
|
|
1198
|
-
"Licensed Ambulance",
|
|
1199
|
-
"General Benefits",
|
|
1200
|
-
"In-vitro Fertilization",
|
|
1201
|
-
"MRI/CAT Scan",
|
|
1202
|
-
"Donor Procedures",
|
|
1203
|
-
"Acupuncture",
|
|
1204
|
-
"Newborn Care",
|
|
1205
|
-
"Pathology",
|
|
1206
|
-
"Smoking Cessation",
|
|
1207
|
-
"Well Baby Care",
|
|
1208
|
-
"Maternity",
|
|
1209
|
-
"Transplants",
|
|
1210
|
-
"Audiology Exam",
|
|
1211
|
-
"Inhalation Therapy",
|
|
1212
|
-
"Diagnostic Medical",
|
|
1213
|
-
"Private Duty Nursing",
|
|
1214
|
-
"Prosthetic Device",
|
|
1215
|
-
"Dialysis",
|
|
1216
|
-
"Otological Exam",
|
|
1217
|
-
"Chemotherapy",
|
|
1218
|
-
"Allergy Testing",
|
|
1219
|
-
"Immunizations",
|
|
1220
|
-
"Routine Physical",
|
|
1221
|
-
"Family Planning",
|
|
1222
|
-
"Infertility",
|
|
1223
|
-
"Abortion",
|
|
1224
|
-
"AIDS",
|
|
1225
|
-
"Emergency Services",
|
|
1226
|
-
"Cancer",
|
|
1227
|
-
"Pharmacy",
|
|
1228
|
-
"Free Standing Prescription Drug",
|
|
1229
|
-
"Mail Order Prescription Drug",
|
|
1230
|
-
"Brand Name Prescription Drug",
|
|
1231
|
-
"Generic Prescription Drug",
|
|
1232
|
-
"Podiatry",
|
|
1233
|
-
"Podiatry - Office Visits",
|
|
1234
|
-
"Podiatry - Nursing Home Visits",
|
|
1235
|
-
"Professional (Physician)",
|
|
1236
|
-
"Anesthesiologist",
|
|
1237
|
-
"Professional (Physician) Visit - Office",
|
|
1238
|
-
"Professional (Physician) Visit - Inpatient",
|
|
1239
|
-
"Professional (Physician) Visit - Outpatient",
|
|
1240
|
-
"Professional (Physician) Visit - Nursing Home",
|
|
1241
|
-
"Professional (Physician) Visit - Skilled Nursing Facility",
|
|
1242
|
-
"Professional (Physician) Visit - Home",
|
|
1243
|
-
"Psychiatric",
|
|
1244
|
-
"Psychiatric - Room and Board",
|
|
1245
|
-
"Psychotherapy",
|
|
1246
|
-
"Psychiatric - Inpatient",
|
|
1247
|
-
"Psychiatric - Outpatient",
|
|
1248
|
-
"Rehabilitation",
|
|
1249
|
-
"Rehabilitation - Room and Board",
|
|
1250
|
-
"Rehabilitation - Inpatient",
|
|
1251
|
-
"Rehabilitation - Outpatient",
|
|
1252
|
-
"Occupational Therapy",
|
|
1253
|
-
"Physical Medicine",
|
|
1254
|
-
"Speech Therapy",
|
|
1255
|
-
"Skilled Nursing Care",
|
|
1256
|
-
"Skilled Nursing Care - Room and Board",
|
|
1257
|
-
"Substance Abuse",
|
|
1258
|
-
"Alcoholism",
|
|
1259
|
-
"Drug Addiction",
|
|
1260
|
-
"Vision (Optometry)",
|
|
1261
|
-
"Frames",
|
|
1262
|
-
"Routine Exam",
|
|
1263
|
-
"Lenses",
|
|
1264
|
-
"Nonmedically Necessary Physical",
|
|
1265
|
-
"Experimental Drug Therapy",
|
|
1266
|
-
"Burn Care",
|
|
1267
|
-
"Brand Name Prescription Drug - Formulary",
|
|
1268
|
-
"Brand Name Prescription Drug - Non-Formulary",
|
|
1269
|
-
"Independent Medical Evaluation",
|
|
1270
|
-
"Partial Hospitalization (Psychiatric)",
|
|
1271
|
-
"Day Care (Psychiatric)",
|
|
1272
|
-
"Cognitive Therapy",
|
|
1273
|
-
"Massage Therapy",
|
|
1274
|
-
"Pulmonary Rehabilitation",
|
|
1275
|
-
"Cardiac Rehabilitation",
|
|
1276
|
-
"Pediatric",
|
|
1277
|
-
"Nursery",
|
|
1278
|
-
"Skin",
|
|
1279
|
-
"Orthopedic",
|
|
1280
|
-
"Cardiac",
|
|
1281
|
-
"Lymphatic",
|
|
1282
|
-
"Gastrointestinal",
|
|
1283
|
-
"Endocrine",
|
|
1284
|
-
"Neurology",
|
|
1285
|
-
"Eye",
|
|
1286
|
-
"Invasive Procedures",
|
|
1287
|
-
"Gynecological",
|
|
1288
|
-
"Obstetrical",
|
|
1289
|
-
"Obstetrical/Gynecological",
|
|
1290
|
-
"Mail Order Prescription Drug - Formulary",
|
|
1291
|
-
"Mail Order Prescription Drug - Non-Formulary",
|
|
1292
|
-
"Physician Visit - Office: Sick",
|
|
1293
|
-
"Physician Visit - Office: Well",
|
|
1294
|
-
"Coronary Care",
|
|
1295
|
-
"Private Duty Nursing - Inpatient",
|
|
1296
|
-
"Private Duty Nursing - Home",
|
|
1297
|
-
"Surgical Benefits - Professional (Physician)",
|
|
1298
|
-
"Surgical Benefits - Facility",
|
|
1299
|
-
"Mental Health Provider- Inpatient",
|
|
1300
|
-
"Mental Health Provider - Outpatient",
|
|
1301
|
-
"Mental Health Facility - Inpatient",
|
|
1302
|
-
"Mental Health Facility - Outpatient",
|
|
1303
|
-
"Substance Abuse Facility - Inpatient",
|
|
1304
|
-
"Substance Abuse Facility - Outpatient",
|
|
1305
|
-
"Screening X-ray",
|
|
1306
|
-
"Screening laboratory",
|
|
1307
|
-
"Mammogram, High Risk Patient",
|
|
1308
|
-
"Mammogram, Low Risk Patient",
|
|
1309
|
-
"Flu Vaccination",
|
|
1310
|
-
"Eyewear and Eyewear Accessories",
|
|
1311
|
-
"Case Management",
|
|
1312
|
-
"Dermatology",
|
|
1313
|
-
"Durable Medical Equipment",
|
|
1314
|
-
"Diabetic Supplies",
|
|
1315
|
-
"Generic Prescription Drug - Formulary",
|
|
1316
|
-
"Generic Prescription Drug - Non-Formulary",
|
|
1317
|
-
"Allergy",
|
|
1318
|
-
"Intensive Care",
|
|
1319
|
-
"Mental Health",
|
|
1320
|
-
"Neonatol Intensive Care",
|
|
1321
|
-
"Oncology",
|
|
1322
|
-
"Physical Therapy",
|
|
1323
|
-
"Pulmonary",
|
|
1324
|
-
"Renal",
|
|
1325
|
-
"Residential Psychiatric Treatment",
|
|
1326
|
-
"Transitional Care",
|
|
1327
|
-
"Transitional Nursery Care",
|
|
1328
|
-
"Urgent Care",
|
|
1329
|
-
]
|
|
1330
|
-
],
|
|
1331
|
-
PropertyInfo(alias="serviceTypes"),
|
|
1332
|
-
]
|
|
1333
|
-
|
|
1334
|
-
time_qualifier: Annotated[
|
|
1335
|
-
Literal[
|
|
1336
|
-
"Hour",
|
|
1337
|
-
"Day",
|
|
1338
|
-
"24 Hours",
|
|
1339
|
-
"Years",
|
|
1340
|
-
"Service Year",
|
|
1341
|
-
"Calendar Year",
|
|
1342
|
-
"Year to Date",
|
|
1343
|
-
"Contract",
|
|
1344
|
-
"Episode",
|
|
1345
|
-
"Visit",
|
|
1346
|
-
"Outlier",
|
|
1347
|
-
"Remaining",
|
|
1348
|
-
"Exceeded",
|
|
1349
|
-
"Not Exceeded",
|
|
1350
|
-
"Lifetime",
|
|
1351
|
-
"Lifetime Remaining",
|
|
1352
|
-
"Month",
|
|
1353
|
-
"Week",
|
|
1354
|
-
"Admission",
|
|
1355
|
-
],
|
|
1356
|
-
PropertyInfo(alias="timeQualifier"),
|
|
1357
|
-
]
|
|
1358
|
-
|
|
1359
|
-
time_qualifier_code: Annotated[
|
|
1360
|
-
Literal[
|
|
1361
|
-
"6",
|
|
1362
|
-
"7",
|
|
1363
|
-
"13",
|
|
1364
|
-
"21",
|
|
1365
|
-
"22",
|
|
1366
|
-
"23",
|
|
1367
|
-
"24",
|
|
1368
|
-
"25",
|
|
1369
|
-
"26",
|
|
1370
|
-
"27",
|
|
1371
|
-
"28",
|
|
1372
|
-
"29",
|
|
1373
|
-
"30",
|
|
1374
|
-
"31",
|
|
1375
|
-
"32",
|
|
1376
|
-
"33",
|
|
1377
|
-
"34",
|
|
1378
|
-
"35",
|
|
1379
|
-
"36",
|
|
1380
|
-
],
|
|
1381
|
-
PropertyInfo(alias="timeQualifierCode"),
|
|
1382
|
-
]
|
|
1383
|
-
|
|
1384
|
-
trailer_loop_identifier_code: Annotated[str, PropertyInfo(alias="trailerLoopIdentifierCode")]
|
|
1385
|
-
|
|
1386
|
-
|
|
1387
|
-
class EligibilityResponseDependentAaaError(TypedDict, total=False):
|
|
1388
|
-
code: Literal[
|
|
1389
|
-
"15",
|
|
1390
|
-
"33",
|
|
1391
|
-
"35",
|
|
1392
|
-
"42",
|
|
1393
|
-
"43",
|
|
1394
|
-
"45",
|
|
1395
|
-
"47",
|
|
1396
|
-
"48",
|
|
1397
|
-
"49",
|
|
1398
|
-
"51",
|
|
1399
|
-
"52",
|
|
1400
|
-
"53",
|
|
1401
|
-
"54",
|
|
1402
|
-
"55",
|
|
1403
|
-
"56",
|
|
1404
|
-
"57",
|
|
1405
|
-
"58",
|
|
1406
|
-
"60",
|
|
1407
|
-
"61",
|
|
1408
|
-
"62",
|
|
1409
|
-
"63",
|
|
1410
|
-
"64",
|
|
1411
|
-
"65",
|
|
1412
|
-
"66",
|
|
1413
|
-
"67",
|
|
1414
|
-
"68",
|
|
1415
|
-
"69",
|
|
1416
|
-
"70",
|
|
1417
|
-
"71",
|
|
1418
|
-
"77",
|
|
1419
|
-
"98",
|
|
1420
|
-
"AA",
|
|
1421
|
-
"AE",
|
|
1422
|
-
"AF",
|
|
1423
|
-
"AG",
|
|
1424
|
-
"AO",
|
|
1425
|
-
"CI",
|
|
1426
|
-
"E8",
|
|
1427
|
-
"IA",
|
|
1428
|
-
"MA",
|
|
1429
|
-
]
|
|
1430
|
-
|
|
1431
|
-
description: str
|
|
1432
|
-
|
|
1433
|
-
field: str
|
|
1434
|
-
|
|
1435
|
-
followup_action: Annotated[
|
|
1436
|
-
Literal[
|
|
1437
|
-
"Please Correct and Resubmit",
|
|
1438
|
-
"Resubmission Not Allowed",
|
|
1439
|
-
"Resubmission Allowed",
|
|
1440
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
1441
|
-
"Please Wait 30 Days and Resubmit",
|
|
1442
|
-
"Please Wait 10 Days and Resubmit",
|
|
1443
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
1444
|
-
],
|
|
1445
|
-
PropertyInfo(alias="followupAction"),
|
|
1446
|
-
]
|
|
1447
|
-
|
|
1448
|
-
location: str
|
|
1449
|
-
|
|
1450
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
1451
|
-
|
|
1452
|
-
|
|
1453
|
-
class EligibilityResponseDependentAddress(TypedDict, total=False):
|
|
1454
|
-
address1: str
|
|
1455
|
-
|
|
1456
|
-
address2: str
|
|
1457
|
-
|
|
1458
|
-
city: str
|
|
1459
|
-
|
|
1460
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
1461
|
-
|
|
1462
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
1463
|
-
|
|
1464
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
1465
|
-
|
|
1466
|
-
state: Literal[
|
|
1467
|
-
"NL",
|
|
1468
|
-
"PE",
|
|
1469
|
-
"NS",
|
|
1470
|
-
"NB",
|
|
1471
|
-
"QC",
|
|
1472
|
-
"ON",
|
|
1473
|
-
"MB",
|
|
1474
|
-
"SK",
|
|
1475
|
-
"AB",
|
|
1476
|
-
"BC",
|
|
1477
|
-
"YT",
|
|
1478
|
-
"NT",
|
|
1479
|
-
"NU",
|
|
1480
|
-
"DC",
|
|
1481
|
-
"AS",
|
|
1482
|
-
"GU",
|
|
1483
|
-
"MP",
|
|
1484
|
-
"PR",
|
|
1485
|
-
"UM",
|
|
1486
|
-
"VI",
|
|
1487
|
-
"AK",
|
|
1488
|
-
"AL",
|
|
1489
|
-
"AR",
|
|
1490
|
-
"AZ",
|
|
1491
|
-
"CA",
|
|
1492
|
-
"CO",
|
|
1493
|
-
"CT",
|
|
1494
|
-
"DE",
|
|
1495
|
-
"FL",
|
|
1496
|
-
"GA",
|
|
1497
|
-
"HI",
|
|
1498
|
-
"IA",
|
|
1499
|
-
"ID",
|
|
1500
|
-
"IL",
|
|
1501
|
-
"IN",
|
|
1502
|
-
"KS",
|
|
1503
|
-
"KY",
|
|
1504
|
-
"LA",
|
|
1505
|
-
"MA",
|
|
1506
|
-
"MD",
|
|
1507
|
-
"ME",
|
|
1508
|
-
"MI",
|
|
1509
|
-
"MN",
|
|
1510
|
-
"MO",
|
|
1511
|
-
"MS",
|
|
1512
|
-
"MT",
|
|
1513
|
-
"NC",
|
|
1514
|
-
"ND",
|
|
1515
|
-
"NE",
|
|
1516
|
-
"NH",
|
|
1517
|
-
"NJ",
|
|
1518
|
-
"NM",
|
|
1519
|
-
"NV",
|
|
1520
|
-
"NY",
|
|
1521
|
-
"OH",
|
|
1522
|
-
"OK",
|
|
1523
|
-
"OR",
|
|
1524
|
-
"PA",
|
|
1525
|
-
"RI",
|
|
1526
|
-
"SC",
|
|
1527
|
-
"SD",
|
|
1528
|
-
"TN",
|
|
1529
|
-
"TX",
|
|
1530
|
-
"UT",
|
|
1531
|
-
"VA",
|
|
1532
|
-
"VT",
|
|
1533
|
-
"WA",
|
|
1534
|
-
"WI",
|
|
1535
|
-
"WV",
|
|
1536
|
-
"WY",
|
|
1537
|
-
]
|
|
1538
|
-
|
|
1539
|
-
|
|
1540
|
-
class EligibilityResponseDependentHealthCareDiagnosisCode(TypedDict, total=False):
|
|
1541
|
-
diagnosis_code: Annotated[str, PropertyInfo(alias="diagnosisCode")]
|
|
1542
|
-
|
|
1543
|
-
diagnosis_type_code: Annotated[str, PropertyInfo(alias="diagnosisTypeCode")]
|
|
1544
|
-
|
|
1545
|
-
|
|
1546
|
-
class EligibilityResponseDependentResponseProviderAaaError(TypedDict, total=False):
|
|
1547
|
-
code: Literal["15", "41", "43", "44", "45", "46", "47", "48", "50", "51", "79", "97", "T4"]
|
|
1548
|
-
|
|
1549
|
-
description: str
|
|
1550
|
-
|
|
1551
|
-
field: str
|
|
1552
|
-
|
|
1553
|
-
followup_action: Annotated[
|
|
1554
|
-
Literal[
|
|
1555
|
-
"Please Correct and Resubmit",
|
|
1556
|
-
"Resubmission Not Allowed",
|
|
1557
|
-
"Resubmission Allowed",
|
|
1558
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
1559
|
-
"Please Wait 30 Days and Resubmit",
|
|
1560
|
-
"Please Wait 10 Days and Resubmit",
|
|
1561
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
1562
|
-
],
|
|
1563
|
-
PropertyInfo(alias="followupAction"),
|
|
1564
|
-
]
|
|
1565
|
-
|
|
1566
|
-
location: str
|
|
1567
|
-
|
|
1568
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
1569
|
-
|
|
1570
|
-
|
|
1571
|
-
class EligibilityResponseDependentResponseProviderAddress(TypedDict, total=False):
|
|
1572
|
-
address1: str
|
|
1573
|
-
|
|
1574
|
-
address2: str
|
|
1575
|
-
|
|
1576
|
-
city: str
|
|
1577
|
-
|
|
1578
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
1579
|
-
|
|
1580
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
1581
|
-
|
|
1582
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
1583
|
-
|
|
1584
|
-
state: Literal[
|
|
1585
|
-
"NL",
|
|
1586
|
-
"PE",
|
|
1587
|
-
"NS",
|
|
1588
|
-
"NB",
|
|
1589
|
-
"QC",
|
|
1590
|
-
"ON",
|
|
1591
|
-
"MB",
|
|
1592
|
-
"SK",
|
|
1593
|
-
"AB",
|
|
1594
|
-
"BC",
|
|
1595
|
-
"YT",
|
|
1596
|
-
"NT",
|
|
1597
|
-
"NU",
|
|
1598
|
-
"DC",
|
|
1599
|
-
"AS",
|
|
1600
|
-
"GU",
|
|
1601
|
-
"MP",
|
|
1602
|
-
"PR",
|
|
1603
|
-
"UM",
|
|
1604
|
-
"VI",
|
|
1605
|
-
"AK",
|
|
1606
|
-
"AL",
|
|
1607
|
-
"AR",
|
|
1608
|
-
"AZ",
|
|
1609
|
-
"CA",
|
|
1610
|
-
"CO",
|
|
1611
|
-
"CT",
|
|
1612
|
-
"DE",
|
|
1613
|
-
"FL",
|
|
1614
|
-
"GA",
|
|
1615
|
-
"HI",
|
|
1616
|
-
"IA",
|
|
1617
|
-
"ID",
|
|
1618
|
-
"IL",
|
|
1619
|
-
"IN",
|
|
1620
|
-
"KS",
|
|
1621
|
-
"KY",
|
|
1622
|
-
"LA",
|
|
1623
|
-
"MA",
|
|
1624
|
-
"MD",
|
|
1625
|
-
"ME",
|
|
1626
|
-
"MI",
|
|
1627
|
-
"MN",
|
|
1628
|
-
"MO",
|
|
1629
|
-
"MS",
|
|
1630
|
-
"MT",
|
|
1631
|
-
"NC",
|
|
1632
|
-
"ND",
|
|
1633
|
-
"NE",
|
|
1634
|
-
"NH",
|
|
1635
|
-
"NJ",
|
|
1636
|
-
"NM",
|
|
1637
|
-
"NV",
|
|
1638
|
-
"NY",
|
|
1639
|
-
"OH",
|
|
1640
|
-
"OK",
|
|
1641
|
-
"OR",
|
|
1642
|
-
"PA",
|
|
1643
|
-
"RI",
|
|
1644
|
-
"SC",
|
|
1645
|
-
"SD",
|
|
1646
|
-
"TN",
|
|
1647
|
-
"TX",
|
|
1648
|
-
"UT",
|
|
1649
|
-
"VA",
|
|
1650
|
-
"VT",
|
|
1651
|
-
"WA",
|
|
1652
|
-
"WI",
|
|
1653
|
-
"WV",
|
|
1654
|
-
"WY",
|
|
1655
|
-
]
|
|
1656
|
-
|
|
1657
|
-
|
|
1658
|
-
class EligibilityResponseDependentResponseProvider(TypedDict, total=False):
|
|
1659
|
-
aaa_errors: Annotated[
|
|
1660
|
-
Iterable[EligibilityResponseDependentResponseProviderAaaError], PropertyInfo(alias="aaaErrors")
|
|
1661
|
-
]
|
|
1662
|
-
|
|
1663
|
-
address: EligibilityResponseDependentResponseProviderAddress
|
|
1664
|
-
|
|
1665
|
-
employers_id: Annotated[str, PropertyInfo(alias="employersId")]
|
|
1666
|
-
|
|
1667
|
-
entity_identifier: Annotated[
|
|
1668
|
-
Literal[
|
|
1669
|
-
"Provider",
|
|
1670
|
-
"Third-Party Administrator",
|
|
1671
|
-
"Employer",
|
|
1672
|
-
"Hospital",
|
|
1673
|
-
"Facility",
|
|
1674
|
-
"Gateway Provider",
|
|
1675
|
-
"Plan Sponsor",
|
|
1676
|
-
"Payer",
|
|
1677
|
-
],
|
|
1678
|
-
PropertyInfo(alias="entityIdentifier"),
|
|
1679
|
-
]
|
|
1680
|
-
|
|
1681
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
1682
|
-
|
|
1683
|
-
federal_taxpayers_id_number: Annotated[str, PropertyInfo(alias="federalTaxpayersIdNumber")]
|
|
1684
|
-
|
|
1685
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
1686
|
-
|
|
1687
|
-
npi: str
|
|
1688
|
-
|
|
1689
|
-
payor_identification: Annotated[str, PropertyInfo(alias="payorIdentification")]
|
|
1690
|
-
|
|
1691
|
-
pharmacy_processor_number: Annotated[str, PropertyInfo(alias="pharmacyProcessorNumber")]
|
|
1692
|
-
|
|
1693
|
-
provider_code: Annotated[
|
|
1694
|
-
Literal[
|
|
1695
|
-
"AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU"
|
|
1696
|
-
],
|
|
1697
|
-
PropertyInfo(alias="providerCode"),
|
|
1698
|
-
]
|
|
1699
|
-
|
|
1700
|
-
provider_first_name: Annotated[str, PropertyInfo(alias="providerFirstName")]
|
|
1701
|
-
|
|
1702
|
-
provider_name: Annotated[str, PropertyInfo(alias="providerName")]
|
|
1703
|
-
|
|
1704
|
-
provider_org_name: Annotated[str, PropertyInfo(alias="providerOrgName")]
|
|
1705
|
-
|
|
1706
|
-
reference_identification: Annotated[str, PropertyInfo(alias="referenceIdentification")]
|
|
1707
|
-
|
|
1708
|
-
service_provider_number: Annotated[str, PropertyInfo(alias="serviceProviderNumber")]
|
|
1709
|
-
|
|
1710
|
-
services_plan_id: Annotated[str, PropertyInfo(alias="servicesPlanID")]
|
|
1711
|
-
|
|
1712
|
-
ssn: str
|
|
1713
|
-
|
|
1714
|
-
suffix: str
|
|
1715
|
-
|
|
1716
|
-
|
|
1717
|
-
class EligibilityResponseDependent(TypedDict, total=False):
|
|
1718
|
-
aaa_errors: Annotated[Iterable[EligibilityResponseDependentAaaError], PropertyInfo(alias="aaaErrors")]
|
|
1719
|
-
|
|
1720
|
-
address: EligibilityResponseDependentAddress
|
|
1721
|
-
|
|
1722
|
-
birth_sequence_number: Annotated[str, PropertyInfo(alias="birthSequenceNumber")]
|
|
1723
|
-
|
|
1724
|
-
date_of_birth: Annotated[str, PropertyInfo(alias="dateOfBirth")]
|
|
1725
|
-
|
|
1726
|
-
date_time_period: Annotated[str, PropertyInfo(alias="dateTimePeriod")]
|
|
1727
|
-
|
|
1728
|
-
date_time_period_format_qualifier: Annotated[
|
|
1729
|
-
Literal["D8", "RD8"], PropertyInfo(alias="dateTimePeriodFormatQualifier")
|
|
1730
|
-
]
|
|
1731
|
-
|
|
1732
|
-
description: str
|
|
1733
|
-
|
|
1734
|
-
employment_status_code: Annotated[
|
|
1735
|
-
Literal["AE", "AO", "AS", "AT", "AU", "CC", "DD", "HD", "IR", "LX", "PE", "RE", "RM", "RR", "RU"],
|
|
1736
|
-
PropertyInfo(alias="employmentStatusCode"),
|
|
1737
|
-
]
|
|
1738
|
-
|
|
1739
|
-
end_date_time_period: Annotated[str, PropertyInfo(alias="endDateTimePeriod")]
|
|
1740
|
-
|
|
1741
|
-
entity_identifier: Annotated[Literal["Dependent"], PropertyInfo(alias="entityIdentifier")]
|
|
1742
|
-
|
|
1743
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
1744
|
-
|
|
1745
|
-
first_name: Annotated[str, PropertyInfo(alias="firstName")]
|
|
1746
|
-
|
|
1747
|
-
gender: Literal["M", "F", "U"]
|
|
1748
|
-
|
|
1749
|
-
government_service_affiliation_code: Annotated[
|
|
1750
|
-
Literal["A", "B", "C", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "N", "O", "Q", "R", "S", "U", "W"],
|
|
1751
|
-
PropertyInfo(alias="governmentServiceAffiliationCode"),
|
|
1752
|
-
]
|
|
1753
|
-
|
|
1754
|
-
group_description: Annotated[str, PropertyInfo(alias="groupDescription")]
|
|
1755
|
-
|
|
1756
|
-
group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
|
|
1757
|
-
|
|
1758
|
-
health_care_diagnosis_codes: Annotated[
|
|
1759
|
-
Iterable[EligibilityResponseDependentHealthCareDiagnosisCode], PropertyInfo(alias="healthCareDiagnosisCodes")
|
|
1760
|
-
]
|
|
1761
|
-
|
|
1762
|
-
information_status_code: Annotated[
|
|
1763
|
-
Literal["A", "C", "L", "O", "P", "S", "T"], PropertyInfo(alias="informationStatusCode")
|
|
1764
|
-
]
|
|
1765
|
-
|
|
1766
|
-
insured_indicator: Annotated[Literal["N"], PropertyInfo(alias="insuredIndicator")]
|
|
1767
|
-
|
|
1768
|
-
last_name: Annotated[str, PropertyInfo(alias="lastName")]
|
|
1769
|
-
|
|
1770
|
-
maintenance_reason_code: Annotated[Literal["25"], PropertyInfo(alias="maintenanceReasonCode")]
|
|
1771
|
-
|
|
1772
|
-
maintenance_type_code: Annotated[Literal["001"], PropertyInfo(alias="maintenanceTypeCode")]
|
|
1773
|
-
|
|
1774
|
-
member_id: Annotated[str, PropertyInfo(alias="memberId")]
|
|
1775
|
-
|
|
1776
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
1777
|
-
|
|
1778
|
-
military_service_rank_code: Annotated[
|
|
1779
|
-
Literal[
|
|
1780
|
-
"A1",
|
|
1781
|
-
"A2",
|
|
1782
|
-
"A3",
|
|
1783
|
-
"B1",
|
|
1784
|
-
"B2",
|
|
1785
|
-
"C1",
|
|
1786
|
-
"C2",
|
|
1787
|
-
"C3",
|
|
1788
|
-
"C4",
|
|
1789
|
-
"C5",
|
|
1790
|
-
"C6",
|
|
1791
|
-
"C7",
|
|
1792
|
-
"C8",
|
|
1793
|
-
"C9",
|
|
1794
|
-
"E1",
|
|
1795
|
-
"F1",
|
|
1796
|
-
"F2",
|
|
1797
|
-
"F3",
|
|
1798
|
-
"F4",
|
|
1799
|
-
"G1",
|
|
1800
|
-
"G4",
|
|
1801
|
-
"L1",
|
|
1802
|
-
"L2",
|
|
1803
|
-
"L3",
|
|
1804
|
-
"L4",
|
|
1805
|
-
"L5",
|
|
1806
|
-
"L6",
|
|
1807
|
-
"M1",
|
|
1808
|
-
"M2",
|
|
1809
|
-
"M3",
|
|
1810
|
-
"M4",
|
|
1811
|
-
"M5",
|
|
1812
|
-
"M6",
|
|
1813
|
-
"P1",
|
|
1814
|
-
"P2",
|
|
1815
|
-
"P3",
|
|
1816
|
-
"P4",
|
|
1817
|
-
"P5",
|
|
1818
|
-
"R1",
|
|
1819
|
-
"R2",
|
|
1820
|
-
"S1",
|
|
1821
|
-
"S2",
|
|
1822
|
-
"S3",
|
|
1823
|
-
"S4",
|
|
1824
|
-
"S5",
|
|
1825
|
-
"S6",
|
|
1826
|
-
"S7",
|
|
1827
|
-
"S8",
|
|
1828
|
-
"S9",
|
|
1829
|
-
"SA",
|
|
1830
|
-
"SB",
|
|
1831
|
-
"SC",
|
|
1832
|
-
"T1",
|
|
1833
|
-
"V1",
|
|
1834
|
-
"W1",
|
|
1835
|
-
],
|
|
1836
|
-
PropertyInfo(alias="militaryServiceRankCode"),
|
|
1837
|
-
]
|
|
1838
|
-
|
|
1839
|
-
plan_description: Annotated[str, PropertyInfo(alias="planDescription")]
|
|
1840
|
-
|
|
1841
|
-
plan_network_description: Annotated[str, PropertyInfo(alias="planNetworkDescription")]
|
|
1842
|
-
|
|
1843
|
-
plan_network_id_number: Annotated[str, PropertyInfo(alias="planNetworkIdNumber")]
|
|
1844
|
-
|
|
1845
|
-
plan_number: Annotated[str, PropertyInfo(alias="planNumber")]
|
|
1846
|
-
|
|
1847
|
-
relation_to_subscriber: Annotated[
|
|
1848
|
-
Literal[
|
|
1849
|
-
"Spouse",
|
|
1850
|
-
"Child",
|
|
1851
|
-
"Employee",
|
|
1852
|
-
"Unknown",
|
|
1853
|
-
"Organ Donor",
|
|
1854
|
-
"Cadaver Donor",
|
|
1855
|
-
"Life Partner",
|
|
1856
|
-
"Other Relationship",
|
|
1857
|
-
],
|
|
1858
|
-
PropertyInfo(alias="relationToSubscriber"),
|
|
1859
|
-
]
|
|
1860
|
-
|
|
1861
|
-
relation_to_subscriber_code: Annotated[
|
|
1862
|
-
Literal["01", "19", "20", "21", "39", "40", "53", "G8", "Unknown"],
|
|
1863
|
-
PropertyInfo(alias="relationToSubscriberCode"),
|
|
1864
|
-
]
|
|
1865
|
-
|
|
1866
|
-
response_provider: Annotated[EligibilityResponseDependentResponseProvider, PropertyInfo(alias="responseProvider")]
|
|
1867
|
-
|
|
1868
|
-
ssn: str
|
|
1869
|
-
|
|
1870
|
-
start_date_time_period: Annotated[str, PropertyInfo(alias="startDateTimePeriod")]
|
|
1871
|
-
|
|
1872
|
-
suffix: str
|
|
1873
|
-
|
|
1874
|
-
unique_health_identifier: Annotated[str, PropertyInfo(alias="uniqueHealthIdentifier")]
|
|
1875
|
-
|
|
1876
|
-
|
|
1877
|
-
class EligibilityResponseError(TypedDict, total=False):
|
|
1878
|
-
code: Literal[
|
|
1879
|
-
"04",
|
|
1880
|
-
"15",
|
|
1881
|
-
"33",
|
|
1882
|
-
"35",
|
|
1883
|
-
"41",
|
|
1884
|
-
"42",
|
|
1885
|
-
"43",
|
|
1886
|
-
"44",
|
|
1887
|
-
"45",
|
|
1888
|
-
"46",
|
|
1889
|
-
"47",
|
|
1890
|
-
"48",
|
|
1891
|
-
"49",
|
|
1892
|
-
"50",
|
|
1893
|
-
"51",
|
|
1894
|
-
"52",
|
|
1895
|
-
"53",
|
|
1896
|
-
"54",
|
|
1897
|
-
"55",
|
|
1898
|
-
"56",
|
|
1899
|
-
"57",
|
|
1900
|
-
"58",
|
|
1901
|
-
"60",
|
|
1902
|
-
"61",
|
|
1903
|
-
"62",
|
|
1904
|
-
"63",
|
|
1905
|
-
"64",
|
|
1906
|
-
"65",
|
|
1907
|
-
"66",
|
|
1908
|
-
"67",
|
|
1909
|
-
"68",
|
|
1910
|
-
"69",
|
|
1911
|
-
"70",
|
|
1912
|
-
"71",
|
|
1913
|
-
"72",
|
|
1914
|
-
"73",
|
|
1915
|
-
"74",
|
|
1916
|
-
"75",
|
|
1917
|
-
"76",
|
|
1918
|
-
"77",
|
|
1919
|
-
"78",
|
|
1920
|
-
"79",
|
|
1921
|
-
"80",
|
|
1922
|
-
"97",
|
|
1923
|
-
"98",
|
|
1924
|
-
"AA",
|
|
1925
|
-
"AE",
|
|
1926
|
-
"AF",
|
|
1927
|
-
"AG",
|
|
1928
|
-
"AO",
|
|
1929
|
-
"CI",
|
|
1930
|
-
"E8",
|
|
1931
|
-
"IA",
|
|
1932
|
-
"MA",
|
|
1933
|
-
"T4",
|
|
1934
|
-
]
|
|
1935
|
-
|
|
1936
|
-
description: str
|
|
1937
|
-
|
|
1938
|
-
field: str
|
|
1939
|
-
|
|
1940
|
-
followup_action: Annotated[
|
|
1941
|
-
Literal[
|
|
1942
|
-
"Please Correct and Resubmit",
|
|
1943
|
-
"Resubmission Not Allowed",
|
|
1944
|
-
"Please Resubmit Original Transaction",
|
|
1945
|
-
"Resubmission Allowed",
|
|
1946
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
1947
|
-
"Please Wait 30 Days and Resubmit",
|
|
1948
|
-
"Please Wait 10 Days and Resubmit",
|
|
1949
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
1950
|
-
],
|
|
1951
|
-
PropertyInfo(alias="followupAction"),
|
|
1952
|
-
]
|
|
1953
|
-
|
|
1954
|
-
location: str
|
|
1955
|
-
|
|
1956
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
1957
|
-
|
|
1958
|
-
|
|
1959
|
-
class EligibilityResponseMeta(TypedDict, total=False):
|
|
1960
|
-
application_mode: Annotated[Literal["production", "test", "information"], PropertyInfo(alias="applicationMode")]
|
|
1961
|
-
|
|
1962
|
-
biller_id: Annotated[str, PropertyInfo(alias="billerId")]
|
|
1963
|
-
|
|
1964
|
-
outbound_trace_id: Annotated[str, PropertyInfo(alias="outboundTraceId")]
|
|
1965
|
-
|
|
1966
|
-
sender_id: Annotated[str, PropertyInfo(alias="senderId")]
|
|
1967
|
-
|
|
1968
|
-
submitter_id: Annotated[str, PropertyInfo(alias="submitterId")]
|
|
1969
|
-
|
|
1970
|
-
trace_id: Annotated[str, PropertyInfo(alias="traceId")]
|
|
1971
|
-
|
|
1972
|
-
|
|
1973
|
-
class EligibilityResponsePayerAaaError(TypedDict, total=False):
|
|
1974
|
-
code: Literal["04", "41", "42", "79", "80", "T4"]
|
|
1975
|
-
|
|
1976
|
-
description: str
|
|
1977
|
-
|
|
1978
|
-
field: str
|
|
1979
|
-
|
|
1980
|
-
followup_action: Annotated[
|
|
1981
|
-
Literal[
|
|
1982
|
-
"Please Correct and Resubmit",
|
|
1983
|
-
"Resubmission Not Allowed",
|
|
1984
|
-
"Please Resubmit Original Transaction",
|
|
1985
|
-
"Resubmission Allowed",
|
|
1986
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
1987
|
-
"Please Wait 30 Days and Resubmit",
|
|
1988
|
-
"Please Wait 10 Days and Resubmit",
|
|
1989
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
1990
|
-
],
|
|
1991
|
-
PropertyInfo(alias="followupAction"),
|
|
1992
|
-
]
|
|
1993
|
-
|
|
1994
|
-
location: str
|
|
1995
|
-
|
|
1996
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
1997
|
-
|
|
1998
|
-
|
|
1999
|
-
class EligibilityResponsePayerContactInformationContact(TypedDict, total=False):
|
|
2000
|
-
communication_mode: Annotated[
|
|
2001
|
-
Literal[
|
|
2002
|
-
"Electronic Data Interchange Access Number",
|
|
2003
|
-
"Electronic Mail",
|
|
2004
|
-
"Facsimile",
|
|
2005
|
-
"Telephone",
|
|
2006
|
-
"Uniform Resource Locator (URL)",
|
|
2007
|
-
],
|
|
2008
|
-
PropertyInfo(alias="communicationMode"),
|
|
2009
|
-
]
|
|
2010
|
-
|
|
2011
|
-
communication_number: Annotated[str, PropertyInfo(alias="communicationNumber")]
|
|
2012
|
-
|
|
2013
|
-
|
|
2014
|
-
class EligibilityResponsePayerContactInformation(TypedDict, total=False):
|
|
2015
|
-
contacts: Iterable[EligibilityResponsePayerContactInformationContact]
|
|
2016
|
-
|
|
2017
|
-
name: str
|
|
2018
|
-
|
|
2019
|
-
|
|
2020
|
-
class EligibilityResponsePayer(TypedDict, total=False):
|
|
2021
|
-
aaa_errors: Annotated[Iterable[EligibilityResponsePayerAaaError], PropertyInfo(alias="aaaErrors")]
|
|
2022
|
-
|
|
2023
|
-
centers_for_medicare_and_medicaid_plan_id: Annotated[str, PropertyInfo(alias="centersForMedicareAndMedicaidPlanId")]
|
|
2024
|
-
|
|
2025
|
-
contact_information: Annotated[EligibilityResponsePayerContactInformation, PropertyInfo(alias="contactInformation")]
|
|
2026
|
-
|
|
2027
|
-
employers_id: Annotated[str, PropertyInfo(alias="employersId")]
|
|
2028
|
-
|
|
2029
|
-
entity_identifier: Annotated[
|
|
2030
|
-
Literal["Third-Party Administrator", "Employer", "Gateway Provider", "Plan Sponsor", "Payer"],
|
|
2031
|
-
PropertyInfo(alias="entityIdentifier"),
|
|
2032
|
-
]
|
|
2033
|
-
|
|
2034
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
2035
|
-
|
|
2036
|
-
etin: str
|
|
2037
|
-
|
|
2038
|
-
federal_taxpayers_id_number: Annotated[str, PropertyInfo(alias="federalTaxpayersIdNumber")]
|
|
2039
|
-
|
|
2040
|
-
first_name: Annotated[str, PropertyInfo(alias="firstName")]
|
|
2041
|
-
|
|
2042
|
-
last_name: Annotated[str, PropertyInfo(alias="lastName")]
|
|
2043
|
-
|
|
2044
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
2045
|
-
|
|
2046
|
-
naic: str
|
|
2047
|
-
|
|
2048
|
-
name: str
|
|
2049
|
-
|
|
2050
|
-
npi: str
|
|
2051
|
-
|
|
2052
|
-
payor_identification: Annotated[str, PropertyInfo(alias="payorIdentification")]
|
|
2053
|
-
|
|
2054
|
-
suffix: str
|
|
2055
|
-
|
|
2056
|
-
|
|
2057
|
-
class EligibilityResponsePlanDateInformation(TypedDict, total=False):
|
|
2058
|
-
added: str
|
|
2059
|
-
|
|
2060
|
-
admission: str
|
|
2061
|
-
|
|
2062
|
-
benefit: str
|
|
2063
|
-
|
|
2064
|
-
benefit_begin: Annotated[str, PropertyInfo(alias="benefitBegin")]
|
|
2065
|
-
|
|
2066
|
-
benefit_end: Annotated[str, PropertyInfo(alias="benefitEnd")]
|
|
2067
|
-
|
|
2068
|
-
certification: str
|
|
2069
|
-
|
|
2070
|
-
cobra_begin: Annotated[str, PropertyInfo(alias="cobraBegin")]
|
|
2071
|
-
|
|
2072
|
-
cobra_end: Annotated[str, PropertyInfo(alias="cobraEnd")]
|
|
2073
|
-
|
|
2074
|
-
completion: str
|
|
2075
|
-
|
|
2076
|
-
coordination_of_benefits: Annotated[str, PropertyInfo(alias="coordinationOfBenefits")]
|
|
2077
|
-
|
|
2078
|
-
date_of_death: Annotated[str, PropertyInfo(alias="dateOfDeath")]
|
|
2079
|
-
|
|
2080
|
-
date_of_last_update: Annotated[str, PropertyInfo(alias="dateOfLastUpdate")]
|
|
2081
|
-
|
|
2082
|
-
discharge: str
|
|
2083
|
-
|
|
2084
|
-
effective_date_of_change: Annotated[str, PropertyInfo(alias="effectiveDateOfChange")]
|
|
2085
|
-
|
|
2086
|
-
eligibility: str
|
|
2087
|
-
|
|
2088
|
-
eligibility_begin: Annotated[str, PropertyInfo(alias="eligibilityBegin")]
|
|
2089
|
-
|
|
2090
|
-
eligibility_end: Annotated[str, PropertyInfo(alias="eligibilityEnd")]
|
|
2091
|
-
|
|
2092
|
-
enrollment: str
|
|
2093
|
-
|
|
2094
|
-
issue: str
|
|
2095
|
-
|
|
2096
|
-
latest_visit_or_consultation: Annotated[str, PropertyInfo(alias="latestVisitOrConsultation")]
|
|
2097
|
-
|
|
2098
|
-
period_end: Annotated[str, PropertyInfo(alias="periodEnd")]
|
|
2099
|
-
|
|
2100
|
-
period_start: Annotated[str, PropertyInfo(alias="periodStart")]
|
|
2101
|
-
|
|
2102
|
-
plan: str
|
|
2103
|
-
|
|
2104
|
-
plan_begin: Annotated[str, PropertyInfo(alias="planBegin")]
|
|
2105
|
-
|
|
2106
|
-
plan_end: Annotated[str, PropertyInfo(alias="planEnd")]
|
|
2107
|
-
|
|
2108
|
-
policy_effective: Annotated[str, PropertyInfo(alias="policyEffective")]
|
|
2109
|
-
|
|
2110
|
-
policy_expiration: Annotated[str, PropertyInfo(alias="policyExpiration")]
|
|
2111
|
-
|
|
2112
|
-
premium_paid_to_date_begin: Annotated[str, PropertyInfo(alias="premiumPaidToDateBegin")]
|
|
2113
|
-
|
|
2114
|
-
premium_paid_to_date_end: Annotated[str, PropertyInfo(alias="premiumPaidToDateEnd")]
|
|
2115
|
-
|
|
2116
|
-
primary_care_provider: Annotated[str, PropertyInfo(alias="primaryCareProvider")]
|
|
2117
|
-
|
|
2118
|
-
service: str
|
|
2119
|
-
|
|
2120
|
-
status: str
|
|
2121
|
-
|
|
2122
|
-
|
|
2123
|
-
class EligibilityResponsePlanInformation(TypedDict, total=False):
|
|
2124
|
-
agency_claim_number: Annotated[str, PropertyInfo(alias="agencyClaimNumber")]
|
|
2125
|
-
|
|
2126
|
-
alternative_list_id: Annotated[str, PropertyInfo(alias="alternativeListId")]
|
|
2127
|
-
|
|
2128
|
-
case_number: Annotated[str, PropertyInfo(alias="caseNumber")]
|
|
2129
|
-
|
|
2130
|
-
centers_for_medicare_and_medicaid_services_npi: Annotated[
|
|
2131
|
-
str, PropertyInfo(alias="centersForMedicareAndMedicaidServicesNPI")
|
|
2132
|
-
]
|
|
2133
|
-
|
|
2134
|
-
class_of_contract_code: Annotated[str, PropertyInfo(alias="classOfContractCode")]
|
|
2135
|
-
|
|
2136
|
-
contract_number: Annotated[str, PropertyInfo(alias="contractNumber")]
|
|
2137
|
-
|
|
2138
|
-
coverage_list_id: Annotated[str, PropertyInfo(alias="coverageListId")]
|
|
2139
|
-
|
|
2140
|
-
drug_formulary_number: Annotated[str, PropertyInfo(alias="drugFormularyNumber")]
|
|
2141
|
-
|
|
2142
|
-
electronic_device_pin: Annotated[str, PropertyInfo(alias="electronicDevicePin")]
|
|
2143
|
-
|
|
2144
|
-
eligibility_category: Annotated[str, PropertyInfo(alias="eligibilityCategory")]
|
|
2145
|
-
|
|
2146
|
-
facility_id_number: Annotated[str, PropertyInfo(alias="facilityIdNumber")]
|
|
2147
|
-
|
|
2148
|
-
facility_network_identification_number: Annotated[str, PropertyInfo(alias="facilityNetworkIdentificationNumber")]
|
|
2149
|
-
|
|
2150
|
-
family_unit_number: Annotated[str, PropertyInfo(alias="familyUnitNumber")]
|
|
2151
|
-
|
|
2152
|
-
federal_taxpayers_identification_number: Annotated[str, PropertyInfo(alias="federalTaxpayersIdentificationNumber")]
|
|
2153
|
-
|
|
2154
|
-
group_description: Annotated[str, PropertyInfo(alias="groupDescription")]
|
|
2155
|
-
|
|
2156
|
-
group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
|
|
2157
|
-
|
|
2158
|
-
hic_number: Annotated[str, PropertyInfo(alias="hicNumber")]
|
|
2159
|
-
|
|
2160
|
-
id_card_number: Annotated[str, PropertyInfo(alias="idCardNumber")]
|
|
2161
|
-
|
|
2162
|
-
id_card_serial_number: Annotated[str, PropertyInfo(alias="idCardSerialNumber")]
|
|
2163
|
-
|
|
2164
|
-
insurance_policy_number: Annotated[str, PropertyInfo(alias="insurancePolicyNumber")]
|
|
2165
|
-
|
|
2166
|
-
issue_number: Annotated[str, PropertyInfo(alias="issueNumber")]
|
|
2167
|
-
|
|
2168
|
-
medicaid_provider_number: Annotated[str, PropertyInfo(alias="medicaidProviderNumber")]
|
|
2169
|
-
|
|
2170
|
-
medicaid_recipient_id_number: Annotated[str, PropertyInfo(alias="medicaidRecipientIdNumber")]
|
|
2171
|
-
|
|
2172
|
-
medical_assistance_category: Annotated[str, PropertyInfo(alias="medicalAssistanceCategory")]
|
|
2173
|
-
|
|
2174
|
-
medical_record_identification_number: Annotated[str, PropertyInfo(alias="medicalRecordIdentificationNumber")]
|
|
2175
|
-
|
|
2176
|
-
medicare_provider_number: Annotated[str, PropertyInfo(alias="medicareProviderNumber")]
|
|
2177
|
-
|
|
2178
|
-
member_id: Annotated[str, PropertyInfo(alias="memberId")]
|
|
2179
|
-
|
|
2180
|
-
patient_account_number: Annotated[str, PropertyInfo(alias="patientAccountNumber")]
|
|
2181
|
-
|
|
2182
|
-
personal_identification_number: Annotated[str, PropertyInfo(alias="personalIdentificationNumber")]
|
|
2183
|
-
|
|
2184
|
-
plan_description: Annotated[str, PropertyInfo(alias="planDescription")]
|
|
2185
|
-
|
|
2186
|
-
plan_network_id_description: Annotated[str, PropertyInfo(alias="planNetworkIdDescription")]
|
|
2187
|
-
|
|
2188
|
-
plan_network_id_number: Annotated[str, PropertyInfo(alias="planNetworkIdNumber")]
|
|
2189
|
-
|
|
2190
|
-
plan_number: Annotated[str, PropertyInfo(alias="planNumber")]
|
|
2191
|
-
|
|
2192
|
-
policy_number: Annotated[str, PropertyInfo(alias="policyNumber")]
|
|
2193
|
-
|
|
2194
|
-
prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
|
|
2195
|
-
|
|
2196
|
-
prior_id_number: Annotated[str, PropertyInfo(alias="priorIdNumber")]
|
|
2197
|
-
|
|
2198
|
-
referral_number: Annotated[str, PropertyInfo(alias="referralNumber")]
|
|
2199
|
-
|
|
2200
|
-
social_security_number: Annotated[str, PropertyInfo(alias="socialSecurityNumber")]
|
|
2201
|
-
|
|
2202
|
-
state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
|
|
2203
|
-
|
|
2204
|
-
submitter_identification_number: Annotated[str, PropertyInfo(alias="submitterIdentificationNumber")]
|
|
2205
|
-
|
|
2206
|
-
user_identification: Annotated[str, PropertyInfo(alias="userIdentification")]
|
|
2207
|
-
|
|
2208
|
-
|
|
2209
|
-
class EligibilityResponsePlanStatus(TypedDict, total=False):
|
|
2210
|
-
plan_details: Annotated[str, PropertyInfo(alias="planDetails")]
|
|
2211
|
-
|
|
2212
|
-
service_type_codes: Annotated[
|
|
2213
|
-
List[
|
|
2214
|
-
Literal[
|
|
2215
|
-
"1",
|
|
2216
|
-
"2",
|
|
2217
|
-
"3",
|
|
2218
|
-
"4",
|
|
2219
|
-
"5",
|
|
2220
|
-
"6",
|
|
2221
|
-
"7",
|
|
2222
|
-
"8",
|
|
2223
|
-
"9",
|
|
2224
|
-
"10",
|
|
2225
|
-
"11",
|
|
2226
|
-
"12",
|
|
2227
|
-
"13",
|
|
2228
|
-
"14",
|
|
2229
|
-
"15",
|
|
2230
|
-
"16",
|
|
2231
|
-
"17",
|
|
2232
|
-
"18",
|
|
2233
|
-
"19",
|
|
2234
|
-
"20",
|
|
2235
|
-
"21",
|
|
2236
|
-
"22",
|
|
2237
|
-
"23",
|
|
2238
|
-
"24",
|
|
2239
|
-
"25",
|
|
2240
|
-
"26",
|
|
2241
|
-
"27",
|
|
2242
|
-
"28",
|
|
2243
|
-
"30",
|
|
2244
|
-
"32",
|
|
2245
|
-
"33",
|
|
2246
|
-
"34",
|
|
2247
|
-
"35",
|
|
2248
|
-
"36",
|
|
2249
|
-
"37",
|
|
2250
|
-
"38",
|
|
2251
|
-
"39",
|
|
2252
|
-
"40",
|
|
2253
|
-
"41",
|
|
2254
|
-
"42",
|
|
2255
|
-
"43",
|
|
2256
|
-
"44",
|
|
2257
|
-
"45",
|
|
2258
|
-
"46",
|
|
2259
|
-
"47",
|
|
2260
|
-
"48",
|
|
2261
|
-
"49",
|
|
2262
|
-
"50",
|
|
2263
|
-
"51",
|
|
2264
|
-
"52",
|
|
2265
|
-
"53",
|
|
2266
|
-
"54",
|
|
2267
|
-
"55",
|
|
2268
|
-
"56",
|
|
2269
|
-
"57",
|
|
2270
|
-
"58",
|
|
2271
|
-
"59",
|
|
2272
|
-
"60",
|
|
2273
|
-
"61",
|
|
2274
|
-
"62",
|
|
2275
|
-
"63",
|
|
2276
|
-
"64",
|
|
2277
|
-
"65",
|
|
2278
|
-
"66",
|
|
2279
|
-
"67",
|
|
2280
|
-
"68",
|
|
2281
|
-
"69",
|
|
2282
|
-
"70",
|
|
2283
|
-
"71",
|
|
2284
|
-
"72",
|
|
2285
|
-
"73",
|
|
2286
|
-
"74",
|
|
2287
|
-
"75",
|
|
2288
|
-
"76",
|
|
2289
|
-
"77",
|
|
2290
|
-
"78",
|
|
2291
|
-
"79",
|
|
2292
|
-
"80",
|
|
2293
|
-
"81",
|
|
2294
|
-
"82",
|
|
2295
|
-
"83",
|
|
2296
|
-
"84",
|
|
2297
|
-
"85",
|
|
2298
|
-
"86",
|
|
2299
|
-
"87",
|
|
2300
|
-
"88",
|
|
2301
|
-
"89",
|
|
2302
|
-
"90",
|
|
2303
|
-
"91",
|
|
2304
|
-
"92",
|
|
2305
|
-
"93",
|
|
2306
|
-
"94",
|
|
2307
|
-
"95",
|
|
2308
|
-
"96",
|
|
2309
|
-
"97",
|
|
2310
|
-
"98",
|
|
2311
|
-
"99",
|
|
2312
|
-
"A0",
|
|
2313
|
-
"A1",
|
|
2314
|
-
"A2",
|
|
2315
|
-
"A3",
|
|
2316
|
-
"A4",
|
|
2317
|
-
"A5",
|
|
2318
|
-
"A6",
|
|
2319
|
-
"A7",
|
|
2320
|
-
"A8",
|
|
2321
|
-
"A9",
|
|
2322
|
-
"AA",
|
|
2323
|
-
"AB",
|
|
2324
|
-
"AC",
|
|
2325
|
-
"AD",
|
|
2326
|
-
"AE",
|
|
2327
|
-
"AF",
|
|
2328
|
-
"AG",
|
|
2329
|
-
"AH",
|
|
2330
|
-
"AI",
|
|
2331
|
-
"AJ",
|
|
2332
|
-
"AK",
|
|
2333
|
-
"AL",
|
|
2334
|
-
"AM",
|
|
2335
|
-
"AN",
|
|
2336
|
-
"AO",
|
|
2337
|
-
"AQ",
|
|
2338
|
-
"AR",
|
|
2339
|
-
"B1",
|
|
2340
|
-
"B2",
|
|
2341
|
-
"B3",
|
|
2342
|
-
"BA",
|
|
2343
|
-
"BB",
|
|
2344
|
-
"BC",
|
|
2345
|
-
"BD",
|
|
2346
|
-
"BE",
|
|
2347
|
-
"BF",
|
|
2348
|
-
"BG",
|
|
2349
|
-
"BH",
|
|
2350
|
-
"BI",
|
|
2351
|
-
"BJ",
|
|
2352
|
-
"BK",
|
|
2353
|
-
"BL",
|
|
2354
|
-
"BM",
|
|
2355
|
-
"BN",
|
|
2356
|
-
"BP",
|
|
2357
|
-
"BQ",
|
|
2358
|
-
"BR",
|
|
2359
|
-
"BS",
|
|
2360
|
-
"BT",
|
|
2361
|
-
"BU",
|
|
2362
|
-
"BV",
|
|
2363
|
-
"BW",
|
|
2364
|
-
"BX",
|
|
2365
|
-
"BY",
|
|
2366
|
-
"BZ",
|
|
2367
|
-
"C1",
|
|
2368
|
-
"CA",
|
|
2369
|
-
"CB",
|
|
2370
|
-
"CC",
|
|
2371
|
-
"CD",
|
|
2372
|
-
"CE",
|
|
2373
|
-
"CF",
|
|
2374
|
-
"CG",
|
|
2375
|
-
"CH",
|
|
2376
|
-
"CI",
|
|
2377
|
-
"CJ",
|
|
2378
|
-
"CK",
|
|
2379
|
-
"CL",
|
|
2380
|
-
"CM",
|
|
2381
|
-
"CN",
|
|
2382
|
-
"CO",
|
|
2383
|
-
"CP",
|
|
2384
|
-
"CQ",
|
|
2385
|
-
"DG",
|
|
2386
|
-
"DM",
|
|
2387
|
-
"DS",
|
|
2388
|
-
"GF",
|
|
2389
|
-
"GN",
|
|
2390
|
-
"GY",
|
|
2391
|
-
"IC",
|
|
2392
|
-
"MH",
|
|
2393
|
-
"NI",
|
|
2394
|
-
"ON",
|
|
2395
|
-
"PT",
|
|
2396
|
-
"PU",
|
|
2397
|
-
"RN",
|
|
2398
|
-
"RT",
|
|
2399
|
-
"TC",
|
|
2400
|
-
"TN",
|
|
2401
|
-
"UC",
|
|
2402
|
-
]
|
|
2403
|
-
],
|
|
2404
|
-
PropertyInfo(alias="serviceTypeCodes"),
|
|
2405
|
-
]
|
|
2406
|
-
|
|
2407
|
-
status: str
|
|
2408
|
-
|
|
2409
|
-
status_code: Annotated[str, PropertyInfo(alias="statusCode")]
|
|
2410
|
-
|
|
2411
|
-
|
|
2412
|
-
class EligibilityResponseProviderAaaError(TypedDict, total=False):
|
|
2413
|
-
code: Literal["15", "41", "43", "44", "45", "46", "47", "48", "50", "51", "79", "97", "T4"]
|
|
2414
|
-
|
|
2415
|
-
description: str
|
|
2416
|
-
|
|
2417
|
-
field: str
|
|
2418
|
-
|
|
2419
|
-
followup_action: Annotated[
|
|
2420
|
-
Literal[
|
|
2421
|
-
"Please Correct and Resubmit",
|
|
2422
|
-
"Resubmission Not Allowed",
|
|
2423
|
-
"Resubmission Allowed",
|
|
2424
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
2425
|
-
"Please Wait 30 Days and Resubmit",
|
|
2426
|
-
"Please Wait 10 Days and Resubmit",
|
|
2427
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
2428
|
-
],
|
|
2429
|
-
PropertyInfo(alias="followupAction"),
|
|
2430
|
-
]
|
|
2431
|
-
|
|
2432
|
-
location: str
|
|
2433
|
-
|
|
2434
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
2435
|
-
|
|
2436
|
-
|
|
2437
|
-
class EligibilityResponseProviderAddress(TypedDict, total=False):
|
|
2438
|
-
address1: str
|
|
2439
|
-
|
|
2440
|
-
address2: str
|
|
2441
|
-
|
|
2442
|
-
city: str
|
|
2443
|
-
|
|
2444
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
2445
|
-
|
|
2446
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
2447
|
-
|
|
2448
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
2449
|
-
|
|
2450
|
-
state: Literal[
|
|
2451
|
-
"NL",
|
|
2452
|
-
"PE",
|
|
2453
|
-
"NS",
|
|
2454
|
-
"NB",
|
|
2455
|
-
"QC",
|
|
2456
|
-
"ON",
|
|
2457
|
-
"MB",
|
|
2458
|
-
"SK",
|
|
2459
|
-
"AB",
|
|
2460
|
-
"BC",
|
|
2461
|
-
"YT",
|
|
2462
|
-
"NT",
|
|
2463
|
-
"NU",
|
|
2464
|
-
"DC",
|
|
2465
|
-
"AS",
|
|
2466
|
-
"GU",
|
|
2467
|
-
"MP",
|
|
2468
|
-
"PR",
|
|
2469
|
-
"UM",
|
|
2470
|
-
"VI",
|
|
2471
|
-
"AK",
|
|
2472
|
-
"AL",
|
|
2473
|
-
"AR",
|
|
2474
|
-
"AZ",
|
|
2475
|
-
"CA",
|
|
2476
|
-
"CO",
|
|
2477
|
-
"CT",
|
|
2478
|
-
"DE",
|
|
2479
|
-
"FL",
|
|
2480
|
-
"GA",
|
|
2481
|
-
"HI",
|
|
2482
|
-
"IA",
|
|
2483
|
-
"ID",
|
|
2484
|
-
"IL",
|
|
2485
|
-
"IN",
|
|
2486
|
-
"KS",
|
|
2487
|
-
"KY",
|
|
2488
|
-
"LA",
|
|
2489
|
-
"MA",
|
|
2490
|
-
"MD",
|
|
2491
|
-
"ME",
|
|
2492
|
-
"MI",
|
|
2493
|
-
"MN",
|
|
2494
|
-
"MO",
|
|
2495
|
-
"MS",
|
|
2496
|
-
"MT",
|
|
2497
|
-
"NC",
|
|
2498
|
-
"ND",
|
|
2499
|
-
"NE",
|
|
2500
|
-
"NH",
|
|
2501
|
-
"NJ",
|
|
2502
|
-
"NM",
|
|
2503
|
-
"NV",
|
|
2504
|
-
"NY",
|
|
2505
|
-
"OH",
|
|
2506
|
-
"OK",
|
|
2507
|
-
"OR",
|
|
2508
|
-
"PA",
|
|
2509
|
-
"RI",
|
|
2510
|
-
"SC",
|
|
2511
|
-
"SD",
|
|
2512
|
-
"TN",
|
|
2513
|
-
"TX",
|
|
2514
|
-
"UT",
|
|
2515
|
-
"VA",
|
|
2516
|
-
"VT",
|
|
2517
|
-
"WA",
|
|
2518
|
-
"WI",
|
|
2519
|
-
"WV",
|
|
2520
|
-
"WY",
|
|
2521
|
-
]
|
|
2522
|
-
|
|
2523
|
-
|
|
2524
|
-
class EligibilityResponseProvider(TypedDict, total=False):
|
|
2525
|
-
aaa_errors: Annotated[Iterable[EligibilityResponseProviderAaaError], PropertyInfo(alias="aaaErrors")]
|
|
2526
|
-
|
|
2527
|
-
address: EligibilityResponseProviderAddress
|
|
2528
|
-
|
|
2529
|
-
employers_id: Annotated[str, PropertyInfo(alias="employersId")]
|
|
2530
|
-
|
|
2531
|
-
entity_identifier: Annotated[
|
|
2532
|
-
Literal[
|
|
2533
|
-
"Provider",
|
|
2534
|
-
"Third-Party Administrator",
|
|
2535
|
-
"Employer",
|
|
2536
|
-
"Hospital",
|
|
2537
|
-
"Facility",
|
|
2538
|
-
"Gateway Provider",
|
|
2539
|
-
"Plan Sponsor",
|
|
2540
|
-
"Payer",
|
|
2541
|
-
],
|
|
2542
|
-
PropertyInfo(alias="entityIdentifier"),
|
|
2543
|
-
]
|
|
2544
|
-
|
|
2545
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
2546
|
-
|
|
2547
|
-
federal_taxpayers_id_number: Annotated[str, PropertyInfo(alias="federalTaxpayersIdNumber")]
|
|
2548
|
-
|
|
2549
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
2550
|
-
|
|
2551
|
-
npi: str
|
|
2552
|
-
|
|
2553
|
-
payor_identification: Annotated[str, PropertyInfo(alias="payorIdentification")]
|
|
2554
|
-
|
|
2555
|
-
pharmacy_processor_number: Annotated[str, PropertyInfo(alias="pharmacyProcessorNumber")]
|
|
2556
|
-
|
|
2557
|
-
provider_code: Annotated[
|
|
2558
|
-
Literal[
|
|
2559
|
-
"AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU"
|
|
2560
|
-
],
|
|
2561
|
-
PropertyInfo(alias="providerCode"),
|
|
2562
|
-
]
|
|
2563
|
-
|
|
2564
|
-
provider_first_name: Annotated[str, PropertyInfo(alias="providerFirstName")]
|
|
2565
|
-
|
|
2566
|
-
provider_name: Annotated[str, PropertyInfo(alias="providerName")]
|
|
2567
|
-
|
|
2568
|
-
provider_org_name: Annotated[str, PropertyInfo(alias="providerOrgName")]
|
|
2569
|
-
|
|
2570
|
-
reference_identification: Annotated[str, PropertyInfo(alias="referenceIdentification")]
|
|
2571
|
-
|
|
2572
|
-
service_provider_number: Annotated[str, PropertyInfo(alias="serviceProviderNumber")]
|
|
2573
|
-
|
|
2574
|
-
services_plan_id: Annotated[str, PropertyInfo(alias="servicesPlanID")]
|
|
2575
|
-
|
|
2576
|
-
ssn: str
|
|
2577
|
-
|
|
2578
|
-
suffix: str
|
|
2579
|
-
|
|
2580
|
-
|
|
2581
|
-
class EligibilityResponseSubscriberAaaError(TypedDict, total=False):
|
|
2582
|
-
code: Literal[
|
|
2583
|
-
"15",
|
|
2584
|
-
"33",
|
|
2585
|
-
"35",
|
|
2586
|
-
"42",
|
|
2587
|
-
"43",
|
|
2588
|
-
"45",
|
|
2589
|
-
"47",
|
|
2590
|
-
"48",
|
|
2591
|
-
"49",
|
|
2592
|
-
"51",
|
|
2593
|
-
"52",
|
|
2594
|
-
"53",
|
|
2595
|
-
"54",
|
|
2596
|
-
"55",
|
|
2597
|
-
"56",
|
|
2598
|
-
"57",
|
|
2599
|
-
"58",
|
|
2600
|
-
"60",
|
|
2601
|
-
"61",
|
|
2602
|
-
"62",
|
|
2603
|
-
"63",
|
|
2604
|
-
"69",
|
|
2605
|
-
"70",
|
|
2606
|
-
"71",
|
|
2607
|
-
"72",
|
|
2608
|
-
"73",
|
|
2609
|
-
"74",
|
|
2610
|
-
"75",
|
|
2611
|
-
"76",
|
|
2612
|
-
"78",
|
|
2613
|
-
"98",
|
|
2614
|
-
"AA",
|
|
2615
|
-
"AE",
|
|
2616
|
-
"AF",
|
|
2617
|
-
"AG",
|
|
2618
|
-
"AO",
|
|
2619
|
-
"CI",
|
|
2620
|
-
"E8",
|
|
2621
|
-
"IA",
|
|
2622
|
-
"MA",
|
|
2623
|
-
]
|
|
2624
|
-
|
|
2625
|
-
description: str
|
|
2626
|
-
|
|
2627
|
-
field: str
|
|
2628
|
-
|
|
2629
|
-
followup_action: Annotated[
|
|
2630
|
-
Literal[
|
|
2631
|
-
"Please Correct and Resubmit",
|
|
2632
|
-
"Resubmission Not Allowed",
|
|
2633
|
-
"Resubmission Allowed",
|
|
2634
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
2635
|
-
"Please Wait 30 Days and Resubmit",
|
|
2636
|
-
"Please Wait 10 Days and Resubmit",
|
|
2637
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
2638
|
-
],
|
|
2639
|
-
PropertyInfo(alias="followupAction"),
|
|
2640
|
-
]
|
|
2641
|
-
|
|
2642
|
-
location: str
|
|
2643
|
-
|
|
2644
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
2645
|
-
|
|
2646
|
-
|
|
2647
|
-
class EligibilityResponseSubscriberAddress(TypedDict, total=False):
|
|
2648
|
-
address1: str
|
|
2649
|
-
|
|
2650
|
-
address2: str
|
|
2651
|
-
|
|
2652
|
-
city: str
|
|
2653
|
-
|
|
2654
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
2655
|
-
|
|
2656
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
2657
|
-
|
|
2658
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
2659
|
-
|
|
2660
|
-
state: Literal[
|
|
2661
|
-
"NL",
|
|
2662
|
-
"PE",
|
|
2663
|
-
"NS",
|
|
2664
|
-
"NB",
|
|
2665
|
-
"QC",
|
|
2666
|
-
"ON",
|
|
2667
|
-
"MB",
|
|
2668
|
-
"SK",
|
|
2669
|
-
"AB",
|
|
2670
|
-
"BC",
|
|
2671
|
-
"YT",
|
|
2672
|
-
"NT",
|
|
2673
|
-
"NU",
|
|
2674
|
-
"DC",
|
|
2675
|
-
"AS",
|
|
2676
|
-
"GU",
|
|
2677
|
-
"MP",
|
|
2678
|
-
"PR",
|
|
2679
|
-
"UM",
|
|
2680
|
-
"VI",
|
|
2681
|
-
"AK",
|
|
2682
|
-
"AL",
|
|
2683
|
-
"AR",
|
|
2684
|
-
"AZ",
|
|
2685
|
-
"CA",
|
|
2686
|
-
"CO",
|
|
2687
|
-
"CT",
|
|
2688
|
-
"DE",
|
|
2689
|
-
"FL",
|
|
2690
|
-
"GA",
|
|
2691
|
-
"HI",
|
|
2692
|
-
"IA",
|
|
2693
|
-
"ID",
|
|
2694
|
-
"IL",
|
|
2695
|
-
"IN",
|
|
2696
|
-
"KS",
|
|
2697
|
-
"KY",
|
|
2698
|
-
"LA",
|
|
2699
|
-
"MA",
|
|
2700
|
-
"MD",
|
|
2701
|
-
"ME",
|
|
2702
|
-
"MI",
|
|
2703
|
-
"MN",
|
|
2704
|
-
"MO",
|
|
2705
|
-
"MS",
|
|
2706
|
-
"MT",
|
|
2707
|
-
"NC",
|
|
2708
|
-
"ND",
|
|
2709
|
-
"NE",
|
|
2710
|
-
"NH",
|
|
2711
|
-
"NJ",
|
|
2712
|
-
"NM",
|
|
2713
|
-
"NV",
|
|
2714
|
-
"NY",
|
|
2715
|
-
"OH",
|
|
2716
|
-
"OK",
|
|
2717
|
-
"OR",
|
|
2718
|
-
"PA",
|
|
2719
|
-
"RI",
|
|
2720
|
-
"SC",
|
|
2721
|
-
"SD",
|
|
2722
|
-
"TN",
|
|
2723
|
-
"TX",
|
|
2724
|
-
"UT",
|
|
2725
|
-
"VA",
|
|
2726
|
-
"VT",
|
|
2727
|
-
"WA",
|
|
2728
|
-
"WI",
|
|
2729
|
-
"WV",
|
|
2730
|
-
"WY",
|
|
2731
|
-
]
|
|
2732
|
-
|
|
2733
|
-
|
|
2734
|
-
class EligibilityResponseSubscriberHealthCareDiagnosisCode(TypedDict, total=False):
|
|
2735
|
-
diagnosis_code: Annotated[str, PropertyInfo(alias="diagnosisCode")]
|
|
2736
|
-
|
|
2737
|
-
diagnosis_type_code: Annotated[str, PropertyInfo(alias="diagnosisTypeCode")]
|
|
2738
|
-
|
|
2739
|
-
|
|
2740
|
-
class EligibilityResponseSubscriberResponseProviderAaaError(TypedDict, total=False):
|
|
2741
|
-
code: Literal["15", "41", "43", "44", "45", "46", "47", "48", "50", "51", "79", "97", "T4"]
|
|
2742
|
-
|
|
2743
|
-
description: str
|
|
2744
|
-
|
|
2745
|
-
field: str
|
|
2746
|
-
|
|
2747
|
-
followup_action: Annotated[
|
|
2748
|
-
Literal[
|
|
2749
|
-
"Please Correct and Resubmit",
|
|
2750
|
-
"Resubmission Not Allowed",
|
|
2751
|
-
"Resubmission Allowed",
|
|
2752
|
-
"Do Not Resubmit; Inquiry Initiated to a Third Party",
|
|
2753
|
-
"Please Wait 30 Days and Resubmit",
|
|
2754
|
-
"Please Wait 10 Days and Resubmit",
|
|
2755
|
-
"Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly",
|
|
2756
|
-
],
|
|
2757
|
-
PropertyInfo(alias="followupAction"),
|
|
2758
|
-
]
|
|
2759
|
-
|
|
2760
|
-
location: str
|
|
2761
|
-
|
|
2762
|
-
possible_resolutions: Annotated[str, PropertyInfo(alias="possibleResolutions")]
|
|
2763
|
-
|
|
2764
|
-
|
|
2765
|
-
class EligibilityResponseSubscriberResponseProviderAddress(TypedDict, total=False):
|
|
2766
|
-
address1: str
|
|
2767
|
-
|
|
2768
|
-
address2: str
|
|
2769
|
-
|
|
2770
|
-
city: str
|
|
2771
|
-
|
|
2772
|
-
country_code: Annotated[str, PropertyInfo(alias="countryCode")]
|
|
2773
|
-
|
|
2774
|
-
country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
|
|
2775
|
-
|
|
2776
|
-
postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
|
|
2777
|
-
|
|
2778
|
-
state: Literal[
|
|
2779
|
-
"NL",
|
|
2780
|
-
"PE",
|
|
2781
|
-
"NS",
|
|
2782
|
-
"NB",
|
|
2783
|
-
"QC",
|
|
2784
|
-
"ON",
|
|
2785
|
-
"MB",
|
|
2786
|
-
"SK",
|
|
2787
|
-
"AB",
|
|
2788
|
-
"BC",
|
|
2789
|
-
"YT",
|
|
2790
|
-
"NT",
|
|
2791
|
-
"NU",
|
|
2792
|
-
"DC",
|
|
2793
|
-
"AS",
|
|
2794
|
-
"GU",
|
|
2795
|
-
"MP",
|
|
2796
|
-
"PR",
|
|
2797
|
-
"UM",
|
|
2798
|
-
"VI",
|
|
2799
|
-
"AK",
|
|
2800
|
-
"AL",
|
|
2801
|
-
"AR",
|
|
2802
|
-
"AZ",
|
|
2803
|
-
"CA",
|
|
2804
|
-
"CO",
|
|
2805
|
-
"CT",
|
|
2806
|
-
"DE",
|
|
2807
|
-
"FL",
|
|
2808
|
-
"GA",
|
|
2809
|
-
"HI",
|
|
2810
|
-
"IA",
|
|
2811
|
-
"ID",
|
|
2812
|
-
"IL",
|
|
2813
|
-
"IN",
|
|
2814
|
-
"KS",
|
|
2815
|
-
"KY",
|
|
2816
|
-
"LA",
|
|
2817
|
-
"MA",
|
|
2818
|
-
"MD",
|
|
2819
|
-
"ME",
|
|
2820
|
-
"MI",
|
|
2821
|
-
"MN",
|
|
2822
|
-
"MO",
|
|
2823
|
-
"MS",
|
|
2824
|
-
"MT",
|
|
2825
|
-
"NC",
|
|
2826
|
-
"ND",
|
|
2827
|
-
"NE",
|
|
2828
|
-
"NH",
|
|
2829
|
-
"NJ",
|
|
2830
|
-
"NM",
|
|
2831
|
-
"NV",
|
|
2832
|
-
"NY",
|
|
2833
|
-
"OH",
|
|
2834
|
-
"OK",
|
|
2835
|
-
"OR",
|
|
2836
|
-
"PA",
|
|
2837
|
-
"RI",
|
|
2838
|
-
"SC",
|
|
2839
|
-
"SD",
|
|
2840
|
-
"TN",
|
|
2841
|
-
"TX",
|
|
2842
|
-
"UT",
|
|
2843
|
-
"VA",
|
|
2844
|
-
"VT",
|
|
2845
|
-
"WA",
|
|
2846
|
-
"WI",
|
|
2847
|
-
"WV",
|
|
2848
|
-
"WY",
|
|
2849
|
-
]
|
|
2850
|
-
|
|
2851
|
-
|
|
2852
|
-
class EligibilityResponseSubscriberResponseProvider(TypedDict, total=False):
|
|
2853
|
-
aaa_errors: Annotated[
|
|
2854
|
-
Iterable[EligibilityResponseSubscriberResponseProviderAaaError], PropertyInfo(alias="aaaErrors")
|
|
2855
|
-
]
|
|
2856
|
-
|
|
2857
|
-
address: EligibilityResponseSubscriberResponseProviderAddress
|
|
2858
|
-
|
|
2859
|
-
employers_id: Annotated[str, PropertyInfo(alias="employersId")]
|
|
2860
|
-
|
|
2861
|
-
entity_identifier: Annotated[
|
|
2862
|
-
Literal[
|
|
2863
|
-
"Provider",
|
|
2864
|
-
"Third-Party Administrator",
|
|
2865
|
-
"Employer",
|
|
2866
|
-
"Hospital",
|
|
2867
|
-
"Facility",
|
|
2868
|
-
"Gateway Provider",
|
|
2869
|
-
"Plan Sponsor",
|
|
2870
|
-
"Payer",
|
|
2871
|
-
],
|
|
2872
|
-
PropertyInfo(alias="entityIdentifier"),
|
|
2873
|
-
]
|
|
2874
|
-
|
|
2875
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
2876
|
-
|
|
2877
|
-
federal_taxpayers_id_number: Annotated[str, PropertyInfo(alias="federalTaxpayersIdNumber")]
|
|
2878
|
-
|
|
2879
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
2880
|
-
|
|
2881
|
-
npi: str
|
|
2882
|
-
|
|
2883
|
-
payor_identification: Annotated[str, PropertyInfo(alias="payorIdentification")]
|
|
2884
|
-
|
|
2885
|
-
pharmacy_processor_number: Annotated[str, PropertyInfo(alias="pharmacyProcessorNumber")]
|
|
2886
|
-
|
|
2887
|
-
provider_code: Annotated[
|
|
2888
|
-
Literal[
|
|
2889
|
-
"AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU"
|
|
2890
|
-
],
|
|
2891
|
-
PropertyInfo(alias="providerCode"),
|
|
2892
|
-
]
|
|
2893
|
-
|
|
2894
|
-
provider_first_name: Annotated[str, PropertyInfo(alias="providerFirstName")]
|
|
2895
|
-
|
|
2896
|
-
provider_name: Annotated[str, PropertyInfo(alias="providerName")]
|
|
2897
|
-
|
|
2898
|
-
provider_org_name: Annotated[str, PropertyInfo(alias="providerOrgName")]
|
|
2899
|
-
|
|
2900
|
-
reference_identification: Annotated[str, PropertyInfo(alias="referenceIdentification")]
|
|
2901
|
-
|
|
2902
|
-
service_provider_number: Annotated[str, PropertyInfo(alias="serviceProviderNumber")]
|
|
2903
|
-
|
|
2904
|
-
services_plan_id: Annotated[str, PropertyInfo(alias="servicesPlanID")]
|
|
2905
|
-
|
|
2906
|
-
ssn: str
|
|
2907
|
-
|
|
2908
|
-
suffix: str
|
|
2909
|
-
|
|
2910
|
-
|
|
2911
|
-
class EligibilityResponseSubscriber(TypedDict, total=False):
|
|
2912
|
-
aaa_errors: Annotated[Iterable[EligibilityResponseSubscriberAaaError], PropertyInfo(alias="aaaErrors")]
|
|
2913
|
-
|
|
2914
|
-
address: EligibilityResponseSubscriberAddress
|
|
2915
|
-
|
|
2916
|
-
birth_sequence_number: Annotated[str, PropertyInfo(alias="birthSequenceNumber")]
|
|
2917
|
-
|
|
2918
|
-
date_of_birth: Annotated[str, PropertyInfo(alias="dateOfBirth")]
|
|
2919
|
-
|
|
2920
|
-
date_time_period: Annotated[str, PropertyInfo(alias="dateTimePeriod")]
|
|
2921
|
-
|
|
2922
|
-
date_time_period_format_qualifier: Annotated[
|
|
2923
|
-
Literal["D8", "RD8"], PropertyInfo(alias="dateTimePeriodFormatQualifier")
|
|
2924
|
-
]
|
|
2925
|
-
|
|
2926
|
-
description: str
|
|
2927
|
-
|
|
2928
|
-
employment_status_code: Annotated[
|
|
2929
|
-
Literal["AE", "AO", "AS", "AT", "AU", "CC", "DD", "HD", "IR", "LX", "PE", "RE", "RM", "RR", "RU"],
|
|
2930
|
-
PropertyInfo(alias="employmentStatusCode"),
|
|
2931
|
-
]
|
|
2932
|
-
|
|
2933
|
-
end_date_time_period: Annotated[str, PropertyInfo(alias="endDateTimePeriod")]
|
|
2934
|
-
|
|
2935
|
-
entity_identifier: Annotated[Literal["Insured or Subscriber"], PropertyInfo(alias="entityIdentifier")]
|
|
2936
|
-
|
|
2937
|
-
entity_type: Annotated[Literal["Person", "Non-Person Entity"], PropertyInfo(alias="entityType")]
|
|
2938
|
-
|
|
2939
|
-
first_name: Annotated[str, PropertyInfo(alias="firstName")]
|
|
2940
|
-
|
|
2941
|
-
gender: Literal["M", "F", "U"]
|
|
2942
|
-
|
|
2943
|
-
government_service_affiliation_code: Annotated[
|
|
2944
|
-
Literal["A", "B", "C", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "N", "O", "Q", "R", "S", "U", "W"],
|
|
2945
|
-
PropertyInfo(alias="governmentServiceAffiliationCode"),
|
|
2946
|
-
]
|
|
2947
|
-
|
|
2948
|
-
group_description: Annotated[str, PropertyInfo(alias="groupDescription")]
|
|
2949
|
-
|
|
2950
|
-
group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
|
|
2951
|
-
|
|
2952
|
-
health_care_diagnosis_codes: Annotated[
|
|
2953
|
-
Iterable[EligibilityResponseSubscriberHealthCareDiagnosisCode], PropertyInfo(alias="healthCareDiagnosisCodes")
|
|
2954
|
-
]
|
|
2955
|
-
|
|
2956
|
-
information_status_code: Annotated[
|
|
2957
|
-
Literal["A", "C", "L", "O", "P", "S", "T"], PropertyInfo(alias="informationStatusCode")
|
|
2958
|
-
]
|
|
2959
|
-
|
|
2960
|
-
insured_indicator: Annotated[Literal["Y"], PropertyInfo(alias="insuredIndicator")]
|
|
2961
|
-
|
|
2962
|
-
last_name: Annotated[str, PropertyInfo(alias="lastName")]
|
|
2963
|
-
|
|
2964
|
-
maintenance_reason_code: Annotated[Literal["25"], PropertyInfo(alias="maintenanceReasonCode")]
|
|
2965
|
-
|
|
2966
|
-
maintenance_type_code: Annotated[Literal["001"], PropertyInfo(alias="maintenanceTypeCode")]
|
|
2967
|
-
|
|
2968
|
-
member_id: Annotated[str, PropertyInfo(alias="memberId")]
|
|
2969
|
-
|
|
2970
|
-
middle_name: Annotated[str, PropertyInfo(alias="middleName")]
|
|
2971
|
-
|
|
2972
|
-
military_service_rank_code: Annotated[
|
|
2973
|
-
Literal[
|
|
2974
|
-
"A1",
|
|
2975
|
-
"A2",
|
|
2976
|
-
"A3",
|
|
2977
|
-
"B1",
|
|
2978
|
-
"B2",
|
|
2979
|
-
"C1",
|
|
2980
|
-
"C2",
|
|
2981
|
-
"C3",
|
|
2982
|
-
"C4",
|
|
2983
|
-
"C5",
|
|
2984
|
-
"C6",
|
|
2985
|
-
"C7",
|
|
2986
|
-
"C8",
|
|
2987
|
-
"C9",
|
|
2988
|
-
"E1",
|
|
2989
|
-
"F1",
|
|
2990
|
-
"F2",
|
|
2991
|
-
"F3",
|
|
2992
|
-
"F4",
|
|
2993
|
-
"G1",
|
|
2994
|
-
"G4",
|
|
2995
|
-
"L1",
|
|
2996
|
-
"L2",
|
|
2997
|
-
"L3",
|
|
2998
|
-
"L4",
|
|
2999
|
-
"L5",
|
|
3000
|
-
"L6",
|
|
3001
|
-
"M1",
|
|
3002
|
-
"M2",
|
|
3003
|
-
"M3",
|
|
3004
|
-
"M4",
|
|
3005
|
-
"M5",
|
|
3006
|
-
"M6",
|
|
3007
|
-
"P1",
|
|
3008
|
-
"P2",
|
|
3009
|
-
"P3",
|
|
3010
|
-
"P4",
|
|
3011
|
-
"P5",
|
|
3012
|
-
"R1",
|
|
3013
|
-
"R2",
|
|
3014
|
-
"S1",
|
|
3015
|
-
"S2",
|
|
3016
|
-
"S3",
|
|
3017
|
-
"S4",
|
|
3018
|
-
"S5",
|
|
3019
|
-
"S6",
|
|
3020
|
-
"S7",
|
|
3021
|
-
"S8",
|
|
3022
|
-
"S9",
|
|
3023
|
-
"SA",
|
|
3024
|
-
"SB",
|
|
3025
|
-
"SC",
|
|
3026
|
-
"T1",
|
|
3027
|
-
"V1",
|
|
3028
|
-
"W1",
|
|
3029
|
-
],
|
|
3030
|
-
PropertyInfo(alias="militaryServiceRankCode"),
|
|
3031
|
-
]
|
|
3032
|
-
|
|
3033
|
-
plan_description: Annotated[str, PropertyInfo(alias="planDescription")]
|
|
3034
|
-
|
|
3035
|
-
plan_network_description: Annotated[str, PropertyInfo(alias="planNetworkDescription")]
|
|
3036
|
-
|
|
3037
|
-
plan_network_id_number: Annotated[str, PropertyInfo(alias="planNetworkIdNumber")]
|
|
3038
|
-
|
|
3039
|
-
plan_number: Annotated[str, PropertyInfo(alias="planNumber")]
|
|
3040
|
-
|
|
3041
|
-
relation_to_subscriber: Annotated[Literal["Self"], PropertyInfo(alias="relationToSubscriber")]
|
|
3042
|
-
|
|
3043
|
-
relation_to_subscriber_code: Annotated[Literal["18"], PropertyInfo(alias="relationToSubscriberCode")]
|
|
3044
|
-
|
|
3045
|
-
response_provider: Annotated[EligibilityResponseSubscriberResponseProvider, PropertyInfo(alias="responseProvider")]
|
|
3046
|
-
|
|
3047
|
-
ssn: str
|
|
3048
|
-
|
|
3049
|
-
start_date_time_period: Annotated[str, PropertyInfo(alias="startDateTimePeriod")]
|
|
3050
|
-
|
|
3051
|
-
suffix: str
|
|
3052
|
-
|
|
3053
|
-
unique_health_identifier: Annotated[str, PropertyInfo(alias="uniqueHealthIdentifier")]
|
|
3054
|
-
|
|
3055
|
-
|
|
3056
|
-
class EligibilityResponseSubscriberTraceNumber(TypedDict, total=False):
|
|
3057
|
-
originating_company_identifier: Annotated[str, PropertyInfo(alias="originatingCompanyIdentifier")]
|
|
3058
|
-
|
|
3059
|
-
reference_identification: Annotated[str, PropertyInfo(alias="referenceIdentification")]
|
|
3060
|
-
|
|
3061
|
-
secondary_reference_identification: Annotated[str, PropertyInfo(alias="secondaryReferenceIdentification")]
|
|
3062
|
-
|
|
3063
|
-
trace_type: Annotated[str, PropertyInfo(alias="traceType")]
|
|
3064
|
-
|
|
3065
|
-
trace_type_code: Annotated[str, PropertyInfo(alias="traceTypeCode")]
|
|
3066
|
-
|
|
3067
|
-
|
|
3068
|
-
class EligibilityResponseWarning(TypedDict, total=False):
|
|
3069
|
-
code: str
|
|
3070
|
-
|
|
3071
|
-
description: str
|
|
3072
|
-
|
|
3073
|
-
|
|
3074
|
-
class EligibilityResponse(TypedDict, total=False):
|
|
3075
|
-
in_network: Required[Annotated[bool, PropertyInfo(alias="inNetwork")]]
|
|
3076
|
-
|
|
3077
|
-
benefits_information: Annotated[
|
|
3078
|
-
Iterable[EligibilityResponseBenefitsInformation], PropertyInfo(alias="benefitsInformation")
|
|
3079
|
-
]
|
|
3080
|
-
|
|
3081
|
-
control_number: Annotated[str, PropertyInfo(alias="controlNumber")]
|
|
3082
|
-
|
|
3083
|
-
dependents: Iterable[EligibilityResponseDependent]
|
|
3084
|
-
|
|
3085
|
-
errors: Iterable[EligibilityResponseError]
|
|
3086
|
-
|
|
3087
|
-
implementation_transaction_set_syntax_error: Annotated[
|
|
3088
|
-
str, PropertyInfo(alias="implementationTransactionSetSyntaxError")
|
|
3089
|
-
]
|
|
3090
|
-
|
|
3091
|
-
meta: EligibilityResponseMeta
|
|
3092
|
-
|
|
3093
|
-
payer: EligibilityResponsePayer
|
|
3094
|
-
|
|
3095
|
-
plan_date_information: Annotated[EligibilityResponsePlanDateInformation, PropertyInfo(alias="planDateInformation")]
|
|
3096
|
-
|
|
3097
|
-
plan_information: Annotated[EligibilityResponsePlanInformation, PropertyInfo(alias="planInformation")]
|
|
3098
|
-
|
|
3099
|
-
plan_status: Annotated[Iterable[EligibilityResponsePlanStatus], PropertyInfo(alias="planStatus")]
|
|
3100
|
-
|
|
3101
|
-
provider: EligibilityResponseProvider
|
|
3102
|
-
|
|
3103
|
-
reassociation_key: Annotated[str, PropertyInfo(alias="reassociationKey")]
|
|
3104
|
-
|
|
3105
|
-
status: str
|
|
3106
|
-
|
|
3107
|
-
subscriber: EligibilityResponseSubscriber
|
|
3108
|
-
|
|
3109
|
-
subscriber_trace_numbers: Annotated[
|
|
3110
|
-
Iterable[EligibilityResponseSubscriberTraceNumber], PropertyInfo(alias="subscriberTraceNumbers")
|
|
3111
|
-
]
|
|
3112
|
-
|
|
3113
|
-
trading_partner_service_id: Annotated[str, PropertyInfo(alias="tradingPartnerServiceId")]
|
|
3114
|
-
|
|
3115
|
-
transaction_set_acknowledgement: Annotated[str, PropertyInfo(alias="transactionSetAcknowledgement")]
|
|
3116
|
-
|
|
3117
|
-
warnings: Iterable[EligibilityResponseWarning]
|
|
3118
|
-
|
|
3119
|
-
x12: str
|
|
3120
|
-
|
|
3121
|
-
|
|
3122
|
-
class LineItem(TypedDict, total=False):
|
|
3123
|
-
id: Required[str]
|
|
3124
|
-
|
|
3125
|
-
cpt_code: Required[Annotated[str, PropertyInfo(alias="cptCode")]]
|
|
3126
|
-
|
|
3127
|
-
service_amount: Required[Annotated[float, PropertyInfo(alias="serviceAmount")]]
|
|
3128
|
-
|
|
3129
|
-
service_date: Required[Annotated[str, PropertyInfo(alias="serviceDate")]]
|