samplehc 0.17.0__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.
Files changed (150) hide show
  1. samplehc/_client.py +1 -38
  2. samplehc/_version.py +1 -1
  3. samplehc/resources/__init__.py +0 -14
  4. samplehc/resources/v2/__init__.py +0 -98
  5. samplehc/resources/v2/async_results.py +0 -79
  6. samplehc/resources/v2/documents/__init__.py +0 -14
  7. samplehc/resources/v2/documents/documents.py +0 -194
  8. samplehc/resources/v2/v2.py +0 -224
  9. samplehc/types/__init__.py +0 -5
  10. samplehc/types/v2/__init__.py +0 -53
  11. samplehc/types/v2/documents/__init__.py +0 -3
  12. {samplehc-0.17.0.dist-info → samplehc-0.18.0.dist-info}/METADATA +22 -27
  13. samplehc-0.18.0.dist-info/RECORD +92 -0
  14. samplehc/resources/v1/__init__.py +0 -19
  15. samplehc/resources/v1/v1.py +0 -298
  16. samplehc/resources/v2/clearinghouse/__init__.py +0 -47
  17. samplehc/resources/v2/clearinghouse/claim.py +0 -407
  18. samplehc/resources/v2/clearinghouse/clearinghouse.py +0 -844
  19. samplehc/resources/v2/clearinghouse/payers.py +0 -224
  20. samplehc/resources/v2/documents/pdf_template.py +0 -165
  21. samplehc/resources/v2/hie/__init__.py +0 -47
  22. samplehc/resources/v2/hie/adt.py +0 -249
  23. samplehc/resources/v2/hie/documents.py +0 -390
  24. samplehc/resources/v2/hie/hie.py +0 -134
  25. samplehc/resources/v2/integrations/__init__.py +0 -131
  26. samplehc/resources/v2/integrations/bank/__init__.py +0 -33
  27. samplehc/resources/v2/integrations/bank/bank.py +0 -102
  28. samplehc/resources/v2/integrations/bank/transactions.py +0 -185
  29. samplehc/resources/v2/integrations/careviso.py +0 -372
  30. samplehc/resources/v2/integrations/glidian/__init__.py +0 -33
  31. samplehc/resources/v2/integrations/glidian/glidian.py +0 -425
  32. samplehc/resources/v2/integrations/glidian/prior_authorizations/__init__.py +0 -33
  33. samplehc/resources/v2/integrations/glidian/prior_authorizations/clinical_questions.py +0 -276
  34. samplehc/resources/v2/integrations/glidian/prior_authorizations/prior_authorizations.py +0 -527
  35. samplehc/resources/v2/integrations/integrations.py +0 -326
  36. samplehc/resources/v2/integrations/kno2/__init__.py +0 -33
  37. samplehc/resources/v2/integrations/kno2/kno2.py +0 -102
  38. samplehc/resources/v2/integrations/kno2/messages.py +0 -260
  39. samplehc/resources/v2/integrations/salesforce.py +0 -277
  40. samplehc/resources/v2/integrations/snowflake.py +0 -173
  41. samplehc/resources/v2/integrations/wellsky/__init__.py +0 -33
  42. samplehc/resources/v2/integrations/wellsky/patients.py +0 -324
  43. samplehc/resources/v2/integrations/wellsky/wellsky.py +0 -102
  44. samplehc/resources/v2/integrations/xcures.py +0 -197
  45. samplehc/resources/v2/policies.py +0 -655
  46. samplehc/resources/v2/tasks/__init__.py +0 -33
  47. samplehc/resources/v2/tasks/state.py +0 -266
  48. samplehc/resources/v2/tasks/tasks.py +0 -754
  49. samplehc/resources/v2/workflow_runs/__init__.py +0 -33
  50. samplehc/resources/v2/workflow_runs/step.py +0 -169
  51. samplehc/resources/v2/workflow_runs/workflow_runs.py +0 -479
  52. samplehc/resources/v2/workflows.py +0 -377
  53. samplehc/types/v1/__init__.py +0 -3
  54. samplehc/types/v1_query_audit_logs_params.py +0 -12
  55. samplehc/types/v1_query_audit_logs_response.py +0 -16
  56. samplehc/types/v1_sql_execute_params.py +0 -27
  57. samplehc/types/v1_sql_execute_response.py +0 -27
  58. samplehc/types/v2/async_result_retrieve_response.py +0 -18
  59. samplehc/types/v2/clearinghouse/__init__.py +0 -9
  60. samplehc/types/v2/clearinghouse/claim_submit_params.py +0 -2693
  61. samplehc/types/v2/clearinghouse/claim_submit_response.py +0 -23
  62. samplehc/types/v2/clearinghouse/payer_list_response.py +0 -27
  63. samplehc/types/v2/clearinghouse/payer_search_params.py +0 -12
  64. samplehc/types/v2/clearinghouse/payer_search_response.py +0 -33
  65. samplehc/types/v2/clearinghouse_calculate_patient_cost_params.py +0 -3129
  66. samplehc/types/v2/clearinghouse_check_claim_status_params.py +0 -41
  67. samplehc/types/v2/clearinghouse_check_eligibility_params.py +0 -36
  68. samplehc/types/v2/clearinghouse_check_eligibility_response.py +0 -15
  69. samplehc/types/v2/clearinghouse_coordination_of_benefits_params.py +0 -35
  70. samplehc/types/v2/clearinghouse_run_discovery_params.py +0 -59
  71. samplehc/types/v2/clearinghouse_run_discovery_response.py +0 -13
  72. samplehc/types/v2/document_unzip_async_response.py +0 -12
  73. samplehc/types/v2/document_unzip_response.py +0 -20
  74. samplehc/types/v2/documents/pdf_template_retrieve_metadata_response.py +0 -17
  75. samplehc/types/v2/hie/__init__.py +0 -8
  76. samplehc/types/v2/hie/adt_subscribe_params.py +0 -92
  77. samplehc/types/v2/hie/document_query_params.py +0 -92
  78. samplehc/types/v2/hie/document_query_response.py +0 -16
  79. samplehc/types/v2/hie/document_upload_params.py +0 -54
  80. samplehc/types/v2/integrations/__init__.py +0 -23
  81. samplehc/types/v2/integrations/bank/__init__.py +0 -6
  82. samplehc/types/v2/integrations/bank/transaction_sync_params.py +0 -15
  83. samplehc/types/v2/integrations/bank/transaction_sync_response.py +0 -26
  84. samplehc/types/v2/integrations/careviso_get_payers_response.py +0 -19
  85. samplehc/types/v2/integrations/careviso_submit_prior_authorization_params.py +0 -90
  86. samplehc/types/v2/integrations/glidian/__init__.py +0 -20
  87. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_params.py +0 -32
  88. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_response.py +0 -24
  89. samplehc/types/v2/integrations/glidian/prior_authorization_retrieve_record_response.py +0 -13
  90. samplehc/types/v2/integrations/glidian/prior_authorization_submit_response.py +0 -16
  91. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_params.py +0 -20
  92. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_response.py +0 -16
  93. samplehc/types/v2/integrations/glidian/prior_authorizations/__init__.py +0 -7
  94. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_list_response.py +0 -42
  95. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_params.py +0 -23
  96. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_response.py +0 -19
  97. samplehc/types/v2/integrations/glidian_get_submission_requirements_params.py +0 -17
  98. samplehc/types/v2/integrations/glidian_get_submission_requirements_response.py +0 -31
  99. samplehc/types/v2/integrations/glidian_list_payers_params.py +0 -11
  100. samplehc/types/v2/integrations/glidian_list_payers_response.py +0 -17
  101. samplehc/types/v2/integrations/glidian_list_services_params.py +0 -13
  102. samplehc/types/v2/integrations/glidian_list_services_response.py +0 -19
  103. samplehc/types/v2/integrations/kno2/__init__.py +0 -6
  104. samplehc/types/v2/integrations/kno2/message_get_attachment_response.py +0 -15
  105. samplehc/types/v2/integrations/kno2/message_retrieve_response.py +0 -13
  106. samplehc/types/v2/integrations/salesforce_run_crud_action_params.py +0 -22
  107. samplehc/types/v2/integrations/salesforce_run_soql_query_params.py +0 -11
  108. samplehc/types/v2/integrations/snowflake_query_params.py +0 -12
  109. samplehc/types/v2/integrations/snowflake_query_response.py +0 -8
  110. samplehc/types/v2/integrations/wellsky/__init__.py +0 -6
  111. samplehc/types/v2/integrations/wellsky/patient_add_params.py +0 -13
  112. samplehc/types/v2/integrations/wellsky/patient_search_params.py +0 -32
  113. samplehc/types/v2/integrations/xcure_make_request_params.py +0 -18
  114. samplehc/types/v2/ledger/__init__.py +0 -3
  115. samplehc/types/v2/policy_list_companies_params.py +0 -18
  116. samplehc/types/v2/policy_list_companies_response.py +0 -24
  117. samplehc/types/v2/policy_list_params.py +0 -47
  118. samplehc/types/v2/policy_list_plans_params.py +0 -18
  119. samplehc/types/v2/policy_list_plans_response.py +0 -30
  120. samplehc/types/v2/policy_list_response.py +0 -67
  121. samplehc/types/v2/policy_retrieve_presigned_url_response.py +0 -17
  122. samplehc/types/v2/policy_retrieve_text_response.py +0 -12
  123. samplehc/types/v2/task_cancel_response.py +0 -12
  124. samplehc/types/v2/task_complete_params.py +0 -12
  125. samplehc/types/v2/task_complete_response.py +0 -16
  126. samplehc/types/v2/task_get_suspended_payload_response.py +0 -8
  127. samplehc/types/v2/task_retrieve_response.py +0 -22
  128. samplehc/types/v2/task_retry_response.py +0 -10
  129. samplehc/types/v2/task_update_column_params.py +0 -19
  130. samplehc/types/v2/task_update_column_response.py +0 -9
  131. samplehc/types/v2/task_update_screen_time_params.py +0 -14
  132. samplehc/types/v2/task_update_screen_time_response.py +0 -8
  133. samplehc/types/v2/tasks/__init__.py +0 -7
  134. samplehc/types/v2/tasks/state_get_response.py +0 -8
  135. samplehc/types/v2/tasks/state_update_params.py +0 -13
  136. samplehc/types/v2/tasks/state_update_response.py +0 -9
  137. samplehc/types/v2/workflow_deploy_response.py +0 -12
  138. samplehc/types/v2/workflow_query_params.py +0 -12
  139. samplehc/types/v2/workflow_query_response.py +0 -8
  140. samplehc/types/v2/workflow_run_get_start_data_response.py +0 -14
  141. samplehc/types/v2/workflow_run_resume_when_complete_params.py +0 -14
  142. samplehc/types/v2/workflow_run_resume_when_complete_response.py +0 -12
  143. samplehc/types/v2/workflow_run_retrieve_response.py +0 -16
  144. samplehc/types/v2/workflow_runs/__init__.py +0 -5
  145. samplehc/types/v2/workflow_runs/step_get_output_response.py +0 -14
  146. samplehc/types/v2/workflow_start_params.py +0 -25
  147. samplehc/types/v2/workflow_start_response.py +0 -25
  148. samplehc-0.17.0.dist-info/RECORD +0 -226
  149. {samplehc-0.17.0.dist-info → samplehc-0.18.0.dist-info}/WHEEL +0 -0
  150. {samplehc-0.17.0.dist-info → samplehc-0.18.0.dist-info}/licenses/LICENSE +0 -0
@@ -1,2693 +0,0 @@
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- # File generated from our OpenAPI spec by Stainless. See CONTRIBUTING.md for details.
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-
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- from __future__ import annotations
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-
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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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-
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- from ...._types import SequenceNotStr
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- from ...._utils import PropertyInfo
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-
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- __all__ = [
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- "ClaimSubmitParams",
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- "Billing",
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- "BillingAddress",
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- "BillingContactInformation",
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- "ClaimInformation",
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- "ClaimInformationHealthCareCodeInformation",
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- "ClaimInformationServiceLine",
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- "ClaimInformationServiceLineProfessionalService",
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- "ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers",
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- "ClaimInformationServiceLineAmbulanceCertification",
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- "ClaimInformationServiceLineAmbulanceDropOffLocation",
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- "ClaimInformationServiceLineAmbulancePickUpLocation",
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- "ClaimInformationServiceLineAmbulanceTransportInformation",
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- "ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment",
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- "ClaimInformationServiceLineContractInformation",
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- "ClaimInformationServiceLineDrugIdentification",
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- "ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity",
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- "ClaimInformationServiceLineDurableMedicalEquipmentCertification",
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- "ClaimInformationServiceLineDurableMedicalEquipmentService",
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- "ClaimInformationServiceLineFormIdentification",
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- "ClaimInformationServiceLineFormIdentificationSupportingDocumentation",
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- "ClaimInformationServiceLineLineAdjudicationInformation",
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- "ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation",
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- "ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail",
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- "ClaimInformationServiceLineLinePricingRepricingInformation",
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- "ClaimInformationServiceLineOrderingProvider",
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- "ClaimInformationServiceLineOrderingProviderAddress",
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- "ClaimInformationServiceLineOrderingProviderContactInformation",
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- "ClaimInformationServiceLineOrderingProviderSecondaryIdentifier",
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- "ClaimInformationServiceLinePurchasedServiceInformation",
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- "ClaimInformationServiceLinePurchasedServiceProvider",
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- "ClaimInformationServiceLinePurchasedServiceProviderAddress",
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- "ClaimInformationServiceLinePurchasedServiceProviderContactInformation",
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- "ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier",
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- "ClaimInformationServiceLineReferringProvider",
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- "ClaimInformationServiceLineReferringProviderAddress",
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- "ClaimInformationServiceLineReferringProviderContactInformation",
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- "ClaimInformationServiceLineReferringProviderSecondaryIdentifier",
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- "ClaimInformationServiceLineRenderingProvider",
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- "ClaimInformationServiceLineRenderingProviderAddress",
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- "ClaimInformationServiceLineRenderingProviderContactInformation",
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- "ClaimInformationServiceLineRenderingProviderSecondaryIdentifier",
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- "ClaimInformationServiceLineServiceFacilityLocation",
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- "ClaimInformationServiceLineServiceFacilityLocationAddress",
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- "ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier",
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- "ClaimInformationServiceLineServiceLineDateInformation",
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- "ClaimInformationServiceLineServiceLineReferenceInformation",
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- "ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization",
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- "ClaimInformationServiceLineServiceLineSupplementalInformation",
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- "ClaimInformationServiceLineSupervisingProvider",
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- "ClaimInformationServiceLineSupervisingProviderAddress",
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- "ClaimInformationServiceLineSupervisingProviderContactInformation",
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- "ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier",
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- "ClaimInformationServiceLineTestResult",
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- "ClaimInformationAmbulanceCertification",
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- "ClaimInformationAmbulanceDropOffLocation",
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- "ClaimInformationAmbulancePickUpLocation",
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- "ClaimInformationAmbulanceTransportInformation",
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- "ClaimInformationClaimContractInformation",
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- "ClaimInformationClaimDateInformation",
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- "ClaimInformationClaimNote",
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- "ClaimInformationClaimPricingRepricingInformation",
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- "ClaimInformationClaimSupplementalInformation",
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- "ClaimInformationClaimSupplementalInformationReportInformation",
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- "ClaimInformationConditionInformation",
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- "ClaimInformationEpsdtReferral",
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- "ClaimInformationOtherSubscriberInformation",
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- "ClaimInformationOtherSubscriberInformationOtherPayerName",
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- "ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress",
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- "ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondaryIdentifier",
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- "ClaimInformationOtherSubscriberInformationOtherSubscriberName",
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- "ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress",
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- "ClaimInformationOtherSubscriberInformationClaimLevelAdjustment",
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- "ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail",
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- "ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication",
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- "ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider",
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- "ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier",
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- "ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider",
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- "ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier",
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- "ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider",
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- "ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier",
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- "ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation",
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- "ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier",
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- "ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider",
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- "ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier",
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- "ClaimInformationPatientConditionInformationVision",
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- "ClaimInformationServiceFacilityLocation",
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- "ClaimInformationServiceFacilityLocationAddress",
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- "ClaimInformationServiceFacilityLocationSecondaryIdentifier",
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- "ClaimInformationSpinalManipulationServiceInformation",
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- "Receiver",
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- "Submitter",
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- "SubmitterContactInformation",
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- "Subscriber",
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- "SubscriberAddress",
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- "SubscriberContactInformation",
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- "Dependent",
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- "DependentAddress",
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- "DependentContactInformation",
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- "Ordering",
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- "OrderingAddress",
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- "OrderingContactInformation",
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- "PayerAddress",
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- "PayToAddress",
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- "PayToPlan",
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- "PayToPlanAddress",
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- "Provider",
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- "ProviderAddress",
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- "ProviderContactInformation",
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- "Referring",
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- "ReferringAddress",
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- "ReferringContactInformation",
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- "Rendering",
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- "RenderingAddress",
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- "RenderingContactInformation",
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- "Supervising",
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- "SupervisingAddress",
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- "SupervisingContactInformation",
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- ]
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-
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-
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- class ClaimSubmitParams(TypedDict, total=False):
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- billing: Required[Billing]
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-
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- claim_information: Required[Annotated[ClaimInformation, PropertyInfo(alias="claimInformation")]]
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-
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- is_testing: Required[Annotated[bool, PropertyInfo(alias="isTesting")]]
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-
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- receiver: Required[Receiver]
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-
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- submitter: Required[Submitter]
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-
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- subscriber: Required[Subscriber]
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-
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- trading_partner_service_id: Required[Annotated[str, PropertyInfo(alias="tradingPartnerServiceId")]]
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-
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- control_number: Annotated[str, PropertyInfo(alias="controlNumber")]
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-
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- dependent: Dependent
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-
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- ordering: Ordering
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-
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- payer_address: Annotated[PayerAddress, PropertyInfo(alias="payerAddress")]
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-
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- pay_to_address: Annotated[PayToAddress, PropertyInfo(alias="payToAddress")]
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-
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- pay_to_plan: Annotated[PayToPlan, PropertyInfo(alias="payToPlan")]
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-
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- providers: Iterable[Provider]
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-
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- referring: Referring
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-
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- rendering: Rendering
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-
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- supervising: Supervising
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-
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- trading_partner_name: Annotated[str, PropertyInfo(alias="tradingPartnerName")]
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-
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-
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- class BillingAddress(TypedDict, total=False):
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- address1: Required[str]
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-
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- city: Required[str]
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-
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- address2: str
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-
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- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
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-
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- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
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-
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- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
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-
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- state: str
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-
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-
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- class BillingContactInformation(TypedDict, total=False):
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- email: str
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-
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- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
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-
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- name: str
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-
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- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
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-
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- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
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-
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-
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- class Billing(TypedDict, total=False):
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- address: BillingAddress
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-
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- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
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-
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- contact_information: Annotated[BillingContactInformation, PropertyInfo(alias="contactInformation")]
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-
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- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
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-
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- first_name: Annotated[str, PropertyInfo(alias="firstName")]
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-
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- last_name: Annotated[str, PropertyInfo(alias="lastName")]
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-
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- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
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-
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- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
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-
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- npi: str
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-
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- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
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-
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- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
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-
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- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
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-
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- ssn: str
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-
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- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
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-
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- suffix: str
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-
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- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
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-
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-
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- class ClaimInformationHealthCareCodeInformation(TypedDict, total=False):
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- diagnosis_code: Required[Annotated[str, PropertyInfo(alias="diagnosisCode")]]
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-
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- diagnosis_type_code: Required[Annotated[Literal["BK", "ABK", "BF", "ABF"], PropertyInfo(alias="diagnosisTypeCode")]]
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-
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-
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- class ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers(TypedDict, total=False):
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- diagnosis_code_pointers: Required[Annotated[SequenceNotStr[str], PropertyInfo(alias="diagnosisCodePointers")]]
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-
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-
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- class ClaimInformationServiceLineProfessionalService(TypedDict, total=False):
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- composite_diagnosis_code_pointers: Required[
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- Annotated[
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- ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers,
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- PropertyInfo(alias="compositeDiagnosisCodePointers"),
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- ]
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- ]
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-
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- line_item_charge_amount: Required[Annotated[str, PropertyInfo(alias="lineItemChargeAmount")]]
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-
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- measurement_unit: Required[Annotated[Literal["MJ", "UN"], PropertyInfo(alias="measurementUnit")]]
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-
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- procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
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-
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- procedure_identifier: Required[
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- Annotated[Literal["ER", "HC", "IV", "WK"], PropertyInfo(alias="procedureIdentifier")]
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- ]
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-
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- service_unit_count: Required[Annotated[str, PropertyInfo(alias="serviceUnitCount")]]
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-
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- copay_status_code: Annotated[Literal["0"], PropertyInfo(alias="copayStatusCode")]
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-
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- description: str
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-
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- emergency_indicator: Annotated[Literal["Y"], PropertyInfo(alias="emergencyIndicator")]
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-
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- epsdt_indicator: Annotated[Literal["Y"], PropertyInfo(alias="epsdtIndicator")]
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-
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- family_planning_indicator: Annotated[Literal["Y"], PropertyInfo(alias="familyPlanningIndicator")]
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-
273
- place_of_service_code: Annotated[str, PropertyInfo(alias="placeOfServiceCode")]
274
-
275
- procedure_modifiers: Annotated[SequenceNotStr[str], PropertyInfo(alias="procedureModifiers")]
276
-
277
-
278
- class ClaimInformationServiceLineAmbulanceCertification(TypedDict, total=False):
279
- certification_condition_indicator: Required[
280
- Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
281
- ]
282
-
283
- condition_codes: Required[
284
- Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
285
- ]
286
-
287
-
288
- class ClaimInformationServiceLineAmbulanceDropOffLocation(TypedDict, total=False):
289
- address1: Required[str]
290
-
291
- city: Required[str]
292
-
293
- address2: str
294
-
295
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
296
-
297
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
298
-
299
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
300
-
301
- state: str
302
-
303
-
304
- class ClaimInformationServiceLineAmbulancePickUpLocation(TypedDict, total=False):
305
- address1: Required[str]
306
-
307
- city: Required[str]
308
-
309
- address2: str
310
-
311
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
312
-
313
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
314
-
315
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
316
-
317
- state: str
318
-
319
-
320
- class ClaimInformationServiceLineAmbulanceTransportInformation(TypedDict, total=False):
321
- ambulance_transport_reason_code: Required[
322
- Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
323
- ]
324
-
325
- transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
326
-
327
- patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
328
-
329
- round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
330
-
331
- stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
332
-
333
-
334
- class ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment(TypedDict, total=False):
335
- certification_condition_indicator: Required[
336
- Annotated[Literal["Y", "N"], PropertyInfo(alias="certificationConditionIndicator")]
337
- ]
338
-
339
- condition_indicator: Required[Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicator")]]
340
-
341
- condition_indicator_code: Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicatorCode")]
342
-
343
-
344
- class ClaimInformationServiceLineContractInformation(TypedDict, total=False):
345
- contract_type_code: Required[
346
- Annotated[Literal["01", "02", "03", "04", "05", "06", "09"], PropertyInfo(alias="contractTypeCode")]
347
- ]
348
-
349
- contract_amount: Annotated[str, PropertyInfo(alias="contractAmount")]
350
-
351
- contract_code: Annotated[str, PropertyInfo(alias="contractCode")]
352
-
353
- contract_percentage: Annotated[str, PropertyInfo(alias="contractPercentage")]
354
-
355
- contract_version_identifier: Annotated[str, PropertyInfo(alias="contractVersionIdentifier")]
356
-
357
- terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
358
-
359
-
360
- class ClaimInformationServiceLineDrugIdentification(TypedDict, total=False):
361
- measurement_unit_code: Required[
362
- Annotated[Literal["F2", "GR", "ME", "ML", "UN"], PropertyInfo(alias="measurementUnitCode")]
363
- ]
364
-
365
- national_drug_code: Required[Annotated[str, PropertyInfo(alias="nationalDrugCode")]]
366
-
367
- national_drug_unit_count: Required[Annotated[str, PropertyInfo(alias="nationalDrugUnitCount")]]
368
-
369
- service_id_qualifier: Required[
370
- Annotated[Literal["EN", "EO", "HI", "N4", "ON", "UK", "UP"], PropertyInfo(alias="serviceIdQualifier")]
371
- ]
372
-
373
- link_sequence_number: Annotated[str, PropertyInfo(alias="linkSequenceNumber")]
374
-
375
- pharmacy_prescription_number: Annotated[str, PropertyInfo(alias="pharmacyPrescriptionNumber")]
376
-
377
-
378
- class ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity(TypedDict, total=False):
379
- attachment_transmission_code: Required[
380
- Annotated[Literal["AB", "AD", "AF", "AG", "NS"], PropertyInfo(alias="attachmentTransmissionCode")]
381
- ]
382
-
383
-
384
- class ClaimInformationServiceLineDurableMedicalEquipmentCertification(TypedDict, total=False):
385
- certification_type_code: Required[Annotated[Literal["I", "R", "S"], PropertyInfo(alias="certificationTypeCode")]]
386
-
387
- durable_medical_equipment_duration_in_months: Required[
388
- Annotated[str, PropertyInfo(alias="durableMedicalEquipmentDurationInMonths")]
389
- ]
390
-
391
-
392
- class ClaimInformationServiceLineDurableMedicalEquipmentService(TypedDict, total=False):
393
- days: Required[str]
394
-
395
- frequency_code: Required[Annotated[Literal["1", "4", "6"], PropertyInfo(alias="frequencyCode")]]
396
-
397
- purchase_price: Required[Annotated[str, PropertyInfo(alias="purchasePrice")]]
398
-
399
- rental_price: Required[Annotated[str, PropertyInfo(alias="rentalPrice")]]
400
-
401
-
402
- class ClaimInformationServiceLineFormIdentificationSupportingDocumentation(TypedDict, total=False):
403
- question_number: Required[Annotated[str, PropertyInfo(alias="questionNumber")]]
404
-
405
- question_response: Annotated[str, PropertyInfo(alias="questionResponse")]
406
-
407
- question_response_as_date: Annotated[str, PropertyInfo(alias="questionResponseAsDate")]
408
-
409
- question_response_as_percent: Annotated[str, PropertyInfo(alias="questionResponseAsPercent")]
410
-
411
- question_response_code: Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="questionResponseCode")]
412
-
413
-
414
- class ClaimInformationServiceLineFormIdentification(TypedDict, total=False):
415
- form_identifier: Required[Annotated[str, PropertyInfo(alias="formIdentifier")]]
416
-
417
- form_type_code: Required[Annotated[Literal["AS", "UT"], PropertyInfo(alias="formTypeCode")]]
418
-
419
- supporting_documentation: Annotated[
420
- Iterable[ClaimInformationServiceLineFormIdentificationSupportingDocumentation],
421
- PropertyInfo(alias="supportingDocumentation"),
422
- ]
423
-
424
-
425
- class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail(
426
- TypedDict, total=False
427
- ):
428
- adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
429
-
430
- adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
431
-
432
- adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
433
-
434
-
435
- class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation(TypedDict, total=False):
436
- adjustment_details: Required[
437
- Annotated[
438
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail],
439
- PropertyInfo(alias="adjustmentDetails"),
440
- ]
441
- ]
442
-
443
- adjustment_group_code: Required[
444
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
445
- ]
446
-
447
-
448
- class ClaimInformationServiceLineLineAdjudicationInformation(TypedDict, total=False):
449
- adjudication_or_payment_date: Required[Annotated[str, PropertyInfo(alias="adjudicationOrPaymentDate")]]
450
-
451
- other_payer_primary_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]]
452
-
453
- paid_service_unit_count: Required[Annotated[str, PropertyInfo(alias="paidServiceUnitCount")]]
454
-
455
- procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
456
-
457
- service_id_qualifier: Required[
458
- Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="serviceIdQualifier")]
459
- ]
460
-
461
- service_line_paid_amount: Required[Annotated[str, PropertyInfo(alias="serviceLinePaidAmount")]]
462
-
463
- bundled_or_unbundled_line_number: Annotated[str, PropertyInfo(alias="bundledOrUnbundledLineNumber")]
464
-
465
- claim_adjustment_information: Annotated[
466
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation],
467
- PropertyInfo(alias="claimAdjustmentInformation"),
468
- ]
469
-
470
- procedure_code_description: Annotated[str, PropertyInfo(alias="procedureCodeDescription")]
471
-
472
- procedure_modifier: Annotated[SequenceNotStr[str], PropertyInfo(alias="procedureModifier")]
473
-
474
- remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
475
-
476
-
477
- class ClaimInformationServiceLineLinePricingRepricingInformation(TypedDict, total=False):
478
- pricing_methodology_code: Required[
479
- Annotated[
480
- Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
481
- PropertyInfo(alias="pricingMethodologyCode"),
482
- ]
483
- ]
484
-
485
- repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
486
-
487
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
488
-
489
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
490
-
491
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
492
-
493
- repriced_approved_ambulatory_patient_group_amount: Annotated[
494
- str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
495
- ]
496
-
497
- repriced_approved_ambulatory_patient_group_code: Annotated[
498
- str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
499
- ]
500
-
501
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
502
-
503
- repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
504
-
505
- repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
506
-
507
-
508
- class ClaimInformationServiceLineOrderingProviderAddress(TypedDict, total=False):
509
- address1: Required[str]
510
-
511
- city: Required[str]
512
-
513
- address2: str
514
-
515
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
516
-
517
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
518
-
519
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
520
-
521
- state: str
522
-
523
-
524
- class ClaimInformationServiceLineOrderingProviderContactInformation(TypedDict, total=False):
525
- name: Required[str]
526
-
527
- email: str
528
-
529
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
530
-
531
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
532
-
533
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
534
-
535
-
536
- class ClaimInformationServiceLineOrderingProviderSecondaryIdentifier(TypedDict, total=False):
537
- identifier: Required[str]
538
-
539
- qualifier: Required[str]
540
-
541
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
542
-
543
-
544
- class ClaimInformationServiceLineOrderingProvider(TypedDict, total=False):
545
- address: ClaimInformationServiceLineOrderingProviderAddress
546
-
547
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
548
-
549
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
550
-
551
- contact_information: Annotated[
552
- ClaimInformationServiceLineOrderingProviderContactInformation, PropertyInfo(alias="contactInformation")
553
- ]
554
-
555
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
556
-
557
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
558
-
559
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
560
-
561
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
562
-
563
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
564
-
565
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
566
-
567
- naic: str
568
-
569
- npi: str
570
-
571
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
572
-
573
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
574
-
575
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
576
-
577
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
578
-
579
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
580
-
581
- secondary_identifier: Annotated[
582
- Iterable[ClaimInformationServiceLineOrderingProviderSecondaryIdentifier],
583
- PropertyInfo(alias="secondaryIdentifier"),
584
- ]
585
-
586
- ssn: str
587
-
588
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
589
-
590
- suffix: str
591
-
592
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
593
-
594
-
595
- class ClaimInformationServiceLinePurchasedServiceInformation(TypedDict, total=False):
596
- purchased_service_charge_amount: Required[Annotated[str, PropertyInfo(alias="purchasedServiceChargeAmount")]]
597
-
598
- purchased_service_provider_identifier: Required[
599
- Annotated[str, PropertyInfo(alias="purchasedServiceProviderIdentifier")]
600
- ]
601
-
602
-
603
- class ClaimInformationServiceLinePurchasedServiceProviderAddress(TypedDict, total=False):
604
- address1: Required[str]
605
-
606
- city: Required[str]
607
-
608
- address2: str
609
-
610
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
611
-
612
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
613
-
614
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
615
-
616
- state: str
617
-
618
-
619
- class ClaimInformationServiceLinePurchasedServiceProviderContactInformation(TypedDict, total=False):
620
- email: str
621
-
622
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
623
-
624
- name: str
625
-
626
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
627
-
628
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
629
-
630
-
631
- class ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier(TypedDict, total=False):
632
- identifier: Required[str]
633
-
634
- qualifier: Required[str]
635
-
636
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
637
-
638
-
639
- class ClaimInformationServiceLinePurchasedServiceProvider(TypedDict, total=False):
640
- address: ClaimInformationServiceLinePurchasedServiceProviderAddress
641
-
642
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
643
-
644
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
645
-
646
- contact_information: Annotated[
647
- ClaimInformationServiceLinePurchasedServiceProviderContactInformation, PropertyInfo(alias="contactInformation")
648
- ]
649
-
650
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
651
-
652
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
653
-
654
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
655
-
656
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
657
-
658
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
659
-
660
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
661
-
662
- naic: str
663
-
664
- npi: str
665
-
666
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
667
-
668
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
669
-
670
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
671
-
672
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
673
-
674
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
675
-
676
- secondary_identifier: Annotated[
677
- Iterable[ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier],
678
- PropertyInfo(alias="secondaryIdentifier"),
679
- ]
680
-
681
- ssn: str
682
-
683
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
684
-
685
- suffix: str
686
-
687
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
688
-
689
-
690
- class ClaimInformationServiceLineReferringProviderAddress(TypedDict, total=False):
691
- address1: Required[str]
692
-
693
- city: Required[str]
694
-
695
- address2: str
696
-
697
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
698
-
699
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
700
-
701
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
702
-
703
- state: str
704
-
705
-
706
- class ClaimInformationServiceLineReferringProviderContactInformation(TypedDict, total=False):
707
- email: str
708
-
709
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
710
-
711
- name: str
712
-
713
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
714
-
715
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
716
-
717
-
718
- class ClaimInformationServiceLineReferringProviderSecondaryIdentifier(TypedDict, total=False):
719
- identifier: Required[str]
720
-
721
- qualifier: Required[str]
722
-
723
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
724
-
725
-
726
- class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
727
- provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
728
-
729
- address: ClaimInformationServiceLineReferringProviderAddress
730
-
731
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
732
-
733
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
734
-
735
- contact_information: Annotated[
736
- ClaimInformationServiceLineReferringProviderContactInformation, PropertyInfo(alias="contactInformation")
737
- ]
738
-
739
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
740
-
741
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
742
-
743
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
744
-
745
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
746
-
747
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
748
-
749
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
750
-
751
- naic: str
752
-
753
- npi: str
754
-
755
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
756
-
757
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
758
-
759
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
760
-
761
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
762
-
763
- secondary_identifier: Annotated[
764
- Iterable[ClaimInformationServiceLineReferringProviderSecondaryIdentifier],
765
- PropertyInfo(alias="secondaryIdentifier"),
766
- ]
767
-
768
- ssn: str
769
-
770
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
771
-
772
- suffix: str
773
-
774
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
775
-
776
-
777
- class ClaimInformationServiceLineRenderingProviderAddress(TypedDict, total=False):
778
- address1: Required[str]
779
-
780
- city: Required[str]
781
-
782
- address2: str
783
-
784
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
785
-
786
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
787
-
788
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
789
-
790
- state: str
791
-
792
-
793
- class ClaimInformationServiceLineRenderingProviderContactInformation(TypedDict, total=False):
794
- email: str
795
-
796
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
797
-
798
- name: str
799
-
800
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
801
-
802
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
803
-
804
-
805
- class ClaimInformationServiceLineRenderingProviderSecondaryIdentifier(TypedDict, total=False):
806
- identifier: Required[str]
807
-
808
- qualifier: Required[str]
809
-
810
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
811
-
812
-
813
- class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
814
- provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
815
-
816
- address: ClaimInformationServiceLineRenderingProviderAddress
817
-
818
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
819
-
820
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
821
-
822
- contact_information: Annotated[
823
- ClaimInformationServiceLineRenderingProviderContactInformation, PropertyInfo(alias="contactInformation")
824
- ]
825
-
826
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
827
-
828
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
829
-
830
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
831
-
832
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
833
-
834
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
835
-
836
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
837
-
838
- naic: str
839
-
840
- npi: str
841
-
842
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
843
-
844
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
845
-
846
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
847
-
848
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
849
-
850
- secondary_identifier: Annotated[
851
- Iterable[ClaimInformationServiceLineRenderingProviderSecondaryIdentifier],
852
- PropertyInfo(alias="secondaryIdentifier"),
853
- ]
854
-
855
- ssn: str
856
-
857
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
858
-
859
- suffix: str
860
-
861
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
862
-
863
-
864
- class ClaimInformationServiceLineServiceFacilityLocationAddress(TypedDict, total=False):
865
- address1: Required[str]
866
-
867
- city: Required[str]
868
-
869
- address2: str
870
-
871
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
872
-
873
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
874
-
875
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
876
-
877
- state: str
878
-
879
-
880
- class ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
881
- identifier: Required[str]
882
-
883
- qualifier: Required[str]
884
-
885
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
886
-
887
-
888
- class ClaimInformationServiceLineServiceFacilityLocation(TypedDict, total=False):
889
- address: Required[ClaimInformationServiceLineServiceFacilityLocationAddress]
890
-
891
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
892
-
893
- npi: str
894
-
895
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
896
-
897
- phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
898
-
899
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
900
-
901
- secondary_identifier: Annotated[
902
- Iterable[ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier],
903
- PropertyInfo(alias="secondaryIdentifier"),
904
- ]
905
-
906
-
907
- class ClaimInformationServiceLineServiceLineDateInformation(TypedDict, total=False):
908
- begin_therapy_date: Annotated[str, PropertyInfo(alias="beginTherapyDate")]
909
-
910
- certification_revision_or_recertification_date: Annotated[
911
- str, PropertyInfo(alias="certificationRevisionOrRecertificationDate")
912
- ]
913
-
914
- hemoglobin_test_date: Annotated[str, PropertyInfo(alias="hemoglobinTestDate")]
915
-
916
- initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
917
-
918
- last_certification_date: Annotated[str, PropertyInfo(alias="lastCertificationDate")]
919
-
920
- last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
921
-
922
- prescription_date: Annotated[str, PropertyInfo(alias="prescriptionDate")]
923
-
924
- serum_creatine_test_date: Annotated[str, PropertyInfo(alias="serumCreatineTestDate")]
925
-
926
- shipped_date: Annotated[str, PropertyInfo(alias="shippedDate")]
927
-
928
- treatment_or_therapy_date: Annotated[str, PropertyInfo(alias="treatmentOrTherapyDate")]
929
-
930
-
931
- class ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization(TypedDict, total=False):
932
- prior_authorization_or_referral_number: Required[
933
- Annotated[str, PropertyInfo(alias="priorAuthorizationOrReferralNumber")]
934
- ]
935
-
936
- other_payer_primary_identifier: Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]
937
-
938
-
939
- class ClaimInformationServiceLineServiceLineReferenceInformation(TypedDict, total=False):
940
- adjusted_repriced_line_item_reference_number: Annotated[
941
- str, PropertyInfo(alias="adjustedRepricedLineItemReferenceNumber")
942
- ]
943
-
944
- clinical_laboratory_improvement_amendment_number: Annotated[
945
- str, PropertyInfo(alias="clinicalLaboratoryImprovementAmendmentNumber")
946
- ]
947
-
948
- immunization_batch_number: Annotated[str, PropertyInfo(alias="immunizationBatchNumber")]
949
-
950
- mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
951
-
952
- prior_authorization: Annotated[
953
- Iterable[ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization],
954
- PropertyInfo(alias="priorAuthorization"),
955
- ]
956
-
957
- referral_number: Annotated[SequenceNotStr[str], PropertyInfo(alias="referralNumber")]
958
-
959
- referring_clia_number: Annotated[str, PropertyInfo(alias="referringCliaNumber")]
960
-
961
- repriced_line_item_reference_number: Annotated[str, PropertyInfo(alias="repricedLineItemReferenceNumber")]
962
-
963
-
964
- class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, total=False):
965
- attachment_report_type_code: Required[
966
- Annotated[
967
- Literal[
968
- "03",
969
- "04",
970
- "05",
971
- "06",
972
- "07",
973
- "08",
974
- "09",
975
- "10",
976
- "11",
977
- "13",
978
- "15",
979
- "21",
980
- "A3",
981
- "A4",
982
- "AM",
983
- "AS",
984
- "B2",
985
- "B3",
986
- "B4",
987
- "BR",
988
- "BS",
989
- "BT",
990
- "CB",
991
- "CK",
992
- "CT",
993
- "D2",
994
- "DA",
995
- "DB",
996
- "DG",
997
- "DJ",
998
- "DS",
999
- "EB",
1000
- "HC",
1001
- "HR",
1002
- "I5",
1003
- "IR",
1004
- "LA",
1005
- "M1",
1006
- "MT",
1007
- "NM",
1008
- "OB",
1009
- "OC",
1010
- "OD",
1011
- "OE",
1012
- "OX",
1013
- "OZ",
1014
- "P4",
1015
- "P5",
1016
- "PE",
1017
- "PN",
1018
- "PO",
1019
- "PQ",
1020
- "PY",
1021
- "PZ",
1022
- "RB",
1023
- "RR",
1024
- "RT",
1025
- "RX",
1026
- "SG",
1027
- "V5",
1028
- "XP",
1029
- ],
1030
- PropertyInfo(alias="attachmentReportTypeCode"),
1031
- ]
1032
- ]
1033
-
1034
- attachment_transmission_code: Required[
1035
- Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
1036
- ]
1037
-
1038
- attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
1039
-
1040
-
1041
- class ClaimInformationServiceLineSupervisingProviderAddress(TypedDict, total=False):
1042
- address1: Required[str]
1043
-
1044
- city: Required[str]
1045
-
1046
- address2: str
1047
-
1048
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1049
-
1050
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1051
-
1052
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1053
-
1054
- state: str
1055
-
1056
-
1057
- class ClaimInformationServiceLineSupervisingProviderContactInformation(TypedDict, total=False):
1058
- email: str
1059
-
1060
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1061
-
1062
- name: str
1063
-
1064
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1065
-
1066
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1067
-
1068
-
1069
- class ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier(TypedDict, total=False):
1070
- identifier: Required[str]
1071
-
1072
- qualifier: Required[str]
1073
-
1074
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1075
-
1076
-
1077
- class ClaimInformationServiceLineSupervisingProvider(TypedDict, total=False):
1078
- provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
1079
-
1080
- address: ClaimInformationServiceLineSupervisingProviderAddress
1081
-
1082
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
1083
-
1084
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
1085
-
1086
- contact_information: Annotated[
1087
- ClaimInformationServiceLineSupervisingProviderContactInformation, PropertyInfo(alias="contactInformation")
1088
- ]
1089
-
1090
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
1091
-
1092
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
1093
-
1094
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
1095
-
1096
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
1097
-
1098
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
1099
-
1100
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1101
-
1102
- naic: str
1103
-
1104
- npi: str
1105
-
1106
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1107
-
1108
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1109
-
1110
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
1111
-
1112
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
1113
-
1114
- secondary_identifier: Annotated[
1115
- Iterable[ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier],
1116
- PropertyInfo(alias="secondaryIdentifier"),
1117
- ]
1118
-
1119
- ssn: str
1120
-
1121
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
1122
-
1123
- suffix: str
1124
-
1125
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
1126
-
1127
-
1128
- class ClaimInformationServiceLineTestResult(TypedDict, total=False):
1129
- measurement_qualifier: Required[
1130
- Annotated[Literal["HT", "R1", "R2", "R3", "R4"], PropertyInfo(alias="measurementQualifier")]
1131
- ]
1132
-
1133
- measurement_reference_identification_code: Required[
1134
- Annotated[Literal["OG", "TR"], PropertyInfo(alias="measurementReferenceIdentificationCode")]
1135
- ]
1136
-
1137
- test_results: Required[Annotated[str, PropertyInfo(alias="testResults")]]
1138
-
1139
-
1140
- class ClaimInformationServiceLine(TypedDict, total=False):
1141
- professional_service: Required[
1142
- Annotated[ClaimInformationServiceLineProfessionalService, PropertyInfo(alias="professionalService")]
1143
- ]
1144
-
1145
- service_date: Required[Annotated[str, PropertyInfo(alias="serviceDate")]]
1146
-
1147
- additional_notes: Annotated[str, PropertyInfo(alias="additionalNotes")]
1148
-
1149
- ambulance_certification: Annotated[
1150
- Iterable[ClaimInformationServiceLineAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
1151
- ]
1152
-
1153
- ambulance_drop_off_location: Annotated[
1154
- ClaimInformationServiceLineAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
1155
- ]
1156
-
1157
- ambulance_patient_count: Annotated[float, PropertyInfo(alias="ambulancePatientCount")]
1158
-
1159
- ambulance_pick_up_location: Annotated[
1160
- ClaimInformationServiceLineAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
1161
- ]
1162
-
1163
- ambulance_transport_information: Annotated[
1164
- ClaimInformationServiceLineAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
1165
- ]
1166
-
1167
- assigned_number: Annotated[str, PropertyInfo(alias="assignedNumber")]
1168
-
1169
- condition_indicator_durable_medical_equipment: Annotated[
1170
- ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment,
1171
- PropertyInfo(alias="conditionIndicatorDurableMedicalEquipment"),
1172
- ]
1173
-
1174
- contract_information: Annotated[
1175
- ClaimInformationServiceLineContractInformation, PropertyInfo(alias="contractInformation")
1176
- ]
1177
-
1178
- drug_identification: Annotated[
1179
- ClaimInformationServiceLineDrugIdentification, PropertyInfo(alias="drugIdentification")
1180
- ]
1181
-
1182
- durable_medical_equipment_certificate_of_medical_necessity: Annotated[
1183
- ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity,
1184
- PropertyInfo(alias="durableMedicalEquipmentCertificateOfMedicalNecessity"),
1185
- ]
1186
-
1187
- durable_medical_equipment_certification: Annotated[
1188
- ClaimInformationServiceLineDurableMedicalEquipmentCertification,
1189
- PropertyInfo(alias="durableMedicalEquipmentCertification"),
1190
- ]
1191
-
1192
- durable_medical_equipment_service: Annotated[
1193
- ClaimInformationServiceLineDurableMedicalEquipmentService, PropertyInfo(alias="durableMedicalEquipmentService")
1194
- ]
1195
-
1196
- file_information: Annotated[SequenceNotStr[str], PropertyInfo(alias="fileInformation")]
1197
-
1198
- form_identification: Annotated[
1199
- Iterable[ClaimInformationServiceLineFormIdentification], PropertyInfo(alias="formIdentification")
1200
- ]
1201
-
1202
- goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
1203
-
1204
- hospice_employee_indicator: Annotated[bool, PropertyInfo(alias="hospiceEmployeeIndicator")]
1205
-
1206
- line_adjudication_information: Annotated[
1207
- Iterable[ClaimInformationServiceLineLineAdjudicationInformation],
1208
- PropertyInfo(alias="lineAdjudicationInformation"),
1209
- ]
1210
-
1211
- line_pricing_repricing_information: Annotated[
1212
- ClaimInformationServiceLineLinePricingRepricingInformation,
1213
- PropertyInfo(alias="linePricingRepricingInformation"),
1214
- ]
1215
-
1216
- obstetric_anesthesia_additional_units: Annotated[float, PropertyInfo(alias="obstetricAnesthesiaAdditionalUnits")]
1217
-
1218
- ordering_provider: Annotated[ClaimInformationServiceLineOrderingProvider, PropertyInfo(alias="orderingProvider")]
1219
-
1220
- postage_tax_amount: Annotated[str, PropertyInfo(alias="postageTaxAmount")]
1221
-
1222
- purchased_service_information: Annotated[
1223
- ClaimInformationServiceLinePurchasedServiceInformation, PropertyInfo(alias="purchasedServiceInformation")
1224
- ]
1225
-
1226
- purchased_service_provider: Annotated[
1227
- ClaimInformationServiceLinePurchasedServiceProvider, PropertyInfo(alias="purchasedServiceProvider")
1228
- ]
1229
-
1230
- referring_provider: Annotated[ClaimInformationServiceLineReferringProvider, PropertyInfo(alias="referringProvider")]
1231
-
1232
- rendering_provider: Annotated[ClaimInformationServiceLineRenderingProvider, PropertyInfo(alias="renderingProvider")]
1233
-
1234
- sales_tax_amount: Annotated[str, PropertyInfo(alias="salesTaxAmount")]
1235
-
1236
- service_date_end: Annotated[str, PropertyInfo(alias="serviceDateEnd")]
1237
-
1238
- service_facility_location: Annotated[
1239
- ClaimInformationServiceLineServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
1240
- ]
1241
-
1242
- service_line_date_information: Annotated[
1243
- ClaimInformationServiceLineServiceLineDateInformation, PropertyInfo(alias="serviceLineDateInformation")
1244
- ]
1245
-
1246
- service_line_reference_information: Annotated[
1247
- ClaimInformationServiceLineServiceLineReferenceInformation,
1248
- PropertyInfo(alias="serviceLineReferenceInformation"),
1249
- ]
1250
-
1251
- service_line_supplemental_information: Annotated[
1252
- Iterable[ClaimInformationServiceLineServiceLineSupplementalInformation],
1253
- PropertyInfo(alias="serviceLineSupplementalInformation"),
1254
- ]
1255
-
1256
- supervising_provider: Annotated[
1257
- ClaimInformationServiceLineSupervisingProvider, PropertyInfo(alias="supervisingProvider")
1258
- ]
1259
-
1260
- test_results: Annotated[Iterable[ClaimInformationServiceLineTestResult], PropertyInfo(alias="testResults")]
1261
-
1262
- third_party_organization_notes: Annotated[str, PropertyInfo(alias="thirdPartyOrganizationNotes")]
1263
-
1264
-
1265
- class ClaimInformationAmbulanceCertification(TypedDict, total=False):
1266
- certification_condition_indicator: Required[
1267
- Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1268
- ]
1269
-
1270
- condition_codes: Required[
1271
- Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
1272
- ]
1273
-
1274
-
1275
- class ClaimInformationAmbulanceDropOffLocation(TypedDict, total=False):
1276
- address1: Required[str]
1277
-
1278
- city: Required[str]
1279
-
1280
- address2: str
1281
-
1282
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1283
-
1284
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1285
-
1286
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1287
-
1288
- state: str
1289
-
1290
-
1291
- class ClaimInformationAmbulancePickUpLocation(TypedDict, total=False):
1292
- address1: Required[str]
1293
-
1294
- city: Required[str]
1295
-
1296
- address2: str
1297
-
1298
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1299
-
1300
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1301
-
1302
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1303
-
1304
- state: str
1305
-
1306
-
1307
- class ClaimInformationAmbulanceTransportInformation(TypedDict, total=False):
1308
- ambulance_transport_reason_code: Required[
1309
- Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
1310
- ]
1311
-
1312
- transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
1313
-
1314
- patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
1315
-
1316
- round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
1317
-
1318
- stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
1319
-
1320
-
1321
- class ClaimInformationClaimContractInformation(TypedDict, total=False):
1322
- contract_type_code: Required[
1323
- Annotated[Literal["01", "02", "03", "04", "05", "06", "09"], PropertyInfo(alias="contractTypeCode")]
1324
- ]
1325
-
1326
- contract_amount: Annotated[str, PropertyInfo(alias="contractAmount")]
1327
-
1328
- contract_code: Annotated[str, PropertyInfo(alias="contractCode")]
1329
-
1330
- contract_percentage: Annotated[str, PropertyInfo(alias="contractPercentage")]
1331
-
1332
- contract_version_identifier: Annotated[str, PropertyInfo(alias="contractVersionIdentifier")]
1333
-
1334
- terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
1335
-
1336
-
1337
- class ClaimInformationClaimDateInformation(TypedDict, total=False):
1338
- accident_date: Annotated[str, PropertyInfo(alias="accidentDate")]
1339
-
1340
- acute_manifestation_date: Annotated[str, PropertyInfo(alias="acuteManifestationDate")]
1341
-
1342
- admission_date: Annotated[str, PropertyInfo(alias="admissionDate")]
1343
-
1344
- assumed_and_relinquished_care_begin_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareBeginDate")]
1345
-
1346
- assumed_and_relinquished_care_end_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareEndDate")]
1347
-
1348
- authorized_return_to_work_date: Annotated[str, PropertyInfo(alias="authorizedReturnToWorkDate")]
1349
-
1350
- disability_begin_date: Annotated[str, PropertyInfo(alias="disabilityBeginDate")]
1351
-
1352
- disability_end_date: Annotated[str, PropertyInfo(alias="disabilityEndDate")]
1353
-
1354
- discharge_date: Annotated[str, PropertyInfo(alias="dischargeDate")]
1355
-
1356
- first_contact_date: Annotated[str, PropertyInfo(alias="firstContactDate")]
1357
-
1358
- hearing_and_vision_prescription_date: Annotated[str, PropertyInfo(alias="hearingAndVisionPrescriptionDate")]
1359
-
1360
- initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
1361
-
1362
- last_menstrual_period_date: Annotated[str, PropertyInfo(alias="lastMenstrualPeriodDate")]
1363
-
1364
- last_seen_date: Annotated[str, PropertyInfo(alias="lastSeenDate")]
1365
-
1366
- last_worked_date: Annotated[str, PropertyInfo(alias="lastWorkedDate")]
1367
-
1368
- last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
1369
-
1370
- repricer_received_date: Annotated[str, PropertyInfo(alias="repricerReceivedDate")]
1371
-
1372
- symptom_date: Annotated[str, PropertyInfo(alias="symptomDate")]
1373
-
1374
-
1375
- class ClaimInformationClaimNote(TypedDict, total=False):
1376
- additional_information: Annotated[str, PropertyInfo(alias="additionalInformation")]
1377
-
1378
- certification_narrative: Annotated[str, PropertyInfo(alias="certificationNarrative")]
1379
-
1380
- diagnosis_description: Annotated[str, PropertyInfo(alias="diagnosisDescription")]
1381
-
1382
- goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
1383
-
1384
- third_part_org_notes: Annotated[str, PropertyInfo(alias="thirdPartOrgNotes")]
1385
-
1386
-
1387
- class ClaimInformationClaimPricingRepricingInformation(TypedDict, total=False):
1388
- pricing_methodology_code: Required[
1389
- Annotated[
1390
- Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
1391
- PropertyInfo(alias="pricingMethodologyCode"),
1392
- ]
1393
- ]
1394
-
1395
- repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
1396
-
1397
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
1398
-
1399
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
1400
-
1401
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
1402
-
1403
- repriced_approved_ambulatory_patient_group_amount: Annotated[
1404
- str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
1405
- ]
1406
-
1407
- repriced_approved_ambulatory_patient_group_code: Annotated[
1408
- str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
1409
- ]
1410
-
1411
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
1412
-
1413
- repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
1414
-
1415
- repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
1416
-
1417
-
1418
- class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, total=False):
1419
- attachment_report_type_code: Required[
1420
- Annotated[
1421
- Literal[
1422
- "03",
1423
- "04",
1424
- "05",
1425
- "06",
1426
- "07",
1427
- "08",
1428
- "09",
1429
- "10",
1430
- "11",
1431
- "13",
1432
- "15",
1433
- "21",
1434
- "A3",
1435
- "A4",
1436
- "AM",
1437
- "AS",
1438
- "B2",
1439
- "B3",
1440
- "B4",
1441
- "BR",
1442
- "BS",
1443
- "BT",
1444
- "CB",
1445
- "CK",
1446
- "CT",
1447
- "D2",
1448
- "DA",
1449
- "DB",
1450
- "DG",
1451
- "DJ",
1452
- "DS",
1453
- "EB",
1454
- "HC",
1455
- "HR",
1456
- "I5",
1457
- "IR",
1458
- "LA",
1459
- "M1",
1460
- "MT",
1461
- "NM",
1462
- "OB",
1463
- "OC",
1464
- "OD",
1465
- "OE",
1466
- "OX",
1467
- "OZ",
1468
- "P4",
1469
- "P5",
1470
- "PE",
1471
- "PN",
1472
- "PO",
1473
- "PQ",
1474
- "PY",
1475
- "PZ",
1476
- "RB",
1477
- "RR",
1478
- "RT",
1479
- "RX",
1480
- "SG",
1481
- "V5",
1482
- "XP",
1483
- ],
1484
- PropertyInfo(alias="attachmentReportTypeCode"),
1485
- ]
1486
- ]
1487
-
1488
- attachment_transmission_code: Required[
1489
- Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
1490
- ]
1491
-
1492
- attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
1493
-
1494
-
1495
- class ClaimInformationClaimSupplementalInformation(TypedDict, total=False):
1496
- adjusted_repriced_claim_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimNumber")]
1497
-
1498
- care_plan_oversight_number: Annotated[str, PropertyInfo(alias="carePlanOversightNumber")]
1499
-
1500
- claim_control_number: Annotated[str, PropertyInfo(alias="claimControlNumber")]
1501
-
1502
- claim_number: Annotated[str, PropertyInfo(alias="claimNumber")]
1503
-
1504
- clia_number: Annotated[str, PropertyInfo(alias="cliaNumber")]
1505
-
1506
- demo_project_identifier: Annotated[str, PropertyInfo(alias="demoProjectIdentifier")]
1507
-
1508
- investigational_device_exemption_number: Annotated[str, PropertyInfo(alias="investigationalDeviceExemptionNumber")]
1509
-
1510
- mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
1511
-
1512
- medical_record_number: Annotated[str, PropertyInfo(alias="medicalRecordNumber")]
1513
-
1514
- medicare_crossover_reference_id: Annotated[str, PropertyInfo(alias="medicareCrossoverReferenceId")]
1515
-
1516
- prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
1517
-
1518
- referral_number: Annotated[str, PropertyInfo(alias="referralNumber")]
1519
-
1520
- report_information: Annotated[
1521
- ClaimInformationClaimSupplementalInformationReportInformation, PropertyInfo(alias="reportInformation")
1522
- ]
1523
-
1524
- report_informations: Annotated[
1525
- Iterable[ClaimInformationClaimSupplementalInformationReportInformation],
1526
- PropertyInfo(alias="reportInformations"),
1527
- ]
1528
-
1529
- repriced_claim_number: Annotated[str, PropertyInfo(alias="repricedClaimNumber")]
1530
-
1531
- service_authorization_exception_code: Annotated[
1532
- Literal["1", "2", "3", "4", "5", "6", "7"], PropertyInfo(alias="serviceAuthorizationExceptionCode")
1533
- ]
1534
-
1535
-
1536
- class ClaimInformationConditionInformation(TypedDict, total=False):
1537
- condition_codes: Required[Annotated[SequenceNotStr[str], PropertyInfo(alias="conditionCodes")]]
1538
-
1539
-
1540
- class ClaimInformationEpsdtReferral(TypedDict, total=False):
1541
- certification_condition_code_applies_indicator: Required[
1542
- Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionCodeAppliesIndicator")]
1543
- ]
1544
-
1545
- condition_codes: Required[Annotated[List[Literal["AV", "NU", "S2", "ST"]], PropertyInfo(alias="conditionCodes")]]
1546
-
1547
-
1548
- class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress(TypedDict, total=False):
1549
- address1: Required[str]
1550
-
1551
- city: Required[str]
1552
-
1553
- address2: str
1554
-
1555
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1556
-
1557
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1558
-
1559
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1560
-
1561
- state: str
1562
-
1563
-
1564
- class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondaryIdentifier(TypedDict, total=False):
1565
- identifier: Required[str]
1566
-
1567
- qualifier: Required[str]
1568
-
1569
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1570
-
1571
-
1572
- class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=False):
1573
- other_payer_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerIdentifier")]]
1574
-
1575
- other_payer_identifier_type_code: Required[
1576
- Annotated[Literal["PI", "XV"], PropertyInfo(alias="otherPayerIdentifierTypeCode")]
1577
- ]
1578
-
1579
- other_payer_organization_name: Required[Annotated[str, PropertyInfo(alias="otherPayerOrganizationName")]]
1580
-
1581
- other_payer_address: Annotated[
1582
- ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress,
1583
- PropertyInfo(alias="otherPayerAddress"),
1584
- ]
1585
-
1586
- other_payer_adjudication_or_payment_date: Annotated[str, PropertyInfo(alias="otherPayerAdjudicationOrPaymentDate")]
1587
-
1588
- other_payer_claim_adjustment_indicator: Annotated[bool, PropertyInfo(alias="otherPayerClaimAdjustmentIndicator")]
1589
-
1590
- other_payer_claim_control_number: Annotated[str, PropertyInfo(alias="otherPayerClaimControlNumber")]
1591
-
1592
- other_payer_prior_authorization_number: Annotated[str, PropertyInfo(alias="otherPayerPriorAuthorizationNumber")]
1593
-
1594
- other_payer_prior_authorization_or_referral_number: Annotated[
1595
- str, PropertyInfo(alias="otherPayerPriorAuthorizationOrReferralNumber")
1596
- ]
1597
-
1598
- other_payer_secondary_identifier: Annotated[
1599
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondaryIdentifier],
1600
- PropertyInfo(alias="otherPayerSecondaryIdentifier"),
1601
- ]
1602
-
1603
-
1604
- class ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress(TypedDict, total=False):
1605
- address1: Required[str]
1606
-
1607
- city: Required[str]
1608
-
1609
- address2: str
1610
-
1611
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1612
-
1613
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1614
-
1615
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1616
-
1617
- state: str
1618
-
1619
-
1620
- class ClaimInformationOtherSubscriberInformationOtherSubscriberName(TypedDict, total=False):
1621
- other_insured_identifier: Required[Annotated[str, PropertyInfo(alias="otherInsuredIdentifier")]]
1622
-
1623
- other_insured_identifier_type_code: Required[
1624
- Annotated[Literal["II", "MI"], PropertyInfo(alias="otherInsuredIdentifierTypeCode")]
1625
- ]
1626
-
1627
- other_insured_last_name: Required[Annotated[str, PropertyInfo(alias="otherInsuredLastName")]]
1628
-
1629
- other_insured_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="otherInsuredQualifier")]]
1630
-
1631
- other_insured_additional_identifier: Annotated[str, PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1632
-
1633
- other_insured_address: Annotated[
1634
- ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress,
1635
- PropertyInfo(alias="otherInsuredAddress"),
1636
- ]
1637
-
1638
- other_insured_first_name: Annotated[str, PropertyInfo(alias="otherInsuredFirstName")]
1639
-
1640
- other_insured_middle_name: Annotated[str, PropertyInfo(alias="otherInsuredMiddleName")]
1641
-
1642
- other_insured_name_suffix: Annotated[str, PropertyInfo(alias="otherInsuredNameSuffix")]
1643
-
1644
-
1645
- class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail(TypedDict, total=False):
1646
- adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
1647
-
1648
- adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
1649
-
1650
- adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
1651
-
1652
-
1653
- class ClaimInformationOtherSubscriberInformationClaimLevelAdjustment(TypedDict, total=False):
1654
- adjustment_details: Required[
1655
- Annotated[
1656
- Iterable[ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail],
1657
- PropertyInfo(alias="adjustmentDetails"),
1658
- ]
1659
- ]
1660
-
1661
- adjustment_group_code: Required[
1662
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
1663
- ]
1664
-
1665
-
1666
- class ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication(TypedDict, total=False):
1667
- claim_payment_remark_code: Annotated[SequenceNotStr[str], PropertyInfo(alias="claimPaymentRemarkCode")]
1668
-
1669
- end_stage_renal_disease_payment_amount: Annotated[str, PropertyInfo(alias="endStageRenalDiseasePaymentAmount")]
1670
-
1671
- hcpcs_payable_amount: Annotated[str, PropertyInfo(alias="hcpcsPayableAmount")]
1672
-
1673
- non_payable_professional_component_billed_amount: Annotated[
1674
- str, PropertyInfo(alias="nonPayableProfessionalComponentBilledAmount")
1675
- ]
1676
-
1677
- reimbursement_rate: Annotated[str, PropertyInfo(alias="reimbursementRate")]
1678
-
1679
-
1680
- class ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier(
1681
- TypedDict, total=False
1682
- ):
1683
- identifier: Required[str]
1684
-
1685
- qualifier: Required[str]
1686
-
1687
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1688
-
1689
-
1690
- class ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider(TypedDict, total=False):
1691
- entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1692
-
1693
- other_payer_billing_provider_identifier: Required[
1694
- Annotated[
1695
- Iterable[
1696
- ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier
1697
- ],
1698
- PropertyInfo(alias="otherPayerBillingProviderIdentifier"),
1699
- ]
1700
- ]
1701
-
1702
-
1703
- class ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier(
1704
- TypedDict, total=False
1705
- ):
1706
- identifier: Required[str]
1707
-
1708
- qualifier: Required[str]
1709
-
1710
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1711
-
1712
-
1713
- class ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider(TypedDict, total=False):
1714
- other_payer_referring_provider_identifier: Required[
1715
- Annotated[
1716
- Iterable[
1717
- ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier
1718
- ],
1719
- PropertyInfo(alias="otherPayerReferringProviderIdentifier"),
1720
- ]
1721
- ]
1722
-
1723
-
1724
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier(
1725
- TypedDict, total=False
1726
- ):
1727
- identifier: Required[str]
1728
-
1729
- qualifier: Required[str]
1730
-
1731
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1732
-
1733
-
1734
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider(TypedDict, total=False):
1735
- entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1736
-
1737
- other_payer_rendering_provider_secondary_identifier: Annotated[
1738
- Iterable[
1739
- ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier
1740
- ],
1741
- PropertyInfo(alias="otherPayerRenderingProviderSecondaryIdentifier"),
1742
- ]
1743
-
1744
-
1745
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier(
1746
- TypedDict, total=False
1747
- ):
1748
- identifier: Required[str]
1749
-
1750
- qualifier: Required[str]
1751
-
1752
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1753
-
1754
-
1755
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation(TypedDict, total=False):
1756
- other_payer_service_facility_location_secondary_identifier: Required[
1757
- Annotated[
1758
- Iterable[
1759
- ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier
1760
- ],
1761
- PropertyInfo(alias="otherPayerServiceFacilityLocationSecondaryIdentifier"),
1762
- ]
1763
- ]
1764
-
1765
-
1766
- class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier(
1767
- TypedDict, total=False
1768
- ):
1769
- identifier: Required[str]
1770
-
1771
- qualifier: Required[str]
1772
-
1773
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1774
-
1775
-
1776
- class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider(TypedDict, total=False):
1777
- other_payer_supervising_provider_identifier: Required[
1778
- Annotated[
1779
- Iterable[
1780
- ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier
1781
- ],
1782
- PropertyInfo(alias="otherPayerSupervisingProviderIdentifier"),
1783
- ]
1784
- ]
1785
-
1786
-
1787
- class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1788
- benefits_assignment_certification_indicator: Required[
1789
- Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1790
- ]
1791
-
1792
- claim_filing_indicator_code: Required[
1793
- Annotated[
1794
- Literal[
1795
- "11",
1796
- "12",
1797
- "13",
1798
- "14",
1799
- "15",
1800
- "16",
1801
- "17",
1802
- "AM",
1803
- "BL",
1804
- "CH",
1805
- "CI",
1806
- "DS",
1807
- "FI",
1808
- "HM",
1809
- "LM",
1810
- "MA",
1811
- "MB",
1812
- "MC",
1813
- "OF",
1814
- "TV",
1815
- "VA",
1816
- "WC",
1817
- "ZZ",
1818
- ],
1819
- PropertyInfo(alias="claimFilingIndicatorCode"),
1820
- ]
1821
- ]
1822
-
1823
- individual_relationship_code: Required[
1824
- Annotated[
1825
- Literal["01", "18", "19", "20", "21", "39", "40", "53", "G8"],
1826
- PropertyInfo(alias="individualRelationshipCode"),
1827
- ]
1828
- ]
1829
-
1830
- other_payer_name: Required[
1831
- Annotated[ClaimInformationOtherSubscriberInformationOtherPayerName, PropertyInfo(alias="otherPayerName")]
1832
- ]
1833
-
1834
- other_subscriber_name: Required[
1835
- Annotated[
1836
- ClaimInformationOtherSubscriberInformationOtherSubscriberName, PropertyInfo(alias="otherSubscriberName")
1837
- ]
1838
- ]
1839
-
1840
- payment_responsibility_level_code: Required[
1841
- Annotated[
1842
- Literal["A", "B", "C", "D", "E", "F", "G", "H", "P", "S", "T", "U"],
1843
- PropertyInfo(alias="paymentResponsibilityLevelCode"),
1844
- ]
1845
- ]
1846
-
1847
- release_of_information_code: Required[Annotated[Literal["I", "Y"], PropertyInfo(alias="releaseOfInformationCode")]]
1848
-
1849
- claim_level_adjustments: Annotated[
1850
- Iterable[ClaimInformationOtherSubscriberInformationClaimLevelAdjustment],
1851
- PropertyInfo(alias="claimLevelAdjustments"),
1852
- ]
1853
-
1854
- insurance_group_or_policy_number: Annotated[str, PropertyInfo(alias="insuranceGroupOrPolicyNumber")]
1855
-
1856
- insurance_type_code: Annotated[
1857
- Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
1858
- ]
1859
-
1860
- medicare_outpatient_adjudication: Annotated[
1861
- ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication,
1862
- PropertyInfo(alias="medicareOutpatientAdjudication"),
1863
- ]
1864
-
1865
- non_covered_charge_amount: Annotated[str, PropertyInfo(alias="nonCoveredChargeAmount")]
1866
-
1867
- other_insured_group_name: Annotated[str, PropertyInfo(alias="otherInsuredGroupName")]
1868
-
1869
- other_payer_billing_provider: Annotated[
1870
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider],
1871
- PropertyInfo(alias="otherPayerBillingProvider"),
1872
- ]
1873
-
1874
- other_payer_referring_provider: Annotated[
1875
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider],
1876
- PropertyInfo(alias="otherPayerReferringProvider"),
1877
- ]
1878
-
1879
- other_payer_rendering_provider: Annotated[
1880
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider],
1881
- PropertyInfo(alias="otherPayerRenderingProvider"),
1882
- ]
1883
-
1884
- other_payer_service_facility_location: Annotated[
1885
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation],
1886
- PropertyInfo(alias="otherPayerServiceFacilityLocation"),
1887
- ]
1888
-
1889
- other_payer_supervising_provider: Annotated[
1890
- Iterable[ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider],
1891
- PropertyInfo(alias="otherPayerSupervisingProvider"),
1892
- ]
1893
-
1894
- patient_signature_generated_for_patient: Annotated[bool, PropertyInfo(alias="patientSignatureGeneratedForPatient")]
1895
-
1896
- payer_paid_amount: Annotated[str, PropertyInfo(alias="payerPaidAmount")]
1897
-
1898
- remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
1899
-
1900
-
1901
- class ClaimInformationPatientConditionInformationVision(TypedDict, total=False):
1902
- certification_condition_indicator: Required[
1903
- Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1904
- ]
1905
-
1906
- code_category: Required[Annotated[Literal["E1", "E2", "E3"], PropertyInfo(alias="codeCategory")]]
1907
-
1908
- condition_codes: Required[
1909
- Annotated[List[Literal["L1", "L2", "L3", "L4", "L5"]], PropertyInfo(alias="conditionCodes")]
1910
- ]
1911
-
1912
-
1913
- class ClaimInformationServiceFacilityLocationAddress(TypedDict, total=False):
1914
- address1: Required[str]
1915
-
1916
- city: Required[str]
1917
-
1918
- address2: str
1919
-
1920
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1921
-
1922
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1923
-
1924
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1925
-
1926
- state: str
1927
-
1928
-
1929
- class ClaimInformationServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
1930
- identifier: Required[str]
1931
-
1932
- qualifier: Required[str]
1933
-
1934
- other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1935
-
1936
-
1937
- class ClaimInformationServiceFacilityLocation(TypedDict, total=False):
1938
- address: Required[ClaimInformationServiceFacilityLocationAddress]
1939
-
1940
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
1941
-
1942
- npi: str
1943
-
1944
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1945
-
1946
- phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
1947
-
1948
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1949
-
1950
- secondary_identifier: Annotated[
1951
- Iterable[ClaimInformationServiceFacilityLocationSecondaryIdentifier], PropertyInfo(alias="secondaryIdentifier")
1952
- ]
1953
-
1954
-
1955
- class ClaimInformationSpinalManipulationServiceInformation(TypedDict, total=False):
1956
- patient_condition_code: Required[Annotated[str, PropertyInfo(alias="patientConditionCode")]]
1957
-
1958
- patient_condition_description1: Annotated[
1959
- Literal["A", "C", "D", "E", "F", "G", "M"], PropertyInfo(alias="patientConditionDescription1")
1960
- ]
1961
-
1962
- patient_condition_description2: Annotated[str, PropertyInfo(alias="patientConditionDescription2")]
1963
-
1964
-
1965
- class ClaimInformation(TypedDict, total=False):
1966
- benefits_assignment_certification_indicator: Required[
1967
- Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1968
- ]
1969
-
1970
- claim_charge_amount: Required[Annotated[str, PropertyInfo(alias="claimChargeAmount")]]
1971
-
1972
- claim_filing_code: Required[
1973
- Annotated[
1974
- Literal[
1975
- "11",
1976
- "12",
1977
- "13",
1978
- "14",
1979
- "15",
1980
- "16",
1981
- "17",
1982
- "AM",
1983
- "BL",
1984
- "CH",
1985
- "CI",
1986
- "DS",
1987
- "FI",
1988
- "HM",
1989
- "LM",
1990
- "MA",
1991
- "MB",
1992
- "MC",
1993
- "OF",
1994
- "TV",
1995
- "VA",
1996
- "WC",
1997
- "ZZ",
1998
- ],
1999
- PropertyInfo(alias="claimFilingCode"),
2000
- ]
2001
- ]
2002
-
2003
- claim_frequency_code: Required[Annotated[Literal["1", "7", "8"], PropertyInfo(alias="claimFrequencyCode")]]
2004
-
2005
- health_care_code_information: Required[
2006
- Annotated[Iterable[ClaimInformationHealthCareCodeInformation], PropertyInfo(alias="healthCareCodeInformation")]
2007
- ]
2008
-
2009
- place_of_service_code: Required[
2010
- Annotated[
2011
- Literal[
2012
- "01",
2013
- "02",
2014
- "03",
2015
- "04",
2016
- "05",
2017
- "06",
2018
- "07",
2019
- "08",
2020
- "09",
2021
- "10",
2022
- "11",
2023
- "12",
2024
- "13",
2025
- "14",
2026
- "15",
2027
- "16",
2028
- "17",
2029
- "18",
2030
- "19",
2031
- "20",
2032
- "21",
2033
- "22",
2034
- "23",
2035
- "24",
2036
- "25",
2037
- "26",
2038
- "27",
2039
- "31",
2040
- "32",
2041
- "33",
2042
- "34",
2043
- "41",
2044
- "42",
2045
- "49",
2046
- "50",
2047
- "51",
2048
- "52",
2049
- "53",
2050
- "54",
2051
- "55",
2052
- "56",
2053
- "57",
2054
- "58",
2055
- "60",
2056
- "61",
2057
- "62",
2058
- "65",
2059
- "66",
2060
- "71",
2061
- "72",
2062
- "81",
2063
- "99",
2064
- ],
2065
- PropertyInfo(alias="placeOfServiceCode"),
2066
- ]
2067
- ]
2068
-
2069
- plan_participation_code: Required[Annotated[Literal["A", "B", "C"], PropertyInfo(alias="planParticipationCode")]]
2070
-
2071
- release_information_code: Required[Annotated[Literal["I", "Y"], PropertyInfo(alias="releaseInformationCode")]]
2072
-
2073
- service_lines: Required[Annotated[Iterable[ClaimInformationServiceLine], PropertyInfo(alias="serviceLines")]]
2074
-
2075
- signature_indicator: Required[Annotated[Literal["N", "Y"], PropertyInfo(alias="signatureIndicator")]]
2076
-
2077
- ambulance_certification: Annotated[
2078
- Iterable[ClaimInformationAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
2079
- ]
2080
-
2081
- ambulance_drop_off_location: Annotated[
2082
- ClaimInformationAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
2083
- ]
2084
-
2085
- ambulance_pick_up_location: Annotated[
2086
- ClaimInformationAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
2087
- ]
2088
-
2089
- ambulance_transport_information: Annotated[
2090
- ClaimInformationAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
2091
- ]
2092
-
2093
- anesthesia_related_surgical_procedure: Annotated[
2094
- SequenceNotStr[str], PropertyInfo(alias="anesthesiaRelatedSurgicalProcedure")
2095
- ]
2096
-
2097
- auto_accident_country_code: Annotated[str, PropertyInfo(alias="autoAccidentCountryCode")]
2098
-
2099
- auto_accident_state_code: Annotated[str, PropertyInfo(alias="autoAccidentStateCode")]
2100
-
2101
- claim_contract_information: Annotated[
2102
- ClaimInformationClaimContractInformation, PropertyInfo(alias="claimContractInformation")
2103
- ]
2104
-
2105
- claim_date_information: Annotated[ClaimInformationClaimDateInformation, PropertyInfo(alias="claimDateInformation")]
2106
-
2107
- claim_note: Annotated[ClaimInformationClaimNote, PropertyInfo(alias="claimNote")]
2108
-
2109
- claim_pricing_repricing_information: Annotated[
2110
- ClaimInformationClaimPricingRepricingInformation, PropertyInfo(alias="claimPricingRepricingInformation")
2111
- ]
2112
-
2113
- claim_supplemental_information: Annotated[
2114
- ClaimInformationClaimSupplementalInformation, PropertyInfo(alias="claimSupplementalInformation")
2115
- ]
2116
-
2117
- condition_information: Annotated[
2118
- Iterable[ClaimInformationConditionInformation], PropertyInfo(alias="conditionInformation")
2119
- ]
2120
-
2121
- death_date: Annotated[str, PropertyInfo(alias="deathDate")]
2122
-
2123
- delay_reason_code: Annotated[
2124
- Literal["1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"], PropertyInfo(alias="delayReasonCode")
2125
- ]
2126
-
2127
- epsdt_referral: Annotated[ClaimInformationEpsdtReferral, PropertyInfo(alias="epsdtReferral")]
2128
-
2129
- file_information: Annotated[str, PropertyInfo(alias="fileInformation")]
2130
-
2131
- file_information_list: Annotated[SequenceNotStr[str], PropertyInfo(alias="fileInformationList")]
2132
-
2133
- homebound_indicator: Annotated[bool, PropertyInfo(alias="homeboundIndicator")]
2134
-
2135
- other_subscriber_information: Annotated[
2136
- Iterable[ClaimInformationOtherSubscriberInformation], PropertyInfo(alias="otherSubscriberInformation")
2137
- ]
2138
-
2139
- patient_amount_paid: Annotated[str, PropertyInfo(alias="patientAmountPaid")]
2140
-
2141
- patient_condition_information_vision: Annotated[
2142
- Iterable[ClaimInformationPatientConditionInformationVision],
2143
- PropertyInfo(alias="patientConditionInformationVision"),
2144
- ]
2145
-
2146
- patient_signature_source_code: Annotated[bool, PropertyInfo(alias="patientSignatureSourceCode")]
2147
-
2148
- patient_weight: Annotated[str, PropertyInfo(alias="patientWeight")]
2149
-
2150
- pregnancy_indicator: Annotated[Literal["Y"], PropertyInfo(alias="pregnancyIndicator")]
2151
-
2152
- property_casualty_claim_number: Annotated[str, PropertyInfo(alias="propertyCasualtyClaimNumber")]
2153
-
2154
- related_causes_code: Annotated[List[Literal["AA", "EM", "OA"]], PropertyInfo(alias="relatedCausesCode")]
2155
-
2156
- service_facility_location: Annotated[
2157
- ClaimInformationServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
2158
- ]
2159
-
2160
- special_program_code: Annotated[Literal["02", "03", "05", "09"], PropertyInfo(alias="specialProgramCode")]
2161
-
2162
- spinal_manipulation_service_information: Annotated[
2163
- ClaimInformationSpinalManipulationServiceInformation, PropertyInfo(alias="spinalManipulationServiceInformation")
2164
- ]
2165
-
2166
-
2167
- class Receiver(TypedDict, total=False):
2168
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2169
-
2170
-
2171
- class SubmitterContactInformation(TypedDict, total=False):
2172
- email: str
2173
-
2174
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2175
-
2176
- name: str
2177
-
2178
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2179
-
2180
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2181
-
2182
-
2183
- class Submitter(TypedDict, total=False):
2184
- contact_information: Required[Annotated[SubmitterContactInformation, PropertyInfo(alias="contactInformation")]]
2185
-
2186
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2187
-
2188
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2189
-
2190
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2191
-
2192
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2193
-
2194
- submitter_identification: Annotated[str, PropertyInfo(alias="submitterIdentification")]
2195
-
2196
-
2197
- class SubscriberAddress(TypedDict, total=False):
2198
- address1: Required[str]
2199
-
2200
- city: Required[str]
2201
-
2202
- address2: str
2203
-
2204
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2205
-
2206
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2207
-
2208
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2209
-
2210
- state: str
2211
-
2212
-
2213
- class SubscriberContactInformation(TypedDict, total=False):
2214
- name: Required[str]
2215
-
2216
- email: str
2217
-
2218
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2219
-
2220
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2221
-
2222
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2223
-
2224
-
2225
- class Subscriber(TypedDict, total=False):
2226
- address: SubscriberAddress
2227
-
2228
- contact_information: Annotated[SubscriberContactInformation, PropertyInfo(alias="contactInformation")]
2229
-
2230
- date_of_birth: Annotated[str, PropertyInfo(alias="dateOfBirth")]
2231
-
2232
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2233
-
2234
- gender: Literal["M", "F", "U"]
2235
-
2236
- group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
2237
-
2238
- insurance_type_code: Annotated[
2239
- Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
2240
- ]
2241
-
2242
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2243
-
2244
- member_id: Annotated[str, PropertyInfo(alias="memberId")]
2245
-
2246
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2247
-
2248
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2249
-
2250
- payment_responsibility_level_code: Annotated[
2251
- Literal["A", "B", "C", "D", "E", "F", "G", "H", "P", "S", "T", "U"],
2252
- PropertyInfo(alias="paymentResponsibilityLevelCode"),
2253
- ]
2254
-
2255
- policy_number: Annotated[str, PropertyInfo(alias="policyNumber")]
2256
-
2257
- ssn: str
2258
-
2259
- subscriber_group_name: Annotated[str, PropertyInfo(alias="subscriberGroupName")]
2260
-
2261
- suffix: str
2262
-
2263
-
2264
- class DependentAddress(TypedDict, total=False):
2265
- address1: Required[str]
2266
-
2267
- city: Required[str]
2268
-
2269
- address2: str
2270
-
2271
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2272
-
2273
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2274
-
2275
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2276
-
2277
- state: str
2278
-
2279
-
2280
- class DependentContactInformation(TypedDict, total=False):
2281
- name: Required[str]
2282
-
2283
- email: str
2284
-
2285
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2286
-
2287
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2288
-
2289
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2290
-
2291
-
2292
- class Dependent(TypedDict, total=False):
2293
- date_of_birth: Required[Annotated[str, PropertyInfo(alias="dateOfBirth")]]
2294
-
2295
- first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
2296
-
2297
- gender: Required[Literal["M", "F", "U"]]
2298
-
2299
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2300
-
2301
- relationship_to_subscriber_code: Required[
2302
- Annotated[
2303
- Literal["01", "19", "20", "21", "39", "40", "53", "G8"], PropertyInfo(alias="relationshipToSubscriberCode")
2304
- ]
2305
- ]
2306
-
2307
- address: DependentAddress
2308
-
2309
- contact_information: Annotated[DependentContactInformation, PropertyInfo(alias="contactInformation")]
2310
-
2311
- member_id: Annotated[str, PropertyInfo(alias="memberId")]
2312
-
2313
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2314
-
2315
- ssn: str
2316
-
2317
- suffix: str
2318
-
2319
-
2320
- class OrderingAddress(TypedDict, total=False):
2321
- address1: Required[str]
2322
-
2323
- city: Required[str]
2324
-
2325
- address2: str
2326
-
2327
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2328
-
2329
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2330
-
2331
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2332
-
2333
- state: str
2334
-
2335
-
2336
- class OrderingContactInformation(TypedDict, total=False):
2337
- email: str
2338
-
2339
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2340
-
2341
- name: str
2342
-
2343
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2344
-
2345
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2346
-
2347
-
2348
- class Ordering(TypedDict, total=False):
2349
- address: OrderingAddress
2350
-
2351
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
2352
-
2353
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2354
-
2355
- contact_information: Annotated[OrderingContactInformation, PropertyInfo(alias="contactInformation")]
2356
-
2357
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2358
-
2359
- employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
2360
-
2361
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2362
-
2363
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2364
-
2365
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2366
-
2367
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2368
-
2369
- naic: str
2370
-
2371
- npi: str
2372
-
2373
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2374
-
2375
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
2376
-
2377
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2378
-
2379
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2380
-
2381
- ssn: str
2382
-
2383
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2384
-
2385
- suffix: str
2386
-
2387
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2388
-
2389
-
2390
- class PayerAddress(TypedDict, total=False):
2391
- address1: Required[str]
2392
-
2393
- city: Required[str]
2394
-
2395
- address2: str
2396
-
2397
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2398
-
2399
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2400
-
2401
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2402
-
2403
- state: str
2404
-
2405
-
2406
- class PayToAddress(TypedDict, total=False):
2407
- address1: Required[str]
2408
-
2409
- city: Required[str]
2410
-
2411
- address2: str
2412
-
2413
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2414
-
2415
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2416
-
2417
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2418
-
2419
- state: str
2420
-
2421
-
2422
- class PayToPlanAddress(TypedDict, total=False):
2423
- address1: Required[str]
2424
-
2425
- city: Required[str]
2426
-
2427
- address2: str
2428
-
2429
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2430
-
2431
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2432
-
2433
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2434
-
2435
- state: str
2436
-
2437
-
2438
- class PayToPlan(TypedDict, total=False):
2439
- address: Required[PayToPlanAddress]
2440
-
2441
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2442
-
2443
- primary_identifier: Required[Annotated[str, PropertyInfo(alias="primaryIdentifier")]]
2444
-
2445
- primary_identifier_type_code: Required[
2446
- Annotated[Literal["PI", "XV"], PropertyInfo(alias="primaryIdentifierTypeCode")]
2447
- ]
2448
-
2449
- tax_identification_number: Required[Annotated[str, PropertyInfo(alias="taxIdentificationNumber")]]
2450
-
2451
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2452
-
2453
- secondary_identifier_type_code: Annotated[
2454
- Literal["2U", "FY", "NF"], PropertyInfo(alias="secondaryIdentifierTypeCode")
2455
- ]
2456
-
2457
-
2458
- class ProviderAddress(TypedDict, total=False):
2459
- address1: Required[str]
2460
-
2461
- city: Required[str]
2462
-
2463
- address2: str
2464
-
2465
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2466
-
2467
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2468
-
2469
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2470
-
2471
- state: str
2472
-
2473
-
2474
- class ProviderContactInformation(TypedDict, total=False):
2475
- email: str
2476
-
2477
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2478
-
2479
- name: str
2480
-
2481
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2482
-
2483
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2484
-
2485
-
2486
- class Provider(TypedDict, total=False):
2487
- address: ProviderAddress
2488
-
2489
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2490
-
2491
- contact_information: Annotated[ProviderContactInformation, PropertyInfo(alias="contactInformation")]
2492
-
2493
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2494
-
2495
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2496
-
2497
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2498
-
2499
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2500
-
2501
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2502
-
2503
- npi: str
2504
-
2505
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2506
-
2507
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2508
-
2509
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2510
-
2511
- ssn: str
2512
-
2513
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2514
-
2515
- suffix: str
2516
-
2517
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2518
-
2519
-
2520
- class ReferringAddress(TypedDict, total=False):
2521
- address1: Required[str]
2522
-
2523
- city: Required[str]
2524
-
2525
- address2: str
2526
-
2527
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2528
-
2529
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2530
-
2531
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2532
-
2533
- state: str
2534
-
2535
-
2536
- class ReferringContactInformation(TypedDict, total=False):
2537
- email: str
2538
-
2539
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2540
-
2541
- name: str
2542
-
2543
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2544
-
2545
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2546
-
2547
-
2548
- class Referring(TypedDict, total=False):
2549
- address: ReferringAddress
2550
-
2551
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2552
-
2553
- contact_information: Annotated[ReferringContactInformation, PropertyInfo(alias="contactInformation")]
2554
-
2555
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2556
-
2557
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2558
-
2559
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2560
-
2561
- npi: str
2562
-
2563
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2564
-
2565
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2566
-
2567
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2568
-
2569
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2570
-
2571
- suffix: str
2572
-
2573
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2574
-
2575
-
2576
- class RenderingAddress(TypedDict, total=False):
2577
- address1: Required[str]
2578
-
2579
- city: Required[str]
2580
-
2581
- address2: str
2582
-
2583
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2584
-
2585
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2586
-
2587
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2588
-
2589
- state: str
2590
-
2591
-
2592
- class RenderingContactInformation(TypedDict, total=False):
2593
- email: str
2594
-
2595
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2596
-
2597
- name: str
2598
-
2599
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2600
-
2601
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2602
-
2603
-
2604
- class Rendering(TypedDict, total=False):
2605
- address: RenderingAddress
2606
-
2607
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2608
-
2609
- contact_information: Annotated[RenderingContactInformation, PropertyInfo(alias="contactInformation")]
2610
-
2611
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2612
-
2613
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2614
-
2615
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2616
-
2617
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2618
-
2619
- npi: str
2620
-
2621
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2622
-
2623
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2624
-
2625
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2626
-
2627
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2628
-
2629
- suffix: str
2630
-
2631
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2632
-
2633
-
2634
- class SupervisingAddress(TypedDict, total=False):
2635
- address1: Required[str]
2636
-
2637
- city: Required[str]
2638
-
2639
- address2: str
2640
-
2641
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2642
-
2643
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2644
-
2645
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2646
-
2647
- state: str
2648
-
2649
-
2650
- class SupervisingContactInformation(TypedDict, total=False):
2651
- email: str
2652
-
2653
- fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2654
-
2655
- name: str
2656
-
2657
- phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2658
-
2659
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2660
-
2661
-
2662
- class Supervising(TypedDict, total=False):
2663
- address: SupervisingAddress
2664
-
2665
- commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2666
-
2667
- contact_information: Annotated[SupervisingContactInformation, PropertyInfo(alias="contactInformation")]
2668
-
2669
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2670
-
2671
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2672
-
2673
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2674
-
2675
- location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2676
-
2677
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2678
-
2679
- npi: str
2680
-
2681
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2682
-
2683
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2684
-
2685
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2686
-
2687
- ssn: str
2688
-
2689
- state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2690
-
2691
- suffix: str
2692
-
2693
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]