samplehc 0.5.0__py3-none-any.whl → 0.6.0__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 (45) hide show
  1. samplehc/_version.py +1 -1
  2. samplehc/resources/v2/__init__.py +14 -0
  3. samplehc/resources/v2/browser_agents.py +177 -0
  4. samplehc/resources/v2/clearinghouse/claim.py +20 -32
  5. samplehc/resources/v2/communication.py +8 -0
  6. samplehc/resources/v2/database.py +19 -9
  7. samplehc/resources/v2/events.py +2 -2
  8. samplehc/resources/v2/integrations/__init__.py +14 -0
  9. samplehc/resources/v2/integrations/glidian/__init__.py +33 -0
  10. samplehc/resources/v2/integrations/glidian/glidian.py +425 -0
  11. samplehc/resources/v2/integrations/glidian/prior_authorizations/__init__.py +33 -0
  12. samplehc/resources/v2/integrations/glidian/prior_authorizations/clinical_questions.py +276 -0
  13. samplehc/resources/v2/integrations/glidian/prior_authorizations/prior_authorizations.py +527 -0
  14. samplehc/resources/v2/integrations/integrations.py +32 -0
  15. samplehc/resources/v2/v2.py +32 -0
  16. samplehc/types/v2/__init__.py +2 -0
  17. samplehc/types/v2/browser_agent_invoke_params.py +13 -0
  18. samplehc/types/v2/browser_agent_invoke_response.py +12 -0
  19. samplehc/types/v2/clearinghouse/claim_submit_params.py +1214 -882
  20. samplehc/types/v2/clearinghouse/claim_submit_response.py +10 -1
  21. samplehc/types/v2/communication_send_email_params.py +3 -0
  22. samplehc/types/v2/database_execute_sql_params.py +5 -3
  23. samplehc/types/v2/event_emit_params.py +1 -1
  24. samplehc/types/v2/integrations/__init__.py +10 -0
  25. samplehc/types/v2/integrations/glidian/__init__.py +20 -0
  26. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_params.py +32 -0
  27. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_response.py +22 -0
  28. samplehc/types/v2/integrations/glidian/prior_authorization_retrieve_record_response.py +11 -0
  29. samplehc/types/v2/integrations/glidian/prior_authorization_submit_response.py +14 -0
  30. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_params.py +20 -0
  31. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_response.py +14 -0
  32. samplehc/types/v2/integrations/glidian/prior_authorizations/__init__.py +7 -0
  33. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_list_response.py +40 -0
  34. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_params.py +22 -0
  35. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_response.py +17 -0
  36. samplehc/types/v2/integrations/glidian_get_submission_requirements_params.py +17 -0
  37. samplehc/types/v2/integrations/glidian_get_submission_requirements_response.py +31 -0
  38. samplehc/types/v2/integrations/glidian_list_payers_params.py +11 -0
  39. samplehc/types/v2/integrations/glidian_list_payers_response.py +17 -0
  40. samplehc/types/v2/integrations/glidian_list_services_params.py +13 -0
  41. samplehc/types/v2/integrations/glidian_list_services_response.py +19 -0
  42. {samplehc-0.5.0.dist-info → samplehc-0.6.0.dist-info}/METADATA +1 -1
  43. {samplehc-0.5.0.dist-info → samplehc-0.6.0.dist-info}/RECORD +45 -20
  44. {samplehc-0.5.0.dist-info → samplehc-0.6.0.dist-info}/WHEEL +0 -0
  45. {samplehc-0.5.0.dist-info → samplehc-0.6.0.dist-info}/licenses/LICENSE +0 -0
@@ -2,110 +2,118 @@
2
2
 
3
3
  from __future__ import annotations
4
4
 
5
- from typing import List, Union, Iterable
6
- from typing_extensions import Literal, Required, Annotated, TypeAlias, TypedDict
5
+ from typing import List, Iterable
6
+ from typing_extensions import Literal, Required, Annotated, TypedDict
7
7
 
8
8
  from ...._utils import PropertyInfo
9
9
 
10
10
  __all__ = [
11
11
  "ClaimSubmitParams",
12
+ "Billing",
13
+ "BillingAddress",
14
+ "BillingContactInformation",
12
15
  "ClaimInformation",
13
- "ClaimInformationClaimCodeInformation",
14
- "ClaimInformationClaimDateInformation",
15
- "ClaimInformationPrincipalDiagnosis",
16
+ "ClaimInformationHealthCareCodeInformation",
16
17
  "ClaimInformationServiceLine",
17
- "ClaimInformationServiceLineInstitutionalService",
18
+ "ClaimInformationServiceLineProfessionalService",
19
+ "ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers",
20
+ "ClaimInformationServiceLineAmbulanceCertification",
21
+ "ClaimInformationServiceLineAmbulanceDropOffLocation",
22
+ "ClaimInformationServiceLineAmbulancePickUpLocation",
23
+ "ClaimInformationServiceLineAmbulanceTransportInformation",
24
+ "ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment",
25
+ "ClaimInformationServiceLineContractInformation",
18
26
  "ClaimInformationServiceLineDrugIdentification",
27
+ "ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity",
28
+ "ClaimInformationServiceLineDurableMedicalEquipmentCertification",
29
+ "ClaimInformationServiceLineDurableMedicalEquipmentService",
30
+ "ClaimInformationServiceLineFormIdentification",
31
+ "ClaimInformationServiceLineFormIdentificationSupportingDocumentation",
19
32
  "ClaimInformationServiceLineLineAdjudicationInformation",
20
- "ClaimInformationServiceLineLineAdjudicationInformationLineAdjustment",
21
- "ClaimInformationServiceLineLineAdjudicationInformationLineAdjustmentClaimAdjustmentDetail",
22
- "ClaimInformationServiceLineLineAdjustmentInformation",
23
- "ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustment",
24
- "ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAdjustmentDetail",
25
- "ClaimInformationServiceLineLinePricingInformation",
26
- "ClaimInformationServiceLineLineRepricingInformation",
27
- "ClaimInformationServiceLineLineSupplementInformation",
28
- "ClaimInformationServiceLineLineSupplementInformationReportInformation",
29
- "ClaimInformationServiceLineOperatingPhysician",
30
- "ClaimInformationServiceLineOtherOperatingPhysician",
33
+ "ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation",
34
+ "ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail",
35
+ "ClaimInformationServiceLineLinePricingRepricingInformation",
36
+ "ClaimInformationServiceLineOrderingProvider",
37
+ "ClaimInformationServiceLineOrderingProviderAddress",
38
+ "ClaimInformationServiceLineOrderingProviderContactInformation",
39
+ "ClaimInformationServiceLineOrderingProviderSecondaryIdentifier",
40
+ "ClaimInformationServiceLinePurchasedServiceInformation",
41
+ "ClaimInformationServiceLinePurchasedServiceProvider",
42
+ "ClaimInformationServiceLinePurchasedServiceProviderAddress",
43
+ "ClaimInformationServiceLinePurchasedServiceProviderContactInformation",
44
+ "ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier",
31
45
  "ClaimInformationServiceLineReferringProvider",
32
46
  "ClaimInformationServiceLineReferringProviderAddress",
33
47
  "ClaimInformationServiceLineReferringProviderContactInformation",
34
- "ClaimInformationServiceLineReferringProviderReferenceIdentification",
48
+ "ClaimInformationServiceLineReferringProviderSecondaryIdentifier",
35
49
  "ClaimInformationServiceLineRenderingProvider",
36
50
  "ClaimInformationServiceLineRenderingProviderAddress",
37
51
  "ClaimInformationServiceLineRenderingProviderContactInformation",
38
- "ClaimInformationServiceLineRenderingProviderReferenceIdentification",
52
+ "ClaimInformationServiceLineRenderingProviderSecondaryIdentifier",
53
+ "ClaimInformationServiceLineServiceFacilityLocation",
54
+ "ClaimInformationServiceLineServiceFacilityLocationAddress",
55
+ "ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier",
39
56
  "ClaimInformationServiceLineServiceLineDateInformation",
40
57
  "ClaimInformationServiceLineServiceLineReferenceInformation",
41
- "ClaimInformationServiceLineServiceLineReferenceInformationProviderControlNumber",
42
- "ClaimInformationServiceLineServiceLineReferenceInformationRepricedLineItemRefNumber",
43
- "ClaimInformationServiceLineServiceLineReferenceInformationAdjustedRepricedLineItemRefNumber",
58
+ "ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization",
44
59
  "ClaimInformationServiceLineServiceLineSupplementalInformation",
45
- "ClaimInformationAdmittingDiagnosis",
60
+ "ClaimInformationServiceLineSupervisingProvider",
61
+ "ClaimInformationServiceLineSupervisingProviderAddress",
62
+ "ClaimInformationServiceLineSupervisingProviderContactInformation",
63
+ "ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier",
64
+ "ClaimInformationServiceLineTestResult",
65
+ "ClaimInformationAmbulanceCertification",
66
+ "ClaimInformationAmbulanceDropOffLocation",
67
+ "ClaimInformationAmbulancePickUpLocation",
68
+ "ClaimInformationAmbulanceTransportInformation",
46
69
  "ClaimInformationClaimContractInformation",
47
- "ClaimInformationClaimNotes",
48
- "ClaimInformationClaimPricingInformation",
70
+ "ClaimInformationClaimDateInformation",
71
+ "ClaimInformationClaimNote",
72
+ "ClaimInformationClaimPricingRepricingInformation",
49
73
  "ClaimInformationClaimSupplementalInformation",
50
74
  "ClaimInformationClaimSupplementalInformationReportInformation",
51
- "ClaimInformationConditionCodesList",
52
- "ClaimInformationDiagnosisRelatedGroupInformation",
75
+ "ClaimInformationConditionInformation",
53
76
  "ClaimInformationEpsdtReferral",
54
- "ClaimInformationExternalCauseOfInjury",
55
- "ClaimInformationOccurrenceInformationList",
56
- "ClaimInformationOccurrenceSpanInformation",
57
- "ClaimInformationOtherDiagnosisInformationList",
58
- "ClaimInformationOtherProcedureInformationList",
59
77
  "ClaimInformationOtherSubscriberInformation",
60
78
  "ClaimInformationOtherSubscriberInformationOtherPayerName",
61
79
  "ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress",
62
80
  "ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondaryIdentifier",
63
81
  "ClaimInformationOtherSubscriberInformationOtherSubscriberName",
64
- "ClaimInformationOtherSubscriberInformationOtherSubscriberNameAddress",
82
+ "ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress",
65
83
  "ClaimInformationOtherSubscriberInformationClaimLevelAdjustment",
66
- "ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustmentDetail",
67
- "ClaimInformationOtherSubscriberInformationMedicareInpatientAdjudication",
84
+ "ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail",
68
85
  "ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication",
69
- "ClaimInformationOtherSubscriberInformationOtherPayerAttendingProvider",
70
- "ClaimInformationOtherSubscriberInformationOtherPayerAttendingProviderOtherPayerAttendingProviderIdentifier",
71
86
  "ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider",
72
87
  "ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier",
73
- "ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysician",
74
- "ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysicianOtherPayerOperatingPhysicianIdentifier",
75
- "ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysician",
76
- "ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysicianOtherPayerOtherOperatingPhysicianIdentifier",
77
88
  "ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider",
78
89
  "ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier",
79
90
  "ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider",
80
- "ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderIdentifier",
91
+ "ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier",
81
92
  "ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation",
82
- "ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationIdentifier",
83
- "ClaimInformationPatientReasonForVisit",
84
- "ClaimInformationPrincipalProcedureInformation",
93
+ "ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier",
94
+ "ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider",
95
+ "ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier",
96
+ "ClaimInformationPatientConditionInformationVision",
85
97
  "ClaimInformationServiceFacilityLocation",
86
98
  "ClaimInformationServiceFacilityLocationAddress",
87
- "ClaimInformationValueInformationList",
99
+ "ClaimInformationServiceFacilityLocationSecondaryIdentifier",
100
+ "ClaimInformationSpinalManipulationServiceInformation",
88
101
  "Receiver",
89
102
  "Submitter",
90
103
  "SubmitterContactInformation",
91
104
  "Subscriber",
92
105
  "SubscriberAddress",
93
- "Attending",
94
- "AttendingAddress",
95
- "AttendingContactInformation",
96
- "Billing",
97
- "BillingAddress",
98
- "BillingContactInformation",
99
- "BillingPayToAddressName",
100
- "BillingPayToAddressNameAddress",
101
- "BillingPayToPlanName",
102
- "BillingPayToPlanNameAddress",
106
+ "SubscriberContactInformation",
103
107
  "Dependent",
104
108
  "DependentAddress",
105
- "EventMapping",
106
- "OperatingPhysician",
107
- "OtherOperatingPhysician",
109
+ "DependentContactInformation",
110
+ "Ordering",
111
+ "OrderingAddress",
112
+ "OrderingContactInformation",
108
113
  "PayerAddress",
114
+ "PayToAddress",
115
+ "PayToPlan",
116
+ "PayToPlanAddress",
109
117
  "Provider",
110
118
  "ProviderAddress",
111
119
  "ProviderContactInformation",
@@ -115,10 +123,15 @@ __all__ = [
115
123
  "Rendering",
116
124
  "RenderingAddress",
117
125
  "RenderingContactInformation",
126
+ "Supervising",
127
+ "SupervisingAddress",
128
+ "SupervisingContactInformation",
118
129
  ]
119
130
 
120
131
 
121
132
  class ClaimSubmitParams(TypedDict, total=False):
133
+ billing: Required[Billing]
134
+
122
135
  claim_information: Required[Annotated[ClaimInformation, PropertyInfo(alias="claimInformation")]]
123
136
 
124
137
  idempotency_key: Required[Annotated[str, PropertyInfo(alias="idempotencyKey")]]
@@ -133,27 +146,17 @@ class ClaimSubmitParams(TypedDict, total=False):
133
146
 
134
147
  trading_partner_service_id: Required[Annotated[str, PropertyInfo(alias="tradingPartnerServiceId")]]
135
148
 
136
- attending: Attending
137
-
138
- billing: Billing
139
-
140
- billing_pay_to_address_name: Annotated[BillingPayToAddressName, PropertyInfo(alias="billingPayToAddressName")]
141
-
142
- billing_pay_to_plan_name: Annotated[BillingPayToPlanName, PropertyInfo(alias="billingPayToPlanName")]
143
-
144
149
  control_number: Annotated[str, PropertyInfo(alias="controlNumber")]
145
150
 
146
- correlation_id: Annotated[str, PropertyInfo(alias="correlationId")]
147
-
148
151
  dependent: Dependent
149
152
 
150
- event_mapping: Annotated[EventMapping, PropertyInfo(alias="eventMapping")]
153
+ ordering: Ordering
151
154
 
152
- operating_physician: Annotated[OperatingPhysician, PropertyInfo(alias="operatingPhysician")]
155
+ payer_address: Annotated[PayerAddress, PropertyInfo(alias="payerAddress")]
153
156
 
154
- other_operating_physician: Annotated[OtherOperatingPhysician, PropertyInfo(alias="otherOperatingPhysician")]
157
+ pay_to_address: Annotated[PayToAddress, PropertyInfo(alias="payToAddress")]
155
158
 
156
- payer_address: Annotated[PayerAddress, PropertyInfo(alias="payerAddress")]
159
+ pay_to_plan: Annotated[PayToPlan, PropertyInfo(alias="payToPlan")]
157
160
 
158
161
  providers: Iterable[Provider]
159
162
 
@@ -161,59 +164,200 @@ class ClaimSubmitParams(TypedDict, total=False):
161
164
 
162
165
  rendering: Rendering
163
166
 
167
+ supervising: Supervising
168
+
164
169
  trading_partner_name: Annotated[str, PropertyInfo(alias="tradingPartnerName")]
165
170
 
166
171
 
167
- class ClaimInformationClaimCodeInformation(TypedDict, total=False):
168
- admission_type_code: Required[Annotated[str, PropertyInfo(alias="admissionTypeCode")]]
172
+ class BillingAddress(TypedDict, total=False):
173
+ address1: Required[str]
169
174
 
170
- patient_status_code: Required[Annotated[str, PropertyInfo(alias="patientStatusCode")]]
175
+ city: Required[str]
171
176
 
172
- admission_source_code: Annotated[str, PropertyInfo(alias="admissionSourceCode")]
177
+ address2: str
173
178
 
179
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
174
180
 
175
- class ClaimInformationClaimDateInformation(TypedDict, total=False):
176
- statement_begin_date: Required[Annotated[str, PropertyInfo(alias="statementBeginDate")]]
181
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
177
182
 
178
- statement_end_date: Required[Annotated[str, PropertyInfo(alias="statementEndDate")]]
183
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
179
184
 
180
- admission_date_and_hour: Annotated[str, PropertyInfo(alias="admissionDateAndHour")]
185
+ state: str
181
186
 
182
- discharge_hour: Annotated[str, PropertyInfo(alias="dischargeHour")]
183
187
 
184
- repricer_received_date: Annotated[str, PropertyInfo(alias="repricerReceivedDate")]
188
+ class BillingContactInformation(TypedDict, total=False):
189
+ email: str
190
+
191
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
192
+
193
+ name: str
185
194
 
195
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
186
196
 
187
- class ClaimInformationPrincipalDiagnosis(TypedDict, total=False):
188
- principal_diagnosis_code: Required[Annotated[str, PropertyInfo(alias="principalDiagnosisCode")]]
197
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
189
198
 
190
- qualifier_code: Required[Annotated[Literal["ABK", "BK"], PropertyInfo(alias="qualifierCode")]]
191
199
 
192
- present_on_admission_indicator: Annotated[
193
- Literal["N", "Y", "U", "W"], PropertyInfo(alias="presentOnAdmissionIndicator")
194
- ]
200
+ class Billing(TypedDict, total=False):
201
+ address: BillingAddress
202
+
203
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
204
+
205
+ contact_information: Annotated[BillingContactInformation, PropertyInfo(alias="contactInformation")]
206
+
207
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
208
+
209
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
210
+
211
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
212
+
213
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
214
+
215
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
216
+
217
+ npi: str
218
+
219
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
220
+
221
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
222
+
223
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
224
+
225
+ ssn: str
226
+
227
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
228
+
229
+ suffix: str
230
+
231
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
232
+
233
+
234
+ class ClaimInformationHealthCareCodeInformation(TypedDict, total=False):
235
+ diagnosis_code: Required[Annotated[str, PropertyInfo(alias="diagnosisCode")]]
236
+
237
+ diagnosis_type_code: Required[Annotated[Literal["BK", "ABK", "BF", "ABF"], PropertyInfo(alias="diagnosisTypeCode")]]
238
+
239
+
240
+ class ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers(TypedDict, total=False):
241
+ diagnosis_code_pointers: Required[Annotated[List[str], PropertyInfo(alias="diagnosisCodePointers")]]
195
242
 
196
243
 
197
- class ClaimInformationServiceLineInstitutionalService(TypedDict, total=False):
244
+ class ClaimInformationServiceLineProfessionalService(TypedDict, total=False):
245
+ composite_diagnosis_code_pointers: Required[
246
+ Annotated[
247
+ ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers,
248
+ PropertyInfo(alias="compositeDiagnosisCodePointers"),
249
+ ]
250
+ ]
251
+
198
252
  line_item_charge_amount: Required[Annotated[str, PropertyInfo(alias="lineItemChargeAmount")]]
199
253
 
200
- measurement_unit: Required[Annotated[Literal["DA", "UN"], PropertyInfo(alias="measurementUnit")]]
254
+ measurement_unit: Required[Annotated[Literal["MJ", "UN"], PropertyInfo(alias="measurementUnit")]]
255
+
256
+ procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
201
257
 
202
- service_line_revenue_code: Required[Annotated[str, PropertyInfo(alias="serviceLineRevenueCode")]]
258
+ procedure_identifier: Required[
259
+ Annotated[Literal["ER", "HC", "IV", "WK"], PropertyInfo(alias="procedureIdentifier")]
260
+ ]
203
261
 
204
262
  service_unit_count: Required[Annotated[str, PropertyInfo(alias="serviceUnitCount")]]
205
263
 
264
+ copay_status_code: Annotated[Literal["0"], PropertyInfo(alias="copayStatusCode")]
265
+
206
266
  description: str
207
267
 
208
- non_covered_charge_amount: Annotated[str, PropertyInfo(alias="nonCoveredChargeAmount")]
268
+ emergency_indicator: Annotated[Literal["Y"], PropertyInfo(alias="emergencyIndicator")]
209
269
 
210
- procedure_code: Annotated[str, PropertyInfo(alias="procedureCode")]
270
+ epsdt_indicator: Annotated[Literal["Y"], PropertyInfo(alias="epsdtIndicator")]
211
271
 
212
- procedure_identifier: Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="procedureIdentifier")]
272
+ family_planning_indicator: Annotated[Literal["Y"], PropertyInfo(alias="familyPlanningIndicator")]
273
+
274
+ place_of_service_code: Annotated[str, PropertyInfo(alias="placeOfServiceCode")]
213
275
 
214
276
  procedure_modifiers: Annotated[List[str], PropertyInfo(alias="procedureModifiers")]
215
277
 
216
278
 
279
+ class ClaimInformationServiceLineAmbulanceCertification(TypedDict, total=False):
280
+ certification_condition_indicator: Required[
281
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
282
+ ]
283
+
284
+ condition_codes: Required[
285
+ Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
286
+ ]
287
+
288
+
289
+ class ClaimInformationServiceLineAmbulanceDropOffLocation(TypedDict, total=False):
290
+ address1: Required[str]
291
+
292
+ city: Required[str]
293
+
294
+ address2: str
295
+
296
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
297
+
298
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
299
+
300
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
301
+
302
+ state: str
303
+
304
+
305
+ class ClaimInformationServiceLineAmbulancePickUpLocation(TypedDict, total=False):
306
+ address1: Required[str]
307
+
308
+ city: Required[str]
309
+
310
+ address2: str
311
+
312
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
313
+
314
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
315
+
316
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
317
+
318
+ state: str
319
+
320
+
321
+ class ClaimInformationServiceLineAmbulanceTransportInformation(TypedDict, total=False):
322
+ ambulance_transport_reason_code: Required[
323
+ Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
324
+ ]
325
+
326
+ transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
327
+
328
+ patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
329
+
330
+ round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
331
+
332
+ stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
333
+
334
+
335
+ class ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment(TypedDict, total=False):
336
+ certification_condition_indicator: Required[
337
+ Annotated[Literal["Y", "N"], PropertyInfo(alias="certificationConditionIndicator")]
338
+ ]
339
+
340
+ condition_indicator: Required[Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicator")]]
341
+
342
+ condition_indicator_code: Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicatorCode")]
343
+
344
+
345
+ class ClaimInformationServiceLineContractInformation(TypedDict, total=False):
346
+ contract_type_code: Required[
347
+ Annotated[Literal["01", "02", "03", "04", "05", "06", "09"], PropertyInfo(alias="contractTypeCode")]
348
+ ]
349
+
350
+ contract_amount: Annotated[str, PropertyInfo(alias="contractAmount")]
351
+
352
+ contract_code: Annotated[str, PropertyInfo(alias="contractCode")]
353
+
354
+ contract_percentage: Annotated[str, PropertyInfo(alias="contractPercentage")]
355
+
356
+ contract_version_identifier: Annotated[str, PropertyInfo(alias="contractVersionIdentifier")]
357
+
358
+ terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
359
+
360
+
217
361
  class ClaimInformationServiceLineDrugIdentification(TypedDict, total=False):
218
362
  measurement_unit_code: Required[
219
363
  Annotated[Literal["F2", "GR", "ME", "ML", "UN"], PropertyInfo(alias="measurementUnitCode")]
@@ -223,62 +367,65 @@ class ClaimInformationServiceLineDrugIdentification(TypedDict, total=False):
223
367
 
224
368
  national_drug_unit_count: Required[Annotated[str, PropertyInfo(alias="nationalDrugUnitCount")]]
225
369
 
370
+ service_id_qualifier: Required[
371
+ Annotated[Literal["EN", "EO", "HI", "N4", "ON", "UK", "UP"], PropertyInfo(alias="serviceIdQualifier")]
372
+ ]
373
+
226
374
  link_sequence_number: Annotated[str, PropertyInfo(alias="linkSequenceNumber")]
227
375
 
228
376
  pharmacy_prescription_number: Annotated[str, PropertyInfo(alias="pharmacyPrescriptionNumber")]
229
377
 
230
378
 
231
- class ClaimInformationServiceLineLineAdjudicationInformationLineAdjustmentClaimAdjustmentDetail(TypedDict, total=False):
232
- adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
233
-
234
- adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
379
+ class ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity(TypedDict, total=False):
380
+ attachment_transmission_code: Required[
381
+ Annotated[Literal["AB", "AD", "AF", "AG", "NS"], PropertyInfo(alias="attachmentTransmissionCode")]
382
+ ]
235
383
 
236
- adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
237
384
 
385
+ class ClaimInformationServiceLineDurableMedicalEquipmentCertification(TypedDict, total=False):
386
+ certification_type_code: Required[Annotated[Literal["I", "R", "S"], PropertyInfo(alias="certificationTypeCode")]]
238
387
 
239
- class ClaimInformationServiceLineLineAdjudicationInformationLineAdjustment(TypedDict, total=False):
240
- adjustment_group_code: Required[
241
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
388
+ durable_medical_equipment_duration_in_months: Required[
389
+ Annotated[str, PropertyInfo(alias="durableMedicalEquipmentDurationInMonths")]
242
390
  ]
243
391
 
244
- claim_adjustment_details: Annotated[
245
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationLineAdjustmentClaimAdjustmentDetail],
246
- PropertyInfo(alias="claimAdjustmentDetails"),
247
- ]
248
392
 
393
+ class ClaimInformationServiceLineDurableMedicalEquipmentService(TypedDict, total=False):
394
+ days: Required[str]
249
395
 
250
- class ClaimInformationServiceLineLineAdjudicationInformation(TypedDict, total=False):
251
- adjudication_or_payment_date: Required[Annotated[str, PropertyInfo(alias="adjudicationOrPaymentDate")]]
396
+ frequency_code: Required[Annotated[Literal["1", "4", "6"], PropertyInfo(alias="frequencyCode")]]
252
397
 
253
- other_payer_primary_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]]
398
+ purchase_price: Required[Annotated[str, PropertyInfo(alias="purchasePrice")]]
254
399
 
255
- paid_service_unit_count: Required[Annotated[str, PropertyInfo(alias="paidServiceUnitCount")]]
400
+ rental_price: Required[Annotated[str, PropertyInfo(alias="rentalPrice")]]
256
401
 
257
- service_line_paid_amount: Required[Annotated[str, PropertyInfo(alias="serviceLinePaidAmount")]]
258
402
 
259
- service_line_revenue_code: Required[Annotated[str, PropertyInfo(alias="serviceLineRevenueCode")]]
403
+ class ClaimInformationServiceLineFormIdentificationSupportingDocumentation(TypedDict, total=False):
404
+ question_number: Required[Annotated[str, PropertyInfo(alias="questionNumber")]]
260
405
 
261
- bundled_line_number: Annotated[str, PropertyInfo(alias="bundledLineNumber")]
406
+ question_response: Annotated[str, PropertyInfo(alias="questionResponse")]
262
407
 
263
- line_adjustment: Annotated[
264
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationLineAdjustment],
265
- PropertyInfo(alias="lineAdjustment"),
266
- ]
408
+ question_response_as_date: Annotated[str, PropertyInfo(alias="questionResponseAsDate")]
267
409
 
268
- procedure_code: Annotated[str, PropertyInfo(alias="procedureCode")]
410
+ question_response_as_percent: Annotated[str, PropertyInfo(alias="questionResponseAsPercent")]
269
411
 
270
- procedure_code_description: Annotated[str, PropertyInfo(alias="procedureCodeDescription")]
412
+ question_response_code: Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="questionResponseCode")]
271
413
 
272
- procedure_modifier: Annotated[List[str], PropertyInfo(alias="procedureModifier")]
273
414
 
274
- product_or_service_id_qualifier: Annotated[
275
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
276
- ]
415
+ class ClaimInformationServiceLineFormIdentification(TypedDict, total=False):
416
+ form_identifier: Required[Annotated[str, PropertyInfo(alias="formIdentifier")]]
277
417
 
278
- remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
418
+ form_type_code: Required[Annotated[Literal["AS", "UT"], PropertyInfo(alias="formTypeCode")]]
419
+
420
+ supporting_documentation: Annotated[
421
+ Iterable[ClaimInformationServiceLineFormIdentificationSupportingDocumentation],
422
+ PropertyInfo(alias="supportingDocumentation"),
423
+ ]
279
424
 
280
425
 
281
- class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAdjustmentDetail(TypedDict, total=False):
426
+ class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail(
427
+ TypedDict, total=False
428
+ ):
282
429
  adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
283
430
 
284
431
  adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
@@ -286,19 +433,21 @@ class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAd
286
433
  adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
287
434
 
288
435
 
289
- class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustment(TypedDict, total=False):
290
- adjustment_group_code: Required[
291
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
436
+ class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation(TypedDict, total=False):
437
+ adjustment_details: Required[
438
+ Annotated[
439
+ Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail],
440
+ PropertyInfo(alias="adjustmentDetails"),
441
+ ]
292
442
  ]
293
443
 
294
- claim_adjustment_details: Annotated[
295
- Iterable[ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAdjustmentDetail],
296
- PropertyInfo(alias="claimAdjustmentDetails"),
444
+ adjustment_group_code: Required[
445
+ Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
297
446
  ]
298
447
 
299
448
 
300
- class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=False):
301
- claim_paid_date: Required[Annotated[str, PropertyInfo(alias="claimPaidDate")]]
449
+ class ClaimInformationServiceLineLineAdjudicationInformation(TypedDict, total=False):
450
+ adjudication_or_payment_date: Required[Annotated[str, PropertyInfo(alias="adjudicationOrPaymentDate")]]
302
451
 
303
452
  other_payer_primary_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]]
304
453
 
@@ -306,8 +455,6 @@ class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=Fals
306
455
 
307
456
  procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
308
457
 
309
- remaining_patient_liability: Required[Annotated[str, PropertyInfo(alias="remainingPatientLiability")]]
310
-
311
458
  service_id_qualifier: Required[
312
459
  Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="serviceIdQualifier")]
313
460
  ]
@@ -316,16 +463,19 @@ class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=Fals
316
463
 
317
464
  bundled_or_unbundled_line_number: Annotated[str, PropertyInfo(alias="bundledOrUnbundledLineNumber")]
318
465
 
319
- claim_adjustment: Annotated[
320
- ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustment, PropertyInfo(alias="claimAdjustment")
466
+ claim_adjustment_information: Annotated[
467
+ Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation],
468
+ PropertyInfo(alias="claimAdjustmentInformation"),
321
469
  ]
322
470
 
323
471
  procedure_code_description: Annotated[str, PropertyInfo(alias="procedureCodeDescription")]
324
472
 
325
- procedure_modifiers: Annotated[List[str], PropertyInfo(alias="procedureModifiers")]
473
+ procedure_modifier: Annotated[List[str], PropertyInfo(alias="procedureModifier")]
474
+
475
+ remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
326
476
 
327
477
 
328
- class ClaimInformationServiceLineLinePricingInformation(TypedDict, total=False):
478
+ class ClaimInformationServiceLineLinePricingRepricingInformation(TypedDict, total=False):
329
479
  pricing_methodology_code: Required[
330
480
  Annotated[
331
481
  Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
@@ -335,225 +485,208 @@ class ClaimInformationServiceLineLinePricingInformation(TypedDict, total=False):
335
485
 
336
486
  repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
337
487
 
338
- apg_amount: Annotated[str, PropertyInfo(alias="apgAmount")]
488
+ exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
339
489
 
340
- apg_code: Annotated[str, PropertyInfo(alias="apgCode")]
490
+ policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
341
491
 
342
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
492
+ reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
493
+
494
+ repriced_approved_ambulatory_patient_group_amount: Annotated[
495
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
496
+ ]
343
497
 
344
- flat_rate_amount: Annotated[str, PropertyInfo(alias="flatRateAmount")]
498
+ repriced_approved_ambulatory_patient_group_code: Annotated[
499
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
500
+ ]
345
501
 
346
- measurement_unit_code: Annotated[Literal["DA", "UN"], PropertyInfo(alias="measurementUnitCode")]
502
+ repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
347
503
 
348
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
504
+ repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
349
505
 
350
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
506
+ repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
351
507
 
352
- repriced_approved_hcpcs_code: Annotated[str, PropertyInfo(alias="repricedApprovedHCPCSCode")]
353
508
 
354
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
509
+ class ClaimInformationServiceLineOrderingProviderAddress(TypedDict, total=False):
510
+ address1: Required[str]
355
511
 
356
- repriced_organization_identifier: Annotated[str, PropertyInfo(alias="repricedOrganizationIdentifier")]
512
+ city: Required[str]
357
513
 
358
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
514
+ address2: str
359
515
 
360
- service_id_qualifier: Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="serviceIdQualifier")]
516
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
361
517
 
518
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
362
519
 
363
- class ClaimInformationServiceLineLineRepricingInformation(TypedDict, total=False):
364
- pricing_methodology_code: Required[
365
- Annotated[
366
- Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
367
- PropertyInfo(alias="pricingMethodologyCode"),
368
- ]
369
- ]
520
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
370
521
 
371
- repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
522
+ state: str
372
523
 
373
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
374
524
 
375
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
525
+ class ClaimInformationServiceLineOrderingProviderContactInformation(TypedDict, total=False):
526
+ name: Required[str]
376
527
 
377
- product_or_service_id_qualifier: Annotated[
378
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
379
- ]
528
+ email: str
529
+
530
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
531
+
532
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
533
+
534
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
380
535
 
381
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
382
536
 
383
- repriced_approved_amount: Annotated[str, PropertyInfo(alias="repricedApprovedAmount")]
537
+ class ClaimInformationServiceLineOrderingProviderSecondaryIdentifier(TypedDict, total=False):
538
+ identifier: Required[str]
539
+
540
+ qualifier: Required[str]
384
541
 
385
- repriced_approved_drg_code: Annotated[str, PropertyInfo(alias="repricedApprovedDRGCode")]
542
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
386
543
 
387
- repriced_approved_hcpcs_code: Annotated[str, PropertyInfo(alias="repricedApprovedHCPCSCode")]
388
544
 
389
- repriced_approved_revenue_code: Annotated[str, PropertyInfo(alias="repricedApprovedRevenueCode")]
545
+ class ClaimInformationServiceLineOrderingProvider(TypedDict, total=False):
546
+ address: ClaimInformationServiceLineOrderingProviderAddress
390
547
 
391
- repriced_approved_service_unit_code: Annotated[
392
- Literal["DA", "UN"], PropertyInfo(alias="repricedApprovedServiceUnitCode")
548
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
549
+
550
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
551
+
552
+ contact_information: Annotated[
553
+ ClaimInformationServiceLineOrderingProviderContactInformation, PropertyInfo(alias="contactInformation")
393
554
  ]
394
555
 
395
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
556
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
396
557
 
397
- repriced_org_identifier: Annotated[str, PropertyInfo(alias="repricedOrgIdentifier")]
558
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
398
559
 
399
- repriced_per_diem: Annotated[str, PropertyInfo(alias="repricedPerDiem")]
560
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
400
561
 
401
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
562
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
402
563
 
564
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
403
565
 
404
- class ClaimInformationServiceLineLineSupplementInformationReportInformation(TypedDict, total=False):
405
- attachment_control_number: Required[Annotated[str, PropertyInfo(alias="attachmentControlNumber")]]
566
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
406
567
 
407
- attachment_report_type_code: Required[
408
- Annotated[
409
- Literal[
410
- "03",
411
- "04",
412
- "05",
413
- "06",
414
- "07",
415
- "08",
416
- "09",
417
- "10",
418
- "11",
419
- "13",
420
- "15",
421
- "21",
422
- "A3",
423
- "A4",
424
- "AM",
425
- "AS",
426
- "B2",
427
- "B3",
428
- "B4",
429
- "BR",
430
- "BS",
431
- "BT",
432
- "CB",
433
- "CK",
434
- "CT",
435
- "D2",
436
- "DA",
437
- "DB",
438
- "DG",
439
- "DJ",
440
- "DS",
441
- "EB",
442
- "HC",
443
- "HR",
444
- "I5",
445
- "IR",
446
- "LA",
447
- "M1",
448
- "MT",
449
- "NN",
450
- "OB",
451
- "OC",
452
- "OD",
453
- "OE",
454
- "OX",
455
- "OZ",
456
- "P4",
457
- "P5",
458
- "PE",
459
- "PN",
460
- "PO",
461
- "PQ",
462
- "PY",
463
- "PZ",
464
- "RB",
465
- "RR",
466
- "RT",
467
- "RX",
468
- "SG",
469
- "V5",
470
- "XP",
471
- ],
472
- PropertyInfo(alias="attachmentReportTypeCode"),
473
- ]
568
+ naic: str
569
+
570
+ npi: str
571
+
572
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
573
+
574
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
575
+
576
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
577
+
578
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
579
+
580
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
581
+
582
+ secondary_identifier: Annotated[
583
+ Iterable[ClaimInformationServiceLineOrderingProviderSecondaryIdentifier],
584
+ PropertyInfo(alias="secondaryIdentifier"),
474
585
  ]
475
586
 
476
- attachment_transmission_code: Required[
477
- Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
587
+ ssn: str
588
+
589
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
590
+
591
+ suffix: str
592
+
593
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
594
+
595
+
596
+ class ClaimInformationServiceLinePurchasedServiceInformation(TypedDict, total=False):
597
+ purchased_service_charge_amount: Required[Annotated[str, PropertyInfo(alias="purchasedServiceChargeAmount")]]
598
+
599
+ purchased_service_provider_identifier: Required[
600
+ Annotated[str, PropertyInfo(alias="purchasedServiceProviderIdentifier")]
478
601
  ]
479
602
 
480
603
 
481
- class ClaimInformationServiceLineLineSupplementInformation(TypedDict, total=False):
482
- adjusted_repriced_claim_ref_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimRefNumber")]
604
+ class ClaimInformationServiceLinePurchasedServiceProviderAddress(TypedDict, total=False):
605
+ address1: Required[str]
483
606
 
484
- auto_accident_state: Annotated[str, PropertyInfo(alias="autoAccidentState")]
607
+ city: Required[str]
485
608
 
486
- claim_control_number: Annotated[str, PropertyInfo(alias="claimControlNumber")]
609
+ address2: str
487
610
 
488
- claim_number: Annotated[str, PropertyInfo(alias="claimNumber")]
611
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
489
612
 
490
- demo_project_identifier: Annotated[str, PropertyInfo(alias="demoProjectIdentifier")]
613
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
491
614
 
492
- investigational_device_exemption_number: Annotated[str, PropertyInfo(alias="investigationalDeviceExemptionNumber")]
615
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
493
616
 
494
- medical_record_number: Annotated[str, PropertyInfo(alias="medicalRecordNumber")]
617
+ state: str
495
618
 
496
- peer_review_authorization_number: Annotated[str, PropertyInfo(alias="peerReviewAuthorizationNumber")]
497
619
 
498
- prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
620
+ class ClaimInformationServiceLinePurchasedServiceProviderContactInformation(TypedDict, total=False):
621
+ email: str
499
622
 
500
- referral_number: Annotated[str, PropertyInfo(alias="referralNumber")]
623
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
501
624
 
502
- report_information: Annotated[
503
- ClaimInformationServiceLineLineSupplementInformationReportInformation, PropertyInfo(alias="reportInformation")
504
- ]
625
+ name: str
505
626
 
506
- report_informations: Annotated[
507
- Iterable[ClaimInformationServiceLineLineSupplementInformationReportInformation],
508
- PropertyInfo(alias="reportInformations"),
509
- ]
627
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
510
628
 
511
- repriced_claim_number: Annotated[str, PropertyInfo(alias="repricedClaimNumber")]
629
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
512
630
 
513
- service_authorization_exception_code: Annotated[
514
- Literal["1", "2", "3", "4", "5", "6", "7"], PropertyInfo(alias="serviceAuthorizationExceptionCode")
631
+
632
+ class ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier(TypedDict, total=False):
633
+ identifier: Required[str]
634
+
635
+ qualifier: Required[str]
636
+
637
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
638
+
639
+
640
+ class ClaimInformationServiceLinePurchasedServiceProvider(TypedDict, total=False):
641
+ address: ClaimInformationServiceLinePurchasedServiceProviderAddress
642
+
643
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
644
+
645
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
646
+
647
+ contact_information: Annotated[
648
+ ClaimInformationServiceLinePurchasedServiceProviderContactInformation, PropertyInfo(alias="contactInformation")
515
649
  ]
516
650
 
651
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
517
652
 
518
- class ClaimInformationServiceLineOperatingPhysician(TypedDict, total=False):
519
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
653
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
520
654
 
521
655
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
522
656
 
523
- identification_qualifier_code: Annotated[
524
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
525
- ]
657
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
658
+
659
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
526
660
 
527
661
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
528
662
 
663
+ naic: str
664
+
529
665
  npi: str
530
666
 
531
667
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
532
668
 
533
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
534
-
535
- suffix: str
536
-
537
-
538
- class ClaimInformationServiceLineOtherOperatingPhysician(TypedDict, total=False):
539
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
669
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
540
670
 
541
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
671
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
542
672
 
543
- identification_qualifier_code: Annotated[
544
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
545
- ]
673
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
546
674
 
547
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
675
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
548
676
 
549
- npi: str
677
+ secondary_identifier: Annotated[
678
+ Iterable[ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier],
679
+ PropertyInfo(alias="secondaryIdentifier"),
680
+ ]
550
681
 
551
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
682
+ ssn: str
552
683
 
553
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
684
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
554
685
 
555
686
  suffix: str
556
687
 
688
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
689
+
557
690
 
558
691
  class ClaimInformationServiceLineReferringProviderAddress(TypedDict, total=False):
559
692
  address1: Required[str]
@@ -572,26 +705,32 @@ class ClaimInformationServiceLineReferringProviderAddress(TypedDict, total=False
572
705
 
573
706
 
574
707
  class ClaimInformationServiceLineReferringProviderContactInformation(TypedDict, total=False):
575
- name: Required[str]
576
-
577
708
  email: str
578
709
 
579
710
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
580
711
 
581
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
712
+ name: str
582
713
 
583
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
714
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
715
+
716
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
584
717
 
585
718
 
586
- class ClaimInformationServiceLineReferringProviderReferenceIdentification(TypedDict, total=False):
719
+ class ClaimInformationServiceLineReferringProviderSecondaryIdentifier(TypedDict, total=False):
587
720
  identifier: Required[str]
588
721
 
589
722
  qualifier: Required[str]
590
723
 
724
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
725
+
591
726
 
592
727
  class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
728
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
729
+
593
730
  address: ClaimInformationServiceLineReferringProviderAddress
594
731
 
732
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
733
+
595
734
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
596
735
 
597
736
  contact_information: Annotated[
@@ -600,6 +739,8 @@ class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
600
739
 
601
740
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
602
741
 
742
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
743
+
603
744
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
604
745
 
605
746
  last_name: Annotated[str, PropertyInfo(alias="lastName")]
@@ -608,24 +749,24 @@ class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
608
749
 
609
750
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
610
751
 
752
+ naic: str
753
+
611
754
  npi: str
612
755
 
613
756
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
614
757
 
615
- provider_type: Annotated[Literal["ReferringProvider"], PropertyInfo(alias="providerType")]
758
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
616
759
 
617
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
760
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
618
761
 
619
- reference_identification: Annotated[
620
- Iterable[ClaimInformationServiceLineReferringProviderReferenceIdentification],
621
- PropertyInfo(alias="referenceIdentification"),
622
- ]
762
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
623
763
 
624
- secondary_identification_qualifier_code: Annotated[
625
- Literal["0B", "1G", "G2"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
764
+ secondary_identifier: Annotated[
765
+ Iterable[ClaimInformationServiceLineReferringProviderSecondaryIdentifier],
766
+ PropertyInfo(alias="secondaryIdentifier"),
626
767
  ]
627
768
 
628
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
769
+ ssn: str
629
770
 
630
771
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
631
772
 
@@ -651,26 +792,32 @@ class ClaimInformationServiceLineRenderingProviderAddress(TypedDict, total=False
651
792
 
652
793
 
653
794
  class ClaimInformationServiceLineRenderingProviderContactInformation(TypedDict, total=False):
654
- name: Required[str]
655
-
656
795
  email: str
657
796
 
658
797
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
659
798
 
660
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
799
+ name: str
800
+
801
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
661
802
 
662
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
803
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
663
804
 
664
805
 
665
- class ClaimInformationServiceLineRenderingProviderReferenceIdentification(TypedDict, total=False):
806
+ class ClaimInformationServiceLineRenderingProviderSecondaryIdentifier(TypedDict, total=False):
666
807
  identifier: Required[str]
667
808
 
668
809
  qualifier: Required[str]
669
810
 
811
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
812
+
670
813
 
671
814
  class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
815
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
816
+
672
817
  address: ClaimInformationServiceLineRenderingProviderAddress
673
818
 
819
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
820
+
674
821
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
675
822
 
676
823
  contact_information: Annotated[
@@ -679,6 +826,8 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
679
826
 
680
827
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
681
828
 
829
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
830
+
682
831
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
683
832
 
684
833
  last_name: Annotated[str, PropertyInfo(alias="lastName")]
@@ -687,24 +836,24 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
687
836
 
688
837
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
689
838
 
839
+ naic: str
840
+
690
841
  npi: str
691
842
 
692
843
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
693
844
 
694
- provider_type: Annotated[Literal["RenderingProvider"], PropertyInfo(alias="providerType")]
845
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
695
846
 
696
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
847
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
697
848
 
698
- reference_identification: Annotated[
699
- Iterable[ClaimInformationServiceLineRenderingProviderReferenceIdentification],
700
- PropertyInfo(alias="referenceIdentification"),
701
- ]
849
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
702
850
 
703
- secondary_identification_qualifier_code: Annotated[
704
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
851
+ secondary_identifier: Annotated[
852
+ Iterable[ClaimInformationServiceLineRenderingProviderSecondaryIdentifier],
853
+ PropertyInfo(alias="secondaryIdentifier"),
705
854
  ]
706
855
 
707
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
856
+ ssn: str
708
857
 
709
858
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
710
859
 
@@ -713,37 +862,104 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
713
862
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
714
863
 
715
864
 
865
+ class ClaimInformationServiceLineServiceFacilityLocationAddress(TypedDict, total=False):
866
+ address1: Required[str]
867
+
868
+ city: Required[str]
869
+
870
+ address2: str
871
+
872
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
873
+
874
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
875
+
876
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
877
+
878
+ state: str
879
+
880
+
881
+ class ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
882
+ identifier: Required[str]
883
+
884
+ qualifier: Required[str]
885
+
886
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
887
+
888
+
889
+ class ClaimInformationServiceLineServiceFacilityLocation(TypedDict, total=False):
890
+ address: Required[ClaimInformationServiceLineServiceFacilityLocationAddress]
891
+
892
+ organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
893
+
894
+ npi: str
895
+
896
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
897
+
898
+ phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
899
+
900
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
901
+
902
+ secondary_identifier: Annotated[
903
+ Iterable[ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier],
904
+ PropertyInfo(alias="secondaryIdentifier"),
905
+ ]
906
+
907
+
716
908
  class ClaimInformationServiceLineServiceLineDateInformation(TypedDict, total=False):
717
- begin_service_date: Annotated[str, PropertyInfo(alias="beginServiceDate")]
909
+ begin_therapy_date: Annotated[str, PropertyInfo(alias="beginTherapyDate")]
718
910
 
719
- end_service_date: Annotated[str, PropertyInfo(alias="endServiceDate")]
911
+ certification_revision_or_recertification_date: Annotated[
912
+ str, PropertyInfo(alias="certificationRevisionOrRecertificationDate")
913
+ ]
720
914
 
721
- service_date: Annotated[str, PropertyInfo(alias="serviceDate")]
915
+ hemoglobin_test_date: Annotated[str, PropertyInfo(alias="hemoglobinTestDate")]
722
916
 
723
- valid_date_information: Annotated[bool, PropertyInfo(alias="validDateInformation")]
917
+ initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
724
918
 
919
+ last_certification_date: Annotated[str, PropertyInfo(alias="lastCertificationDate")]
725
920
 
726
- class ClaimInformationServiceLineServiceLineReferenceInformationProviderControlNumber(TypedDict, total=False):
727
- provider_control_number: Required[Annotated[str, PropertyInfo(alias="providerControlNumber")]]
921
+ last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
728
922
 
923
+ prescription_date: Annotated[str, PropertyInfo(alias="prescriptionDate")]
729
924
 
730
- class ClaimInformationServiceLineServiceLineReferenceInformationRepricedLineItemRefNumber(TypedDict, total=False):
731
- repriced_line_item_ref_number: Required[Annotated[str, PropertyInfo(alias="repricedLineItemRefNumber")]]
925
+ serum_creatine_test_date: Annotated[str, PropertyInfo(alias="serumCreatineTestDate")]
732
926
 
927
+ shipped_date: Annotated[str, PropertyInfo(alias="shippedDate")]
733
928
 
734
- class ClaimInformationServiceLineServiceLineReferenceInformationAdjustedRepricedLineItemRefNumber(
735
- TypedDict, total=False
736
- ):
737
- adjusted_repriced_line_item_ref_number: Required[
738
- Annotated[str, PropertyInfo(alias="adjustedRepricedLineItemRefNumber")]
929
+ treatment_or_therapy_date: Annotated[str, PropertyInfo(alias="treatmentOrTherapyDate")]
930
+
931
+
932
+ class ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization(TypedDict, total=False):
933
+ prior_authorization_or_referral_number: Required[
934
+ Annotated[str, PropertyInfo(alias="priorAuthorizationOrReferralNumber")]
739
935
  ]
740
936
 
937
+ other_payer_primary_identifier: Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]
741
938
 
742
- ClaimInformationServiceLineServiceLineReferenceInformation: TypeAlias = Union[
743
- ClaimInformationServiceLineServiceLineReferenceInformationProviderControlNumber,
744
- ClaimInformationServiceLineServiceLineReferenceInformationRepricedLineItemRefNumber,
745
- ClaimInformationServiceLineServiceLineReferenceInformationAdjustedRepricedLineItemRefNumber,
746
- ]
939
+
940
+ class ClaimInformationServiceLineServiceLineReferenceInformation(TypedDict, total=False):
941
+ adjusted_repriced_line_item_reference_number: Annotated[
942
+ str, PropertyInfo(alias="adjustedRepricedLineItemReferenceNumber")
943
+ ]
944
+
945
+ clinical_laboratory_improvement_amendment_number: Annotated[
946
+ str, PropertyInfo(alias="clinicalLaboratoryImprovementAmendmentNumber")
947
+ ]
948
+
949
+ immunization_batch_number: Annotated[str, PropertyInfo(alias="immunizationBatchNumber")]
950
+
951
+ mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
952
+
953
+ prior_authorization: Annotated[
954
+ Iterable[ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization],
955
+ PropertyInfo(alias="priorAuthorization"),
956
+ ]
957
+
958
+ referral_number: Annotated[List[str], PropertyInfo(alias="referralNumber")]
959
+
960
+ referring_clia_number: Annotated[str, PropertyInfo(alias="referringCliaNumber")]
961
+
962
+ repriced_line_item_reference_number: Annotated[str, PropertyInfo(alias="repricedLineItemReferenceNumber")]
747
963
 
748
964
 
749
965
  class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, total=False):
@@ -789,7 +1005,7 @@ class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, t
789
1005
  "LA",
790
1006
  "M1",
791
1007
  "MT",
792
- "NN",
1008
+ "NM",
793
1009
  "OB",
794
1010
  "OC",
795
1011
  "OD",
@@ -823,94 +1039,284 @@ class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, t
823
1039
  attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
824
1040
 
825
1041
 
1042
+ class ClaimInformationServiceLineSupervisingProviderAddress(TypedDict, total=False):
1043
+ address1: Required[str]
1044
+
1045
+ city: Required[str]
1046
+
1047
+ address2: str
1048
+
1049
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1050
+
1051
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1052
+
1053
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1054
+
1055
+ state: str
1056
+
1057
+
1058
+ class ClaimInformationServiceLineSupervisingProviderContactInformation(TypedDict, total=False):
1059
+ email: str
1060
+
1061
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1062
+
1063
+ name: str
1064
+
1065
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1066
+
1067
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1068
+
1069
+
1070
+ class ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier(TypedDict, total=False):
1071
+ identifier: Required[str]
1072
+
1073
+ qualifier: Required[str]
1074
+
1075
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1076
+
1077
+
1078
+ class ClaimInformationServiceLineSupervisingProvider(TypedDict, total=False):
1079
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
1080
+
1081
+ address: ClaimInformationServiceLineSupervisingProviderAddress
1082
+
1083
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
1084
+
1085
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
1086
+
1087
+ contact_information: Annotated[
1088
+ ClaimInformationServiceLineSupervisingProviderContactInformation, PropertyInfo(alias="contactInformation")
1089
+ ]
1090
+
1091
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
1092
+
1093
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
1094
+
1095
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
1096
+
1097
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
1098
+
1099
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
1100
+
1101
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1102
+
1103
+ naic: str
1104
+
1105
+ npi: str
1106
+
1107
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1108
+
1109
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1110
+
1111
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
1112
+
1113
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
1114
+
1115
+ secondary_identifier: Annotated[
1116
+ Iterable[ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier],
1117
+ PropertyInfo(alias="secondaryIdentifier"),
1118
+ ]
1119
+
1120
+ ssn: str
1121
+
1122
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
1123
+
1124
+ suffix: str
1125
+
1126
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
1127
+
1128
+
1129
+ class ClaimInformationServiceLineTestResult(TypedDict, total=False):
1130
+ measurement_qualifier: Required[
1131
+ Annotated[Literal["HT", "R1", "R2", "R3", "R4"], PropertyInfo(alias="measurementQualifier")]
1132
+ ]
1133
+
1134
+ measurement_reference_identification_code: Required[
1135
+ Annotated[Literal["OG", "TR"], PropertyInfo(alias="measurementReferenceIdentificationCode")]
1136
+ ]
1137
+
1138
+ test_results: Required[Annotated[str, PropertyInfo(alias="testResults")]]
1139
+
1140
+
826
1141
  class ClaimInformationServiceLine(TypedDict, total=False):
827
- institutional_service: Required[
828
- Annotated[ClaimInformationServiceLineInstitutionalService, PropertyInfo(alias="institutionalService")]
1142
+ professional_service: Required[
1143
+ Annotated[ClaimInformationServiceLineProfessionalService, PropertyInfo(alias="professionalService")]
829
1144
  ]
830
1145
 
831
- adjusted_repriced_line_item_reference_number: Annotated[
832
- str, PropertyInfo(alias="adjustedRepricedLineItemReferenceNumber")
1146
+ service_date: Required[Annotated[str, PropertyInfo(alias="serviceDate")]]
1147
+
1148
+ additional_notes: Annotated[str, PropertyInfo(alias="additionalNotes")]
1149
+
1150
+ ambulance_certification: Annotated[
1151
+ Iterable[ClaimInformationServiceLineAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
1152
+ ]
1153
+
1154
+ ambulance_drop_off_location: Annotated[
1155
+ ClaimInformationServiceLineAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
1156
+ ]
1157
+
1158
+ ambulance_patient_count: Annotated[float, PropertyInfo(alias="ambulancePatientCount")]
1159
+
1160
+ ambulance_pick_up_location: Annotated[
1161
+ ClaimInformationServiceLineAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
1162
+ ]
1163
+
1164
+ ambulance_transport_information: Annotated[
1165
+ ClaimInformationServiceLineAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
833
1166
  ]
834
1167
 
835
1168
  assigned_number: Annotated[str, PropertyInfo(alias="assignedNumber")]
836
1169
 
837
- description: str
1170
+ condition_indicator_durable_medical_equipment: Annotated[
1171
+ ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment,
1172
+ PropertyInfo(alias="conditionIndicatorDurableMedicalEquipment"),
1173
+ ]
1174
+
1175
+ contract_information: Annotated[
1176
+ ClaimInformationServiceLineContractInformation, PropertyInfo(alias="contractInformation")
1177
+ ]
838
1178
 
839
1179
  drug_identification: Annotated[
840
1180
  ClaimInformationServiceLineDrugIdentification, PropertyInfo(alias="drugIdentification")
841
1181
  ]
842
1182
 
843
- facility_tax_amount: Annotated[str, PropertyInfo(alias="facilityTaxAmount")]
1183
+ durable_medical_equipment_certificate_of_medical_necessity: Annotated[
1184
+ ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity,
1185
+ PropertyInfo(alias="durableMedicalEquipmentCertificateOfMedicalNecessity"),
1186
+ ]
1187
+
1188
+ durable_medical_equipment_certification: Annotated[
1189
+ ClaimInformationServiceLineDurableMedicalEquipmentCertification,
1190
+ PropertyInfo(alias="durableMedicalEquipmentCertification"),
1191
+ ]
1192
+
1193
+ durable_medical_equipment_service: Annotated[
1194
+ ClaimInformationServiceLineDurableMedicalEquipmentService, PropertyInfo(alias="durableMedicalEquipmentService")
1195
+ ]
1196
+
1197
+ file_information: Annotated[List[str], PropertyInfo(alias="fileInformation")]
1198
+
1199
+ form_identification: Annotated[
1200
+ Iterable[ClaimInformationServiceLineFormIdentification], PropertyInfo(alias="formIdentification")
1201
+ ]
1202
+
1203
+ goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
1204
+
1205
+ hospice_employee_indicator: Annotated[bool, PropertyInfo(alias="hospiceEmployeeIndicator")]
844
1206
 
845
1207
  line_adjudication_information: Annotated[
846
1208
  Iterable[ClaimInformationServiceLineLineAdjudicationInformation],
847
1209
  PropertyInfo(alias="lineAdjudicationInformation"),
848
1210
  ]
849
1211
 
850
- line_adjustment_information: Annotated[
851
- ClaimInformationServiceLineLineAdjustmentInformation, PropertyInfo(alias="lineAdjustmentInformation")
1212
+ line_pricing_repricing_information: Annotated[
1213
+ ClaimInformationServiceLineLinePricingRepricingInformation,
1214
+ PropertyInfo(alias="linePricingRepricingInformation"),
1215
+ ]
1216
+
1217
+ obstetric_anesthesia_additional_units: Annotated[float, PropertyInfo(alias="obstetricAnesthesiaAdditionalUnits")]
1218
+
1219
+ ordering_provider: Annotated[ClaimInformationServiceLineOrderingProvider, PropertyInfo(alias="orderingProvider")]
1220
+
1221
+ postage_tax_amount: Annotated[str, PropertyInfo(alias="postageTaxAmount")]
1222
+
1223
+ purchased_service_information: Annotated[
1224
+ ClaimInformationServiceLinePurchasedServiceInformation, PropertyInfo(alias="purchasedServiceInformation")
1225
+ ]
1226
+
1227
+ purchased_service_provider: Annotated[
1228
+ ClaimInformationServiceLinePurchasedServiceProvider, PropertyInfo(alias="purchasedServiceProvider")
1229
+ ]
1230
+
1231
+ referring_provider: Annotated[ClaimInformationServiceLineReferringProvider, PropertyInfo(alias="referringProvider")]
1232
+
1233
+ rendering_provider: Annotated[ClaimInformationServiceLineRenderingProvider, PropertyInfo(alias="renderingProvider")]
1234
+
1235
+ sales_tax_amount: Annotated[str, PropertyInfo(alias="salesTaxAmount")]
1236
+
1237
+ service_date_end: Annotated[str, PropertyInfo(alias="serviceDateEnd")]
1238
+
1239
+ service_facility_location: Annotated[
1240
+ ClaimInformationServiceLineServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
1241
+ ]
1242
+
1243
+ service_line_date_information: Annotated[
1244
+ ClaimInformationServiceLineServiceLineDateInformation, PropertyInfo(alias="serviceLineDateInformation")
1245
+ ]
1246
+
1247
+ service_line_reference_information: Annotated[
1248
+ ClaimInformationServiceLineServiceLineReferenceInformation,
1249
+ PropertyInfo(alias="serviceLineReferenceInformation"),
1250
+ ]
1251
+
1252
+ service_line_supplemental_information: Annotated[
1253
+ Iterable[ClaimInformationServiceLineServiceLineSupplementalInformation],
1254
+ PropertyInfo(alias="serviceLineSupplementalInformation"),
1255
+ ]
1256
+
1257
+ supervising_provider: Annotated[
1258
+ ClaimInformationServiceLineSupervisingProvider, PropertyInfo(alias="supervisingProvider")
1259
+ ]
1260
+
1261
+ test_results: Annotated[Iterable[ClaimInformationServiceLineTestResult], PropertyInfo(alias="testResults")]
1262
+
1263
+ third_party_organization_notes: Annotated[str, PropertyInfo(alias="thirdPartyOrganizationNotes")]
1264
+
1265
+
1266
+ class ClaimInformationAmbulanceCertification(TypedDict, total=False):
1267
+ certification_condition_indicator: Required[
1268
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1269
+ ]
1270
+
1271
+ condition_codes: Required[
1272
+ Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
852
1273
  ]
853
1274
 
854
- line_note_text: Annotated[str, PropertyInfo(alias="lineNoteText")]
855
1275
 
856
- line_pricing_information: Annotated[
857
- ClaimInformationServiceLineLinePricingInformation, PropertyInfo(alias="linePricingInformation")
858
- ]
1276
+ class ClaimInformationAmbulanceDropOffLocation(TypedDict, total=False):
1277
+ address1: Required[str]
1278
+
1279
+ city: Required[str]
1280
+
1281
+ address2: str
1282
+
1283
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
859
1284
 
860
- line_repricing_information: Annotated[
861
- ClaimInformationServiceLineLineRepricingInformation, PropertyInfo(alias="lineRepricingInformation")
862
- ]
1285
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
863
1286
 
864
- line_supplement_information: Annotated[
865
- ClaimInformationServiceLineLineSupplementInformation, PropertyInfo(alias="lineSupplementInformation")
866
- ]
1287
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
867
1288
 
868
- operating_physician: Annotated[
869
- ClaimInformationServiceLineOperatingPhysician, PropertyInfo(alias="operatingPhysician")
870
- ]
1289
+ state: str
871
1290
 
872
- other_operating_physician: Annotated[
873
- ClaimInformationServiceLineOtherOperatingPhysician, PropertyInfo(alias="otherOperatingPhysician")
874
- ]
875
1291
 
876
- referring_provider: Annotated[ClaimInformationServiceLineReferringProvider, PropertyInfo(alias="referringProvider")]
1292
+ class ClaimInformationAmbulancePickUpLocation(TypedDict, total=False):
1293
+ address1: Required[str]
877
1294
 
878
- rendering_provider: Annotated[ClaimInformationServiceLineRenderingProvider, PropertyInfo(alias="renderingProvider")]
1295
+ city: Required[str]
879
1296
 
880
- repriced_line_item_reference_number: Annotated[str, PropertyInfo(alias="repricedLineItemReferenceNumber")]
1297
+ address2: str
881
1298
 
882
- service_date: Annotated[str, PropertyInfo(alias="serviceDate")]
1299
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
883
1300
 
884
- service_date_end: Annotated[str, PropertyInfo(alias="serviceDateEnd")]
1301
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
885
1302
 
886
- service_line_date_information: Annotated[
887
- ClaimInformationServiceLineServiceLineDateInformation, PropertyInfo(alias="serviceLineDateInformation")
888
- ]
1303
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
889
1304
 
890
- service_line_reference_information: Annotated[
891
- ClaimInformationServiceLineServiceLineReferenceInformation,
892
- PropertyInfo(alias="serviceLineReferenceInformation"),
893
- ]
1305
+ state: str
894
1306
 
895
- service_line_supplemental_information: Annotated[
896
- ClaimInformationServiceLineServiceLineSupplementalInformation,
897
- PropertyInfo(alias="serviceLineSupplementalInformation"),
898
- ]
899
1307
 
900
- service_line_supplemental_informations: Annotated[
901
- Iterable[ClaimInformationServiceLineServiceLineSupplementalInformation],
902
- PropertyInfo(alias="serviceLineSupplementalInformations"),
1308
+ class ClaimInformationAmbulanceTransportInformation(TypedDict, total=False):
1309
+ ambulance_transport_reason_code: Required[
1310
+ Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
903
1311
  ]
904
1312
 
905
- service_tax_amount: Annotated[str, PropertyInfo(alias="serviceTaxAmount")]
906
-
907
- third_party_organization_notes: Annotated[str, PropertyInfo(alias="thirdPartyOrganizationNotes")]
1313
+ transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
908
1314
 
1315
+ patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
909
1316
 
910
- class ClaimInformationAdmittingDiagnosis(TypedDict, total=False):
911
- admitting_diagnosis_code: Required[Annotated[str, PropertyInfo(alias="admittingDiagnosisCode")]]
1317
+ round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
912
1318
 
913
- qualifier_code: Required[Annotated[Literal["ABJ", "BJ"], PropertyInfo(alias="qualifierCode")]]
1319
+ stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
914
1320
 
915
1321
 
916
1322
  class ClaimInformationClaimContractInformation(TypedDict, total=False):
@@ -929,41 +1335,57 @@ class ClaimInformationClaimContractInformation(TypedDict, total=False):
929
1335
  terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
930
1336
 
931
1337
 
932
- class ClaimInformationClaimNotes(TypedDict, total=False):
933
- additional_information: Annotated[List[str], PropertyInfo(alias="additionalInformation")]
1338
+ class ClaimInformationClaimDateInformation(TypedDict, total=False):
1339
+ accident_date: Annotated[str, PropertyInfo(alias="accidentDate")]
934
1340
 
935
- allergies: List[str]
1341
+ acute_manifestation_date: Annotated[str, PropertyInfo(alias="acuteManifestationDate")]
936
1342
 
937
- diagnosis_description: Annotated[List[str], PropertyInfo(alias="diagnosisDescription")]
1343
+ admission_date: Annotated[str, PropertyInfo(alias="admissionDate")]
938
1344
 
939
- dme: List[str]
1345
+ assumed_and_relinquished_care_begin_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareBeginDate")]
940
1346
 
941
- functional_limits_or_reason_homebound: Annotated[List[str], PropertyInfo(alias="functionalLimitsOrReasonHomebound")]
1347
+ assumed_and_relinquished_care_end_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareEndDate")]
942
1348
 
943
- goal_rehab_or_discharge_plans: Annotated[List[str], PropertyInfo(alias="goalRehabOrDischargePlans")]
1349
+ authorized_return_to_work_date: Annotated[str, PropertyInfo(alias="authorizedReturnToWorkDate")]
944
1350
 
945
- medications: List[str]
1351
+ disability_begin_date: Annotated[str, PropertyInfo(alias="disabilityBeginDate")]
946
1352
 
947
- nutritional_requirments: Annotated[List[str], PropertyInfo(alias="nutritionalRequirments")]
1353
+ disability_end_date: Annotated[str, PropertyInfo(alias="disabilityEndDate")]
948
1354
 
949
- orders_for_discip_lines_and_treatments: Annotated[
950
- List[str], PropertyInfo(alias="ordersForDiscipLinesAndTreatments")
951
- ]
1355
+ discharge_date: Annotated[str, PropertyInfo(alias="dischargeDate")]
1356
+
1357
+ first_contact_date: Annotated[str, PropertyInfo(alias="firstContactDate")]
1358
+
1359
+ hearing_and_vision_prescription_date: Annotated[str, PropertyInfo(alias="hearingAndVisionPrescriptionDate")]
1360
+
1361
+ initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
1362
+
1363
+ last_menstrual_period_date: Annotated[str, PropertyInfo(alias="lastMenstrualPeriodDate")]
952
1364
 
953
- reasons_patient_leaves_home: Annotated[List[str], PropertyInfo(alias="reasonsPatientLeavesHome")]
1365
+ last_seen_date: Annotated[str, PropertyInfo(alias="lastSeenDate")]
954
1366
 
955
- safety_measures: Annotated[List[str], PropertyInfo(alias="safetyMeasures")]
1367
+ last_worked_date: Annotated[str, PropertyInfo(alias="lastWorkedDate")]
956
1368
 
957
- supplemental_plan_of_treatment: Annotated[List[str], PropertyInfo(alias="supplementalPlanOfTreatment")]
1369
+ last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
958
1370
 
959
- times_and_reasons_patient_not_at_home: Annotated[List[str], PropertyInfo(alias="timesAndReasonsPatientNotAtHome")]
1371
+ repricer_received_date: Annotated[str, PropertyInfo(alias="repricerReceivedDate")]
1372
+
1373
+ symptom_date: Annotated[str, PropertyInfo(alias="symptomDate")]
1374
+
1375
+
1376
+ class ClaimInformationClaimNote(TypedDict, total=False):
1377
+ additional_information: Annotated[str, PropertyInfo(alias="additionalInformation")]
960
1378
 
961
- unusual_home_or_social_env: Annotated[List[str], PropertyInfo(alias="unusualHomeOrSocialEnv")]
1379
+ certification_narrative: Annotated[str, PropertyInfo(alias="certificationNarrative")]
962
1380
 
963
- updated_information: Annotated[List[str], PropertyInfo(alias="updatedInformation")]
1381
+ diagnosis_description: Annotated[str, PropertyInfo(alias="diagnosisDescription")]
964
1382
 
1383
+ goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
965
1384
 
966
- class ClaimInformationClaimPricingInformation(TypedDict, total=False):
1385
+ third_part_org_notes: Annotated[str, PropertyInfo(alias="thirdPartOrgNotes")]
1386
+
1387
+
1388
+ class ClaimInformationClaimPricingRepricingInformation(TypedDict, total=False):
967
1389
  pricing_methodology_code: Required[
968
1390
  Annotated[
969
1391
  Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
@@ -977,36 +1399,24 @@ class ClaimInformationClaimPricingInformation(TypedDict, total=False):
977
1399
 
978
1400
  policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
979
1401
 
980
- product_or_service_id_qualifier: Annotated[
981
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
982
- ]
983
-
984
1402
  reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
985
1403
 
986
- repriced_approved_amount: Annotated[str, PropertyInfo(alias="repricedApprovedAmount")]
987
-
988
- repriced_approved_drg_code: Annotated[str, PropertyInfo(alias="repricedApprovedDRGCode")]
989
-
990
- repriced_approved_hcpcs_code: Annotated[str, PropertyInfo(alias="repricedApprovedHCPCSCode")]
991
-
992
- repriced_approved_revenue_code: Annotated[str, PropertyInfo(alias="repricedApprovedRevenueCode")]
993
-
994
- repriced_approved_service_unit_code: Annotated[
995
- Literal["DA", "UN"], PropertyInfo(alias="repricedApprovedServiceUnitCode")
1404
+ repriced_approved_ambulatory_patient_group_amount: Annotated[
1405
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
996
1406
  ]
997
1407
 
998
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
1408
+ repriced_approved_ambulatory_patient_group_code: Annotated[
1409
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
1410
+ ]
999
1411
 
1000
- repriced_org_identifier: Annotated[str, PropertyInfo(alias="repricedOrgIdentifier")]
1412
+ repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
1001
1413
 
1002
- repriced_per_diem: Annotated[str, PropertyInfo(alias="repricedPerDiem")]
1414
+ repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
1003
1415
 
1004
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
1416
+ repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
1005
1417
 
1006
1418
 
1007
1419
  class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, total=False):
1008
- attachment_control_number: Required[Annotated[str, PropertyInfo(alias="attachmentControlNumber")]]
1009
-
1010
1420
  attachment_report_type_code: Required[
1011
1421
  Annotated[
1012
1422
  Literal[
@@ -1049,7 +1459,7 @@ class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, t
1049
1459
  "LA",
1050
1460
  "M1",
1051
1461
  "MT",
1052
- "NN",
1462
+ "NM",
1053
1463
  "OB",
1054
1464
  "OC",
1055
1465
  "OD",
@@ -1080,23 +1490,29 @@ class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, t
1080
1490
  Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
1081
1491
  ]
1082
1492
 
1493
+ attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
1494
+
1083
1495
 
1084
1496
  class ClaimInformationClaimSupplementalInformation(TypedDict, total=False):
1085
- adjusted_repriced_claim_ref_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimRefNumber")]
1497
+ adjusted_repriced_claim_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimNumber")]
1086
1498
 
1087
- auto_accident_state: Annotated[str, PropertyInfo(alias="autoAccidentState")]
1499
+ care_plan_oversight_number: Annotated[str, PropertyInfo(alias="carePlanOversightNumber")]
1088
1500
 
1089
1501
  claim_control_number: Annotated[str, PropertyInfo(alias="claimControlNumber")]
1090
1502
 
1091
1503
  claim_number: Annotated[str, PropertyInfo(alias="claimNumber")]
1092
1504
 
1505
+ clia_number: Annotated[str, PropertyInfo(alias="cliaNumber")]
1506
+
1093
1507
  demo_project_identifier: Annotated[str, PropertyInfo(alias="demoProjectIdentifier")]
1094
1508
 
1095
1509
  investigational_device_exemption_number: Annotated[str, PropertyInfo(alias="investigationalDeviceExemptionNumber")]
1096
1510
 
1511
+ mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
1512
+
1097
1513
  medical_record_number: Annotated[str, PropertyInfo(alias="medicalRecordNumber")]
1098
1514
 
1099
- peer_review_authorization_number: Annotated[str, PropertyInfo(alias="peerReviewAuthorizationNumber")]
1515
+ medicare_crossover_reference_id: Annotated[str, PropertyInfo(alias="medicareCrossoverReferenceId")]
1100
1516
 
1101
1517
  prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
1102
1518
 
@@ -1118,12 +1534,8 @@ class ClaimInformationClaimSupplementalInformation(TypedDict, total=False):
1118
1534
  ]
1119
1535
 
1120
1536
 
1121
- class ClaimInformationConditionCodesList(TypedDict, total=False):
1122
- condition_code: Required[Annotated[str, PropertyInfo(alias="conditionCode")]]
1123
-
1124
-
1125
- class ClaimInformationDiagnosisRelatedGroupInformation(TypedDict, total=False):
1126
- drug_related_group_code: Required[Annotated[str, PropertyInfo(alias="drugRelatedGroupCode")]]
1537
+ class ClaimInformationConditionInformation(TypedDict, total=False):
1538
+ condition_codes: Required[Annotated[List[str], PropertyInfo(alias="conditionCodes")]]
1127
1539
 
1128
1540
 
1129
1541
  class ClaimInformationEpsdtReferral(TypedDict, total=False):
@@ -1134,48 +1546,6 @@ class ClaimInformationEpsdtReferral(TypedDict, total=False):
1134
1546
  condition_codes: Required[Annotated[List[Literal["AV", "NU", "S2", "ST"]], PropertyInfo(alias="conditionCodes")]]
1135
1547
 
1136
1548
 
1137
- class ClaimInformationExternalCauseOfInjury(TypedDict, total=False):
1138
- external_cause_of_injury: Required[Annotated[str, PropertyInfo(alias="externalCauseOfInjury")]]
1139
-
1140
- qualifier_code: Required[Annotated[Literal["ABN", "BN"], PropertyInfo(alias="qualifierCode")]]
1141
-
1142
- present_on_admission_indicator: Annotated[
1143
- Literal["N", "U", "Y", "W"], PropertyInfo(alias="presentOnAdmissionIndicator")
1144
- ]
1145
-
1146
-
1147
- class ClaimInformationOccurrenceInformationList(TypedDict, total=False):
1148
- occurrence_span_code: Required[Annotated[str, PropertyInfo(alias="occurrenceSpanCode")]]
1149
-
1150
- occurrence_span_code_date: Required[Annotated[str, PropertyInfo(alias="occurrenceSpanCodeDate")]]
1151
-
1152
-
1153
- class ClaimInformationOccurrenceSpanInformation(TypedDict, total=False):
1154
- occurrence_span_code: Required[Annotated[str, PropertyInfo(alias="occurrenceSpanCode")]]
1155
-
1156
- occurrence_span_code_end_date: Required[Annotated[str, PropertyInfo(alias="occurrenceSpanCodeEndDate")]]
1157
-
1158
- occurrence_span_code_start_date: Required[Annotated[str, PropertyInfo(alias="occurrenceSpanCodeStartDate")]]
1159
-
1160
-
1161
- class ClaimInformationOtherDiagnosisInformationList(TypedDict, total=False):
1162
- other_diagnosis_code: Required[Annotated[str, PropertyInfo(alias="otherDiagnosisCode")]]
1163
-
1164
- qualifier_code: Required[Annotated[Literal["ABF", "BF"], PropertyInfo(alias="qualifierCode")]]
1165
-
1166
- present_on_admission_indicator: Annotated[
1167
- Literal["N", "Y", "U", "W"], PropertyInfo(alias="presentOnAdmissionIndicator")
1168
- ]
1169
-
1170
-
1171
- class ClaimInformationOtherProcedureInformationList(TypedDict, total=False):
1172
- other_procedure_code: Required[Annotated[str, PropertyInfo(alias="otherProcedureCode")]]
1173
-
1174
- qualifier_code: Required[Annotated[Literal["BBQ", "BQ"], PropertyInfo(alias="qualifierCode")]]
1175
-
1176
- other_procedure_date: Annotated[str, PropertyInfo(alias="otherProcedureDate")]
1177
-
1178
-
1179
1549
  class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress(TypedDict, total=False):
1180
1550
  address1: Required[str]
1181
1551
 
@@ -1197,6 +1567,8 @@ class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondar
1197
1567
 
1198
1568
  qualifier: Required[str]
1199
1569
 
1570
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1571
+
1200
1572
 
1201
1573
  class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=False):
1202
1574
  other_payer_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerIdentifier")]]
@@ -1207,8 +1579,6 @@ class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=
1207
1579
 
1208
1580
  other_payer_organization_name: Required[Annotated[str, PropertyInfo(alias="otherPayerOrganizationName")]]
1209
1581
 
1210
- other_insured_additional_identifier: Annotated[str, PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1211
-
1212
1582
  other_payer_address: Annotated[
1213
1583
  ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress,
1214
1584
  PropertyInfo(alias="otherPayerAddress"),
@@ -1232,7 +1602,7 @@ class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=
1232
1602
  ]
1233
1603
 
1234
1604
 
1235
- class ClaimInformationOtherSubscriberInformationOtherSubscriberNameAddress(TypedDict, total=False):
1605
+ class ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress(TypedDict, total=False):
1236
1606
  address1: Required[str]
1237
1607
 
1238
1608
  city: Required[str]
@@ -1259,20 +1629,21 @@ class ClaimInformationOtherSubscriberInformationOtherSubscriberName(TypedDict, t
1259
1629
 
1260
1630
  other_insured_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="otherInsuredQualifier")]]
1261
1631
 
1262
- address: ClaimInformationOtherSubscriberInformationOtherSubscriberNameAddress
1263
-
1264
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
1632
+ other_insured_additional_identifier: Annotated[str, PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1265
1633
 
1266
- other_insured_additional_identifier: Annotated[List[str], PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1634
+ other_insured_address: Annotated[
1635
+ ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress,
1636
+ PropertyInfo(alias="otherInsuredAddress"),
1637
+ ]
1267
1638
 
1268
1639
  other_insured_first_name: Annotated[str, PropertyInfo(alias="otherInsuredFirstName")]
1269
1640
 
1270
1641
  other_insured_middle_name: Annotated[str, PropertyInfo(alias="otherInsuredMiddleName")]
1271
1642
 
1272
- other_insured_suffix: Annotated[str, PropertyInfo(alias="otherInsuredSuffix")]
1643
+ other_insured_name_suffix: Annotated[str, PropertyInfo(alias="otherInsuredNameSuffix")]
1273
1644
 
1274
1645
 
1275
- class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustmentDetail(TypedDict, total=False):
1646
+ class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail(TypedDict, total=False):
1276
1647
  adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
1277
1648
 
1278
1649
  adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
@@ -1281,59 +1652,15 @@ class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustm
1281
1652
 
1282
1653
 
1283
1654
  class ClaimInformationOtherSubscriberInformationClaimLevelAdjustment(TypedDict, total=False):
1284
- adjustment_group_code: Required[
1285
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
1286
- ]
1287
-
1288
- claim_adjustment_details: Annotated[
1289
- Iterable[ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustmentDetail],
1290
- PropertyInfo(alias="claimAdjustmentDetails"),
1291
- ]
1292
-
1293
-
1294
- class ClaimInformationOtherSubscriberInformationMedicareInpatientAdjudication(TypedDict, total=False):
1295
- covered_days_or_visits_count: Required[Annotated[str, PropertyInfo(alias="coveredDaysOrVisitsCount")]]
1296
-
1297
- capital_exception_amount: Annotated[str, PropertyInfo(alias="capitalExceptionAmount")]
1298
-
1299
- capital_hspdrg_amount: Annotated[str, PropertyInfo(alias="capitalHSPDRGAmount")]
1300
-
1301
- claim_disproportionate_share_amount: Annotated[str, PropertyInfo(alias="claimDisproportionateShareAmount")]
1302
-
1303
- claim_drg_amount: Annotated[str, PropertyInfo(alias="claimDRGAmount")]
1304
-
1305
- claim_indirect_teaching_amount: Annotated[str, PropertyInfo(alias="claimIndirectTeachingAmount")]
1306
-
1307
- claim_msp_pass_through_amount: Annotated[str, PropertyInfo(alias="claimMspPassThroughAmount")]
1308
-
1309
- claim_payment_remark_code: Annotated[List[str], PropertyInfo(alias="claimPaymentRemarkCode")]
1310
-
1311
- claim_pps_capital_amount: Annotated[str, PropertyInfo(alias="claimPpsCapitalAmount")]
1312
-
1313
- claim_pps_capital_outlier_ammount: Annotated[str, PropertyInfo(alias="claimPpsCapitalOutlierAmmount")]
1314
-
1315
- cost_report_day_count: Annotated[str, PropertyInfo(alias="costReportDayCount")]
1316
-
1317
- lifetime_psychiatric_days_count: Annotated[str, PropertyInfo(alias="lifetimePsychiatricDaysCount")]
1318
-
1319
- non_payable_professional_component_billed_amount: Annotated[
1320
- str, PropertyInfo(alias="nonPayableProfessionalComponentBilledAmount")
1321
- ]
1322
-
1323
- old_capital_amount: Annotated[str, PropertyInfo(alias="oldCapitalAmount")]
1324
-
1325
- pps_capital_dsh_drg_amount: Annotated[str, PropertyInfo(alias="ppsCapitalDshDrgAmount")]
1326
-
1327
- pps_capital_hsp_drg_amount: Annotated[str, PropertyInfo(alias="ppsCapitalHspDrgAmount")]
1328
-
1329
- pps_capital_ime_amount: Annotated[str, PropertyInfo(alias="ppsCapitalImeAmount")]
1330
-
1331
- pps_operating_federal_specific_drg_amount: Annotated[
1332
- str, PropertyInfo(alias="ppsOperatingFederalSpecificDrgAmount")
1655
+ adjustment_details: Required[
1656
+ Annotated[
1657
+ Iterable[ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail],
1658
+ PropertyInfo(alias="adjustmentDetails"),
1659
+ ]
1333
1660
  ]
1334
1661
 
1335
- pps_operating_hospital_specific_drg_amount: Annotated[
1336
- str, PropertyInfo(alias="ppsOperatingHospitalSpecificDrgAmount")
1662
+ adjustment_group_code: Required[
1663
+ Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
1337
1664
  ]
1338
1665
 
1339
1666
 
@@ -1351,25 +1678,6 @@ class ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication(T
1351
1678
  reimbursement_rate: Annotated[str, PropertyInfo(alias="reimbursementRate")]
1352
1679
 
1353
1680
 
1354
- class ClaimInformationOtherSubscriberInformationOtherPayerAttendingProviderOtherPayerAttendingProviderIdentifier(
1355
- TypedDict, total=False
1356
- ):
1357
- identifier: Required[str]
1358
-
1359
- qualifier: Required[str]
1360
-
1361
-
1362
- class ClaimInformationOtherSubscriberInformationOtherPayerAttendingProvider(TypedDict, total=False):
1363
- other_payer_attending_provider_identifier: Required[
1364
- Annotated[
1365
- Iterable[
1366
- ClaimInformationOtherSubscriberInformationOtherPayerAttendingProviderOtherPayerAttendingProviderIdentifier
1367
- ],
1368
- PropertyInfo(alias="otherPayerAttendingProviderIdentifier"),
1369
- ]
1370
- ]
1371
-
1372
-
1373
1681
  class ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier(
1374
1682
  TypedDict, total=False
1375
1683
  ):
@@ -1377,8 +1685,12 @@ class ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPa
1377
1685
 
1378
1686
  qualifier: Required[str]
1379
1687
 
1688
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1689
+
1380
1690
 
1381
1691
  class ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider(TypedDict, total=False):
1692
+ entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1693
+
1382
1694
  other_payer_billing_provider_identifier: Required[
1383
1695
  Annotated[
1384
1696
  Iterable[
@@ -1389,104 +1701,93 @@ class ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider(TypedD
1389
1701
  ]
1390
1702
 
1391
1703
 
1392
- class ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysicianOtherPayerOperatingPhysicianIdentifier(
1704
+ class ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier(
1393
1705
  TypedDict, total=False
1394
1706
  ):
1395
1707
  identifier: Required[str]
1396
1708
 
1397
1709
  qualifier: Required[str]
1398
1710
 
1711
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1712
+
1399
1713
 
1400
- class ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysician(TypedDict, total=False):
1401
- other_payer_operating_physician_identifier: Required[
1714
+ class ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider(TypedDict, total=False):
1715
+ other_payer_referring_provider_identifier: Required[
1402
1716
  Annotated[
1403
1717
  Iterable[
1404
- ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysicianOtherPayerOperatingPhysicianIdentifier
1718
+ ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier
1405
1719
  ],
1406
- PropertyInfo(alias="otherPayerOperatingPhysicianIdentifier"),
1720
+ PropertyInfo(alias="otherPayerReferringProviderIdentifier"),
1407
1721
  ]
1408
1722
  ]
1409
1723
 
1410
1724
 
1411
- class ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysicianOtherPayerOtherOperatingPhysicianIdentifier(
1725
+ class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier(
1412
1726
  TypedDict, total=False
1413
1727
  ):
1414
1728
  identifier: Required[str]
1415
1729
 
1416
1730
  qualifier: Required[str]
1417
1731
 
1732
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1418
1733
 
1419
- class ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysician(TypedDict, total=False):
1420
- other_payer_other_operating_physician_identifier: Required[
1421
- Annotated[
1422
- Iterable[
1423
- ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysicianOtherPayerOtherOperatingPhysicianIdentifier
1424
- ],
1425
- PropertyInfo(alias="otherPayerOtherOperatingPhysicianIdentifier"),
1426
- ]
1427
- ]
1428
-
1429
-
1430
- class ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier(
1431
- TypedDict, total=False
1432
- ):
1433
- identifier: Required[str]
1434
-
1435
- qualifier: Required[str]
1436
1734
 
1735
+ class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider(TypedDict, total=False):
1736
+ entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1437
1737
 
1438
- class ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider(TypedDict, total=False):
1439
- other_payer_referring_provider_identifier: Required[
1440
- Annotated[
1441
- Iterable[
1442
- ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier
1443
- ],
1444
- PropertyInfo(alias="otherPayerReferringProviderIdentifier"),
1445
- ]
1738
+ other_payer_rendering_provider_secondary_identifier: Annotated[
1739
+ Iterable[
1740
+ ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier
1741
+ ],
1742
+ PropertyInfo(alias="otherPayerRenderingProviderSecondaryIdentifier"),
1446
1743
  ]
1447
1744
 
1448
1745
 
1449
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderIdentifier(
1746
+ class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier(
1450
1747
  TypedDict, total=False
1451
1748
  ):
1452
1749
  identifier: Required[str]
1453
1750
 
1454
1751
  qualifier: Required[str]
1455
1752
 
1753
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1456
1754
 
1457
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider(TypedDict, total=False):
1458
- other_payer_rendering_provider_identifier: Required[
1755
+
1756
+ class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation(TypedDict, total=False):
1757
+ other_payer_service_facility_location_secondary_identifier: Required[
1459
1758
  Annotated[
1460
1759
  Iterable[
1461
- ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderIdentifier
1760
+ ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier
1462
1761
  ],
1463
- PropertyInfo(alias="otherPayerRenderingProviderIdentifier"),
1762
+ PropertyInfo(alias="otherPayerServiceFacilityLocationSecondaryIdentifier"),
1464
1763
  ]
1465
1764
  ]
1466
1765
 
1467
1766
 
1468
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationIdentifier(
1767
+ class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier(
1469
1768
  TypedDict, total=False
1470
1769
  ):
1471
1770
  identifier: Required[str]
1472
1771
 
1473
1772
  qualifier: Required[str]
1474
1773
 
1774
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1475
1775
 
1476
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation(TypedDict, total=False):
1477
- other_payer_service_facility_location_identifier: Required[
1776
+
1777
+ class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider(TypedDict, total=False):
1778
+ other_payer_supervising_provider_identifier: Required[
1478
1779
  Annotated[
1479
1780
  Iterable[
1480
- ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationIdentifier
1781
+ ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier
1481
1782
  ],
1482
- PropertyInfo(alias="otherPayerServiceFacilityLocationIdentifier"),
1783
+ PropertyInfo(alias="otherPayerSupervisingProviderIdentifier"),
1483
1784
  ]
1484
1785
  ]
1485
1786
 
1486
1787
 
1487
1788
  class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1488
1789
  benefits_assignment_certification_indicator: Required[
1489
- Annotated[Literal["N", "Y", "W"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1790
+ Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1490
1791
  ]
1491
1792
 
1492
1793
  claim_filing_indicator_code: Required[
@@ -1502,6 +1803,7 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1502
1803
  "AM",
1503
1804
  "BL",
1504
1805
  "CH",
1806
+ "CI",
1505
1807
  "DS",
1506
1808
  "FI",
1507
1809
  "HM",
@@ -1550,11 +1852,10 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1550
1852
  PropertyInfo(alias="claimLevelAdjustments"),
1551
1853
  ]
1552
1854
 
1553
- group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
1855
+ insurance_group_or_policy_number: Annotated[str, PropertyInfo(alias="insuranceGroupOrPolicyNumber")]
1554
1856
 
1555
- medicare_inpatient_adjudication: Annotated[
1556
- ClaimInformationOtherSubscriberInformationMedicareInpatientAdjudication,
1557
- PropertyInfo(alias="medicareInpatientAdjudication"),
1857
+ insurance_type_code: Annotated[
1858
+ Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
1558
1859
  ]
1559
1860
 
1560
1861
  medicare_outpatient_adjudication: Annotated[
@@ -1566,60 +1867,48 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1566
1867
 
1567
1868
  other_insured_group_name: Annotated[str, PropertyInfo(alias="otherInsuredGroupName")]
1568
1869
 
1569
- other_payer_attending_provider: Annotated[
1570
- ClaimInformationOtherSubscriberInformationOtherPayerAttendingProvider,
1571
- PropertyInfo(alias="otherPayerAttendingProvider"),
1572
- ]
1573
-
1574
1870
  other_payer_billing_provider: Annotated[
1575
- ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider,
1871
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider],
1576
1872
  PropertyInfo(alias="otherPayerBillingProvider"),
1577
1873
  ]
1578
1874
 
1579
- other_payer_operating_physician: Annotated[
1580
- ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysician,
1581
- PropertyInfo(alias="otherPayerOperatingPhysician"),
1582
- ]
1583
-
1584
- other_payer_other_operating_physician: Annotated[
1585
- ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysician,
1586
- PropertyInfo(alias="otherPayerOtherOperatingPhysician"),
1587
- ]
1588
-
1589
1875
  other_payer_referring_provider: Annotated[
1590
- ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider,
1876
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider],
1591
1877
  PropertyInfo(alias="otherPayerReferringProvider"),
1592
1878
  ]
1593
1879
 
1594
1880
  other_payer_rendering_provider: Annotated[
1595
- ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider,
1881
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider],
1596
1882
  PropertyInfo(alias="otherPayerRenderingProvider"),
1597
1883
  ]
1598
1884
 
1599
1885
  other_payer_service_facility_location: Annotated[
1600
- ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation,
1886
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation],
1601
1887
  PropertyInfo(alias="otherPayerServiceFacilityLocation"),
1602
1888
  ]
1603
1889
 
1604
- payer_paid_amount: Annotated[str, PropertyInfo(alias="payerPaidAmount")]
1605
-
1606
- policy_number: Annotated[str, PropertyInfo(alias="policyNumber")]
1607
-
1608
- remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
1890
+ other_payer_supervising_provider: Annotated[
1891
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider],
1892
+ PropertyInfo(alias="otherPayerSupervisingProvider"),
1893
+ ]
1609
1894
 
1895
+ patient_signature_generated_for_patient: Annotated[bool, PropertyInfo(alias="patientSignatureGeneratedForPatient")]
1610
1896
 
1611
- class ClaimInformationPatientReasonForVisit(TypedDict, total=False):
1612
- patient_reason_for_visit_code: Required[Annotated[str, PropertyInfo(alias="patientReasonForVisitCode")]]
1897
+ payer_paid_amount: Annotated[str, PropertyInfo(alias="payerPaidAmount")]
1613
1898
 
1614
- qualifier_code: Required[Annotated[Literal["APR", "PR"], PropertyInfo(alias="qualifierCode")]]
1899
+ remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
1615
1900
 
1616
1901
 
1617
- class ClaimInformationPrincipalProcedureInformation(TypedDict, total=False):
1618
- principal_procedure_code: Required[Annotated[str, PropertyInfo(alias="principalProcedureCode")]]
1902
+ class ClaimInformationPatientConditionInformationVision(TypedDict, total=False):
1903
+ certification_condition_indicator: Required[
1904
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1905
+ ]
1619
1906
 
1620
- qualifier_code: Required[Annotated[Literal["BBR", "BR", "CAH"], PropertyInfo(alias="qualifierCode")]]
1907
+ code_category: Required[Annotated[Literal["E1", "E2", "E3"], PropertyInfo(alias="codeCategory")]]
1621
1908
 
1622
- principal_procedure_date: Annotated[str, PropertyInfo(alias="principalProcedureDate")]
1909
+ condition_codes: Required[
1910
+ Annotated[List[Literal["L1", "L2", "L3", "L4", "L5"]], PropertyInfo(alias="conditionCodes")]
1911
+ ]
1623
1912
 
1624
1913
 
1625
1914
  class ClaimInformationServiceFacilityLocationAddress(TypedDict, total=False):
@@ -1638,24 +1927,40 @@ class ClaimInformationServiceFacilityLocationAddress(TypedDict, total=False):
1638
1927
  state: str
1639
1928
 
1640
1929
 
1930
+ class ClaimInformationServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
1931
+ identifier: Required[str]
1932
+
1933
+ qualifier: Required[str]
1934
+
1935
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1936
+
1937
+
1641
1938
  class ClaimInformationServiceFacilityLocation(TypedDict, total=False):
1642
1939
  address: Required[ClaimInformationServiceFacilityLocationAddress]
1643
1940
 
1644
1941
  organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
1645
1942
 
1646
- identification_code: Annotated[str, PropertyInfo(alias="identificationCode")]
1943
+ npi: str
1944
+
1945
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1946
+
1947
+ phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
1948
+
1949
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1647
1950
 
1648
- secondary_identification_qualifier_code: Annotated[
1649
- Literal["0B", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
1951
+ secondary_identifier: Annotated[
1952
+ Iterable[ClaimInformationServiceFacilityLocationSecondaryIdentifier], PropertyInfo(alias="secondaryIdentifier")
1650
1953
  ]
1651
1954
 
1652
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
1653
1955
 
1956
+ class ClaimInformationSpinalManipulationServiceInformation(TypedDict, total=False):
1957
+ patient_condition_code: Required[Annotated[str, PropertyInfo(alias="patientConditionCode")]]
1654
1958
 
1655
- class ClaimInformationValueInformationList(TypedDict, total=False):
1656
- value_code: Required[Annotated[str, PropertyInfo(alias="valueCode")]]
1959
+ patient_condition_description1: Annotated[
1960
+ Literal["A", "C", "D", "E", "F", "G", "M"], PropertyInfo(alias="patientConditionDescription1")
1961
+ ]
1657
1962
 
1658
- value_code_amount: Required[Annotated[str, PropertyInfo(alias="valueCodeAmount")]]
1963
+ patient_condition_description2: Annotated[str, PropertyInfo(alias="patientConditionDescription2")]
1659
1964
 
1660
1965
 
1661
1966
  class ClaimInformation(TypedDict, total=False):
@@ -1665,14 +1970,6 @@ class ClaimInformation(TypedDict, total=False):
1665
1970
 
1666
1971
  claim_charge_amount: Required[Annotated[str, PropertyInfo(alias="claimChargeAmount")]]
1667
1972
 
1668
- claim_code_information: Required[
1669
- Annotated[ClaimInformationClaimCodeInformation, PropertyInfo(alias="claimCodeInformation")]
1670
- ]
1671
-
1672
- claim_date_information: Required[
1673
- Annotated[ClaimInformationClaimDateInformation, PropertyInfo(alias="claimDateInformation")]
1674
- ]
1675
-
1676
1973
  claim_filing_code: Required[
1677
1974
  Annotated[
1678
1975
  Literal[
@@ -1704,116 +2001,173 @@ class ClaimInformation(TypedDict, total=False):
1704
2001
  ]
1705
2002
  ]
1706
2003
 
1707
- claim_frequency_code: Required[Annotated[str, PropertyInfo(alias="claimFrequencyCode")]]
1708
-
1709
- place_of_service_code: Required[Annotated[str, PropertyInfo(alias="placeOfServiceCode")]]
2004
+ claim_frequency_code: Required[Annotated[Literal["1", "7", "8"], PropertyInfo(alias="claimFrequencyCode")]]
1710
2005
 
1711
- plan_participation_code: Required[Annotated[Literal["A", "B", "C"], PropertyInfo(alias="planParticipationCode")]]
2006
+ health_care_code_information: Required[
2007
+ Annotated[Iterable[ClaimInformationHealthCareCodeInformation], PropertyInfo(alias="healthCareCodeInformation")]
2008
+ ]
1712
2009
 
1713
- principal_diagnosis: Required[
1714
- Annotated[ClaimInformationPrincipalDiagnosis, PropertyInfo(alias="principalDiagnosis")]
2010
+ place_of_service_code: Required[
2011
+ Annotated[
2012
+ Literal[
2013
+ "01",
2014
+ "02",
2015
+ "03",
2016
+ "04",
2017
+ "05",
2018
+ "06",
2019
+ "07",
2020
+ "08",
2021
+ "09",
2022
+ "10",
2023
+ "11",
2024
+ "12",
2025
+ "13",
2026
+ "14",
2027
+ "15",
2028
+ "16",
2029
+ "17",
2030
+ "18",
2031
+ "19",
2032
+ "20",
2033
+ "21",
2034
+ "22",
2035
+ "23",
2036
+ "24",
2037
+ "25",
2038
+ "26",
2039
+ "27",
2040
+ "31",
2041
+ "32",
2042
+ "33",
2043
+ "34",
2044
+ "41",
2045
+ "42",
2046
+ "49",
2047
+ "50",
2048
+ "51",
2049
+ "52",
2050
+ "53",
2051
+ "54",
2052
+ "55",
2053
+ "56",
2054
+ "57",
2055
+ "58",
2056
+ "60",
2057
+ "61",
2058
+ "62",
2059
+ "65",
2060
+ "66",
2061
+ "71",
2062
+ "72",
2063
+ "81",
2064
+ "99",
2065
+ ],
2066
+ PropertyInfo(alias="placeOfServiceCode"),
2067
+ ]
1715
2068
  ]
1716
2069
 
2070
+ plan_participation_code: Required[Annotated[Literal["A", "B", "C"], PropertyInfo(alias="planParticipationCode")]]
2071
+
1717
2072
  release_information_code: Required[Annotated[Literal["I", "Y"], PropertyInfo(alias="releaseInformationCode")]]
1718
2073
 
1719
2074
  service_lines: Required[Annotated[Iterable[ClaimInformationServiceLine], PropertyInfo(alias="serviceLines")]]
1720
2075
 
1721
- admitting_diagnosis: Annotated[ClaimInformationAdmittingDiagnosis, PropertyInfo(alias="admittingDiagnosis")]
2076
+ signature_indicator: Required[Annotated[Literal["N", "Y"], PropertyInfo(alias="signatureIndicator")]]
1722
2077
 
1723
- billing_note: Annotated[str, PropertyInfo(alias="billingNote")]
2078
+ ambulance_certification: Annotated[
2079
+ Iterable[ClaimInformationAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
2080
+ ]
1724
2081
 
1725
- claim_contract_information: Annotated[
1726
- ClaimInformationClaimContractInformation, PropertyInfo(alias="claimContractInformation")
2082
+ ambulance_drop_off_location: Annotated[
2083
+ ClaimInformationAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
1727
2084
  ]
1728
2085
 
1729
- claim_notes: Annotated[ClaimInformationClaimNotes, PropertyInfo(alias="claimNotes")]
2086
+ ambulance_pick_up_location: Annotated[
2087
+ ClaimInformationAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
2088
+ ]
1730
2089
 
1731
- claim_pricing_information: Annotated[
1732
- ClaimInformationClaimPricingInformation, PropertyInfo(alias="claimPricingInformation")
2090
+ ambulance_transport_information: Annotated[
2091
+ ClaimInformationAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
1733
2092
  ]
1734
2093
 
1735
- claim_supplemental_information: Annotated[
1736
- ClaimInformationClaimSupplementalInformation, PropertyInfo(alias="claimSupplementalInformation")
2094
+ anesthesia_related_surgical_procedure: Annotated[
2095
+ List[str], PropertyInfo(alias="anesthesiaRelatedSurgicalProcedure")
1737
2096
  ]
1738
2097
 
1739
- condition_codes: Annotated[List[Literal["AV", "NU", "S2", "ST"]], PropertyInfo(alias="conditionCodes")]
2098
+ auto_accident_country_code: Annotated[str, PropertyInfo(alias="autoAccidentCountryCode")]
1740
2099
 
1741
- condition_codes_list: Annotated[
1742
- Iterable[Iterable[ClaimInformationConditionCodesList]], PropertyInfo(alias="conditionCodesList")
1743
- ]
2100
+ auto_accident_state_code: Annotated[str, PropertyInfo(alias="autoAccidentStateCode")]
1744
2101
 
1745
- delay_reason_code: Annotated[
1746
- Literal["1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"], PropertyInfo(alias="delayReasonCode")
2102
+ claim_contract_information: Annotated[
2103
+ ClaimInformationClaimContractInformation, PropertyInfo(alias="claimContractInformation")
1747
2104
  ]
1748
2105
 
1749
- diagnosis_related_group_information: Annotated[
1750
- ClaimInformationDiagnosisRelatedGroupInformation, PropertyInfo(alias="diagnosisRelatedGroupInformation")
1751
- ]
2106
+ claim_date_information: Annotated[ClaimInformationClaimDateInformation, PropertyInfo(alias="claimDateInformation")]
1752
2107
 
1753
- epsdt_referral: Annotated[ClaimInformationEpsdtReferral, PropertyInfo(alias="epsdtReferral")]
2108
+ claim_note: Annotated[ClaimInformationClaimNote, PropertyInfo(alias="claimNote")]
1754
2109
 
1755
- external_cause_of_injuries: Annotated[
1756
- Iterable[ClaimInformationExternalCauseOfInjury], PropertyInfo(alias="externalCauseOfInjuries")
2110
+ claim_pricing_repricing_information: Annotated[
2111
+ ClaimInformationClaimPricingRepricingInformation, PropertyInfo(alias="claimPricingRepricingInformation")
1757
2112
  ]
1758
2113
 
1759
- file_information: Annotated[List[str], PropertyInfo(alias="fileInformation")]
1760
-
1761
- occurrence_information_list: Annotated[
1762
- Iterable[Iterable[ClaimInformationOccurrenceInformationList]], PropertyInfo(alias="occurrenceInformationList")
2114
+ claim_supplemental_information: Annotated[
2115
+ ClaimInformationClaimSupplementalInformation, PropertyInfo(alias="claimSupplementalInformation")
1763
2116
  ]
1764
2117
 
1765
- occurrence_span_informations: Annotated[
1766
- Iterable[Iterable[ClaimInformationOccurrenceSpanInformation]], PropertyInfo(alias="occurrenceSpanInformations")
2118
+ condition_information: Annotated[
2119
+ Iterable[ClaimInformationConditionInformation], PropertyInfo(alias="conditionInformation")
1767
2120
  ]
1768
2121
 
1769
- other_diagnosis_information_list: Annotated[
1770
- Iterable[Iterable[ClaimInformationOtherDiagnosisInformationList]],
1771
- PropertyInfo(alias="otherDiagnosisInformationList"),
2122
+ death_date: Annotated[str, PropertyInfo(alias="deathDate")]
2123
+
2124
+ delay_reason_code: Annotated[
2125
+ Literal["1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"], PropertyInfo(alias="delayReasonCode")
1772
2126
  ]
1773
2127
 
1774
- other_procedure_information_list: Annotated[
1775
- Iterable[Iterable[ClaimInformationOtherProcedureInformationList]],
1776
- PropertyInfo(alias="otherProcedureInformationList"),
1777
- ]
2128
+ epsdt_referral: Annotated[ClaimInformationEpsdtReferral, PropertyInfo(alias="epsdtReferral")]
2129
+
2130
+ file_information: Annotated[str, PropertyInfo(alias="fileInformation")]
2131
+
2132
+ file_information_list: Annotated[List[str], PropertyInfo(alias="fileInformationList")]
2133
+
2134
+ homebound_indicator: Annotated[bool, PropertyInfo(alias="homeboundIndicator")]
1778
2135
 
1779
2136
  other_subscriber_information: Annotated[
1780
- ClaimInformationOtherSubscriberInformation, PropertyInfo(alias="otherSubscriberInformation")
2137
+ Iterable[ClaimInformationOtherSubscriberInformation], PropertyInfo(alias="otherSubscriberInformation")
1781
2138
  ]
1782
2139
 
1783
2140
  patient_amount_paid: Annotated[str, PropertyInfo(alias="patientAmountPaid")]
1784
2141
 
1785
- patient_estimated_amount_due: Annotated[str, PropertyInfo(alias="patientEstimatedAmountDue")]
1786
-
1787
- patient_reason_for_visits: Annotated[
1788
- Iterable[ClaimInformationPatientReasonForVisit], PropertyInfo(alias="patientReasonForVisits")
2142
+ patient_condition_information_vision: Annotated[
2143
+ Iterable[ClaimInformationPatientConditionInformationVision],
2144
+ PropertyInfo(alias="patientConditionInformationVision"),
1789
2145
  ]
1790
2146
 
2147
+ patient_signature_source_code: Annotated[bool, PropertyInfo(alias="patientSignatureSourceCode")]
2148
+
1791
2149
  patient_weight: Annotated[str, PropertyInfo(alias="patientWeight")]
1792
2150
 
1793
- principal_procedure_information: Annotated[
1794
- ClaimInformationPrincipalProcedureInformation, PropertyInfo(alias="principalProcedureInformation")
1795
- ]
2151
+ pregnancy_indicator: Annotated[Literal["Y"], PropertyInfo(alias="pregnancyIndicator")]
1796
2152
 
1797
2153
  property_casualty_claim_number: Annotated[str, PropertyInfo(alias="propertyCasualtyClaimNumber")]
1798
2154
 
2155
+ related_causes_code: Annotated[List[Literal["AA", "EM", "OA"]], PropertyInfo(alias="relatedCausesCode")]
2156
+
1799
2157
  service_facility_location: Annotated[
1800
2158
  ClaimInformationServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
1801
2159
  ]
1802
2160
 
1803
- signature_indicator: Annotated[str, PropertyInfo(alias="signatureIndicator")]
1804
-
1805
- treatment_code_information_list: Annotated[Iterable[List[str]], PropertyInfo(alias="treatmentCodeInformationList")]
2161
+ special_program_code: Annotated[Literal["02", "03", "05", "09"], PropertyInfo(alias="specialProgramCode")]
1806
2162
 
1807
- value_information_list: Annotated[
1808
- Iterable[Iterable[ClaimInformationValueInformationList]], PropertyInfo(alias="valueInformationList")
2163
+ spinal_manipulation_service_information: Annotated[
2164
+ ClaimInformationSpinalManipulationServiceInformation, PropertyInfo(alias="spinalManipulationServiceInformation")
1809
2165
  ]
1810
2166
 
1811
2167
 
1812
2168
  class Receiver(TypedDict, total=False):
1813
2169
  organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
1814
2170
 
1815
- tax_id: Annotated[str, PropertyInfo(alias="taxId")]
1816
-
1817
2171
 
1818
2172
  class SubmitterContactInformation(TypedDict, total=False):
1819
2173
  email: str
@@ -1822,17 +2176,23 @@ class SubmitterContactInformation(TypedDict, total=False):
1822
2176
 
1823
2177
  name: str
1824
2178
 
1825
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2179
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1826
2180
 
1827
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2181
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1828
2182
 
1829
2183
 
1830
2184
  class Submitter(TypedDict, total=False):
1831
2185
  contact_information: Required[Annotated[SubmitterContactInformation, PropertyInfo(alias="contactInformation")]]
1832
2186
 
1833
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2187
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
2188
+
2189
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2190
+
2191
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2192
+
2193
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1834
2194
 
1835
- tax_id: Required[Annotated[str, PropertyInfo(alias="taxId")]]
2195
+ submitter_identification: Annotated[str, PropertyInfo(alias="submitterIdentification")]
1836
2196
 
1837
2197
 
1838
2198
  class SubscriberAddress(TypedDict, total=False):
@@ -1851,40 +2211,58 @@ class SubscriberAddress(TypedDict, total=False):
1851
2211
  state: str
1852
2212
 
1853
2213
 
1854
- class Subscriber(TypedDict, total=False):
1855
- first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
2214
+ class SubscriberContactInformation(TypedDict, total=False):
2215
+ name: Required[str]
1856
2216
 
1857
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2217
+ email: str
1858
2218
 
1859
- payment_responsibility_level_code: Required[
1860
- Annotated[
1861
- Literal["A", "B", "C", "D", "E", "F", "G", "H", "P", "S", "T", "U"],
1862
- PropertyInfo(alias="paymentResponsibilityLevelCode"),
1863
- ]
1864
- ]
2219
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2220
+
2221
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2222
+
2223
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1865
2224
 
2225
+
2226
+ class Subscriber(TypedDict, total=False):
1866
2227
  address: SubscriberAddress
1867
2228
 
2229
+ contact_information: Annotated[SubscriberContactInformation, PropertyInfo(alias="contactInformation")]
2230
+
1868
2231
  date_of_birth: Annotated[str, PropertyInfo(alias="dateOfBirth")]
1869
2232
 
2233
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
2234
+
1870
2235
  gender: Literal["M", "F", "U"]
1871
2236
 
1872
2237
  group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
1873
2238
 
2239
+ insurance_type_code: Annotated[
2240
+ Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
2241
+ ]
2242
+
2243
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2244
+
1874
2245
  member_id: Annotated[str, PropertyInfo(alias="memberId")]
1875
2246
 
1876
2247
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1877
2248
 
2249
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2250
+
2251
+ payment_responsibility_level_code: Annotated[
2252
+ Literal["A", "B", "C", "D", "E", "F", "G", "H", "P", "S", "T", "U"],
2253
+ PropertyInfo(alias="paymentResponsibilityLevelCode"),
2254
+ ]
2255
+
1878
2256
  policy_number: Annotated[str, PropertyInfo(alias="policyNumber")]
1879
2257
 
1880
2258
  ssn: str
1881
2259
 
1882
- standard_health_id: Annotated[str, PropertyInfo(alias="standardHealthId")]
2260
+ subscriber_group_name: Annotated[str, PropertyInfo(alias="subscriberGroupName")]
1883
2261
 
1884
2262
  suffix: str
1885
2263
 
1886
2264
 
1887
- class AttendingAddress(TypedDict, total=False):
2265
+ class DependentAddress(TypedDict, total=False):
1888
2266
  address1: Required[str]
1889
2267
 
1890
2268
  city: Required[str]
@@ -1900,49 +2278,47 @@ class AttendingAddress(TypedDict, total=False):
1900
2278
  state: str
1901
2279
 
1902
2280
 
1903
- class AttendingContactInformation(TypedDict, total=False):
2281
+ class DependentContactInformation(TypedDict, total=False):
1904
2282
  name: Required[str]
1905
2283
 
1906
2284
  email: str
1907
2285
 
1908
2286
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1909
2287
 
1910
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1911
-
1912
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2288
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1913
2289
 
2290
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1914
2291
 
1915
- class Attending(TypedDict, total=False):
1916
- address: AttendingAddress
1917
2292
 
1918
- contact_information: Annotated[AttendingContactInformation, PropertyInfo(alias="contactInformation")]
2293
+ class Dependent(TypedDict, total=False):
2294
+ date_of_birth: Required[Annotated[str, PropertyInfo(alias="dateOfBirth")]]
1919
2295
 
1920
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2296
+ first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
1921
2297
 
1922
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2298
+ gender: Required[Literal["M", "F", "U"]]
1923
2299
 
1924
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2300
+ last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
1925
2301
 
1926
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2302
+ relationship_to_subscriber_code: Required[
2303
+ Annotated[
2304
+ Literal["01", "19", "20", "21", "39", "40", "53", "G8"], PropertyInfo(alias="relationshipToSubscriberCode")
2305
+ ]
2306
+ ]
1927
2307
 
1928
- npi: str
2308
+ address: DependentAddress
1929
2309
 
1930
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2310
+ contact_information: Annotated[DependentContactInformation, PropertyInfo(alias="contactInformation")]
1931
2311
 
1932
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2312
+ member_id: Annotated[str, PropertyInfo(alias="memberId")]
1933
2313
 
1934
- secondary_identification_qualifier_code: Annotated[
1935
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
1936
- ]
2314
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1937
2315
 
1938
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2316
+ ssn: str
1939
2317
 
1940
2318
  suffix: str
1941
2319
 
1942
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
1943
-
1944
2320
 
1945
- class BillingAddress(TypedDict, total=False):
2321
+ class OrderingAddress(TypedDict, total=False):
1946
2322
  address1: Required[str]
1947
2323
 
1948
2324
  city: Required[str]
@@ -1958,28 +2334,30 @@ class BillingAddress(TypedDict, total=False):
1958
2334
  state: str
1959
2335
 
1960
2336
 
1961
- class BillingContactInformation(TypedDict, total=False):
1962
- name: Required[str]
1963
-
2337
+ class OrderingContactInformation(TypedDict, total=False):
1964
2338
  email: str
1965
2339
 
1966
2340
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1967
2341
 
1968
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2342
+ name: str
1969
2343
 
1970
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2344
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1971
2345
 
2346
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1972
2347
 
1973
- class Billing(TypedDict, total=False):
1974
- address: Required[BillingAddress]
1975
2348
 
1976
- employer_id: Required[Annotated[str, PropertyInfo(alias="employerId")]]
2349
+ class Ordering(TypedDict, total=False):
2350
+ address: OrderingAddress
1977
2351
 
1978
- npi: Required[str]
2352
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
1979
2353
 
1980
2354
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
1981
2355
 
1982
- contact_information: Annotated[BillingContactInformation, PropertyInfo(alias="contactInformation")]
2356
+ contact_information: Annotated[OrderingContactInformation, PropertyInfo(alias="contactInformation")]
2357
+
2358
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2359
+
2360
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
1983
2361
 
1984
2362
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
1985
2363
 
@@ -1989,17 +2367,19 @@ class Billing(TypedDict, total=False):
1989
2367
 
1990
2368
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1991
2369
 
2370
+ naic: str
2371
+
2372
+ npi: str
2373
+
1992
2374
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1993
2375
 
1994
- provider_type: Annotated[Literal["BillingProvider"], PropertyInfo(alias="providerType")]
2376
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
2377
+
2378
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
1995
2379
 
1996
2380
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
1997
2381
 
1998
- secondary_identification_qualifier_code: Annotated[
1999
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
2000
- ]
2001
-
2002
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2382
+ ssn: str
2003
2383
 
2004
2384
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2005
2385
 
@@ -2008,7 +2388,7 @@ class Billing(TypedDict, total=False):
2008
2388
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2009
2389
 
2010
2390
 
2011
- class BillingPayToAddressNameAddress(TypedDict, total=False):
2391
+ class PayerAddress(TypedDict, total=False):
2012
2392
  address1: Required[str]
2013
2393
 
2014
2394
  city: Required[str]
@@ -2024,13 +2404,7 @@ class BillingPayToAddressNameAddress(TypedDict, total=False):
2024
2404
  state: str
2025
2405
 
2026
2406
 
2027
- class BillingPayToAddressName(TypedDict, total=False):
2028
- address: Required[BillingPayToAddressNameAddress]
2029
-
2030
- entity_type_qualifier: Required[Annotated[Literal["2"], PropertyInfo(alias="entityTypeQualifier")]]
2031
-
2032
-
2033
- class BillingPayToPlanNameAddress(TypedDict, total=False):
2407
+ class PayToAddress(TypedDict, total=False):
2034
2408
  address1: Required[str]
2035
2409
 
2036
2410
  city: Required[str]
@@ -2046,27 +2420,7 @@ class BillingPayToPlanNameAddress(TypedDict, total=False):
2046
2420
  state: str
2047
2421
 
2048
2422
 
2049
- class BillingPayToPlanName(TypedDict, total=False):
2050
- identification_code: Required[Annotated[str, PropertyInfo(alias="identificationCode")]]
2051
-
2052
- identification_code_qualifier: Required[
2053
- Annotated[Literal["PI", "XV"], PropertyInfo(alias="identificationCodeQualifier")]
2054
- ]
2055
-
2056
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2057
-
2058
- tax_id: Required[Annotated[str, PropertyInfo(alias="taxId")]]
2059
-
2060
- address: BillingPayToPlanNameAddress
2061
-
2062
- claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
2063
-
2064
- naic: str
2065
-
2066
- payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
2067
-
2068
-
2069
- class DependentAddress(TypedDict, total=False):
2423
+ class PayToPlanAddress(TypedDict, total=False):
2070
2424
  address1: Required[str]
2071
2425
 
2072
2426
  city: Required[str]
@@ -2082,63 +2436,68 @@ class DependentAddress(TypedDict, total=False):
2082
2436
  state: str
2083
2437
 
2084
2438
 
2085
- class Dependent(TypedDict, total=False):
2086
- date_of_birth: Required[Annotated[str, PropertyInfo(alias="dateOfBirth")]]
2439
+ class PayToPlan(TypedDict, total=False):
2440
+ address: Required[PayToPlanAddress]
2087
2441
 
2088
- first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
2442
+ organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2089
2443
 
2090
- gender: Required[Literal["M", "F", "U"]]
2444
+ primary_identifier: Required[Annotated[str, PropertyInfo(alias="primaryIdentifier")]]
2091
2445
 
2092
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2446
+ primary_identifier_type_code: Required[
2447
+ Annotated[Literal["PI", "XV"], PropertyInfo(alias="primaryIdentifierTypeCode")]
2448
+ ]
2093
2449
 
2094
- relationship_to_subscriber_code: Required[
2095
- Annotated[
2096
- Literal["01", "19", "20", "21", "39", "40", "53", "G8"], PropertyInfo(alias="relationshipToSubscriberCode")
2097
- ]
2450
+ tax_identification_number: Required[Annotated[str, PropertyInfo(alias="taxIdentificationNumber")]]
2451
+
2452
+ secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2453
+
2454
+ secondary_identifier_type_code: Annotated[
2455
+ Literal["2U", "FY", "NF"], PropertyInfo(alias="secondaryIdentifierTypeCode")
2098
2456
  ]
2099
2457
 
2100
- address: DependentAddress
2101
2458
 
2102
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2459
+ class ProviderAddress(TypedDict, total=False):
2460
+ address1: Required[str]
2103
2461
 
2104
- ssn: str
2462
+ city: Required[str]
2105
2463
 
2106
- suffix: str
2464
+ address2: str
2107
2465
 
2466
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2108
2467
 
2109
- class EventMapping(TypedDict, total=False):
2110
- received_277_ca: Annotated[str, PropertyInfo(alias="RECEIVED_277CA")]
2111
- """A success event ID for the 277CA transaction"""
2468
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2112
2469
 
2470
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2113
2471
 
2114
- class OperatingPhysician(TypedDict, total=False):
2115
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2472
+ state: str
2116
2473
 
2117
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2118
2474
 
2119
- identification_qualifier_code: Annotated[
2120
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
2121
- ]
2475
+ class ProviderContactInformation(TypedDict, total=False):
2476
+ email: str
2122
2477
 
2123
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2478
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2124
2479
 
2125
- npi: str
2480
+ name: str
2126
2481
 
2127
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2482
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2128
2483
 
2129
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2484
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2130
2485
 
2131
- suffix: str
2132
2486
 
2487
+ class Provider(TypedDict, total=False):
2488
+ address: ProviderAddress
2133
2489
 
2134
- class OtherOperatingPhysician(TypedDict, total=False):
2135
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2490
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2491
+
2492
+ contact_information: Annotated[ProviderContactInformation, PropertyInfo(alias="contactInformation")]
2493
+
2494
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2136
2495
 
2137
2496
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2138
2497
 
2139
- identification_qualifier_code: Annotated[
2140
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
2141
- ]
2498
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2499
+
2500
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2142
2501
 
2143
2502
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2144
2503
 
@@ -2146,28 +2505,20 @@ class OtherOperatingPhysician(TypedDict, total=False):
2146
2505
 
2147
2506
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2148
2507
 
2149
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2150
-
2151
- suffix: str
2152
-
2153
-
2154
- class PayerAddress(TypedDict, total=False):
2155
- address1: Required[str]
2156
-
2157
- city: Required[str]
2508
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2158
2509
 
2159
- address2: str
2510
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2160
2511
 
2161
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2512
+ ssn: str
2162
2513
 
2163
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2514
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2164
2515
 
2165
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2516
+ suffix: str
2166
2517
 
2167
- state: str
2518
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2168
2519
 
2169
2520
 
2170
- class ProviderAddress(TypedDict, total=False):
2521
+ class ReferringAddress(TypedDict, total=False):
2171
2522
  address1: Required[str]
2172
2523
 
2173
2524
  city: Required[str]
@@ -2183,31 +2534,24 @@ class ProviderAddress(TypedDict, total=False):
2183
2534
  state: str
2184
2535
 
2185
2536
 
2186
- class ProviderContactInformation(TypedDict, total=False):
2187
- name: Required[str]
2188
-
2537
+ class ReferringContactInformation(TypedDict, total=False):
2189
2538
  email: str
2190
2539
 
2191
2540
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2192
2541
 
2193
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2542
+ name: str
2194
2543
 
2195
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2544
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2196
2545
 
2546
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2197
2547
 
2198
- class Provider(TypedDict, total=False):
2199
- provider_type: Required[
2200
- Annotated[
2201
- Literal["BillingProvider", "AttendingProvider", "ReferringProvider", "RenderingProvider"],
2202
- PropertyInfo(alias="providerType"),
2203
- ]
2204
- ]
2205
2548
 
2206
- address: ProviderAddress
2549
+ class Referring(TypedDict, total=False):
2550
+ address: ReferringAddress
2207
2551
 
2208
- contact_information: Annotated[ProviderContactInformation, PropertyInfo(alias="contactInformation")]
2552
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2209
2553
 
2210
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2554
+ contact_information: Annotated[ReferringContactInformation, PropertyInfo(alias="contactInformation")]
2211
2555
 
2212
2556
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2213
2557
 
@@ -2219,18 +2563,18 @@ class Provider(TypedDict, total=False):
2219
2563
 
2220
2564
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2221
2565
 
2222
- secondary_identification_qualifier_code: Annotated[
2223
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
2224
- ]
2566
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2225
2567
 
2226
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2568
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2569
+
2570
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2227
2571
 
2228
2572
  suffix: str
2229
2573
 
2230
2574
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2231
2575
 
2232
2576
 
2233
- class ReferringAddress(TypedDict, total=False):
2577
+ class RenderingAddress(TypedDict, total=False):
2234
2578
  address1: Required[str]
2235
2579
 
2236
2580
  city: Required[str]
@@ -2246,31 +2590,29 @@ class ReferringAddress(TypedDict, total=False):
2246
2590
  state: str
2247
2591
 
2248
2592
 
2249
- class ReferringContactInformation(TypedDict, total=False):
2250
- name: Required[str]
2251
-
2593
+ class RenderingContactInformation(TypedDict, total=False):
2252
2594
  email: str
2253
2595
 
2254
2596
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2255
2597
 
2256
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2598
+ name: str
2257
2599
 
2258
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2600
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2259
2601
 
2602
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2260
2603
 
2261
- class Referring(TypedDict, total=False):
2262
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2263
2604
 
2264
- address: ReferringAddress
2605
+ class Rendering(TypedDict, total=False):
2606
+ address: RenderingAddress
2265
2607
 
2266
2608
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2267
2609
 
2268
- contact_information: Annotated[ReferringContactInformation, PropertyInfo(alias="contactInformation")]
2269
-
2270
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2610
+ contact_information: Annotated[RenderingContactInformation, PropertyInfo(alias="contactInformation")]
2271
2611
 
2272
2612
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2273
2613
 
2614
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2615
+
2274
2616
  location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2275
2617
 
2276
2618
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
@@ -2279,16 +2621,10 @@ class Referring(TypedDict, total=False):
2279
2621
 
2280
2622
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2281
2623
 
2282
- provider_type: Annotated[Literal["ReferringProvider"], PropertyInfo(alias="providerType")]
2624
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2283
2625
 
2284
2626
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2285
2627
 
2286
- secondary_identification_qualifier_code: Annotated[
2287
- Literal["0B", "1G", "G2"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
2288
- ]
2289
-
2290
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2291
-
2292
2628
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2293
2629
 
2294
2630
  suffix: str
@@ -2296,7 +2632,7 @@ class Referring(TypedDict, total=False):
2296
2632
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2297
2633
 
2298
2634
 
2299
- class RenderingAddress(TypedDict, total=False):
2635
+ class SupervisingAddress(TypedDict, total=False):
2300
2636
  address1: Required[str]
2301
2637
 
2302
2638
  city: Required[str]
@@ -2312,31 +2648,31 @@ class RenderingAddress(TypedDict, total=False):
2312
2648
  state: str
2313
2649
 
2314
2650
 
2315
- class RenderingContactInformation(TypedDict, total=False):
2316
- name: Required[str]
2317
-
2651
+ class SupervisingContactInformation(TypedDict, total=False):
2318
2652
  email: str
2319
2653
 
2320
2654
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2321
2655
 
2322
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2656
+ name: str
2323
2657
 
2324
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2658
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2325
2659
 
2660
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2326
2661
 
2327
- class Rendering(TypedDict, total=False):
2328
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2329
2662
 
2330
- address: RenderingAddress
2663
+ class Supervising(TypedDict, total=False):
2664
+ address: SupervisingAddress
2331
2665
 
2332
2666
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2333
2667
 
2334
- contact_information: Annotated[RenderingContactInformation, PropertyInfo(alias="contactInformation")]
2668
+ contact_information: Annotated[SupervisingContactInformation, PropertyInfo(alias="contactInformation")]
2335
2669
 
2336
2670
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2337
2671
 
2338
2672
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2339
2673
 
2674
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2675
+
2340
2676
  location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2341
2677
 
2342
2678
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
@@ -2349,11 +2685,7 @@ class Rendering(TypedDict, total=False):
2349
2685
 
2350
2686
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2351
2687
 
2352
- secondary_identification_qualifier_code: Annotated[
2353
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
2354
- ]
2355
-
2356
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2688
+ ssn: str
2357
2689
 
2358
2690
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2359
2691