samplehc 0.5.0__py3-none-any.whl → 0.7.0__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 (55) 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 -36
  5. samplehc/resources/v2/communication.py +8 -0
  6. samplehc/resources/v2/database.py +19 -9
  7. samplehc/resources/v2/events/__init__.py +33 -0
  8. samplehc/resources/v2/{events.py → events/events.py} +42 -10
  9. samplehc/resources/v2/events/hie/__init__.py +33 -0
  10. samplehc/resources/v2/events/hie/adt.py +249 -0
  11. samplehc/resources/v2/events/hie/hie.py +102 -0
  12. samplehc/resources/v2/integrations/__init__.py +14 -0
  13. samplehc/resources/v2/integrations/glidian/__init__.py +33 -0
  14. samplehc/resources/v2/integrations/glidian/glidian.py +425 -0
  15. samplehc/resources/v2/integrations/glidian/prior_authorizations/__init__.py +33 -0
  16. samplehc/resources/v2/integrations/glidian/prior_authorizations/clinical_questions.py +276 -0
  17. samplehc/resources/v2/integrations/glidian/prior_authorizations/prior_authorizations.py +527 -0
  18. samplehc/resources/v2/integrations/integrations.py +32 -0
  19. samplehc/resources/v2/ledger/ledger.py +152 -0
  20. samplehc/resources/v2/v2.py +40 -8
  21. samplehc/types/v2/__init__.py +8 -0
  22. samplehc/types/v2/browser_agent_invoke_params.py +13 -0
  23. samplehc/types/v2/browser_agent_invoke_response.py +12 -0
  24. samplehc/types/v2/clearinghouse/claim_submit_params.py +1214 -884
  25. samplehc/types/v2/clearinghouse/claim_submit_response.py +10 -1
  26. samplehc/types/v2/communication_send_email_params.py +3 -0
  27. samplehc/types/v2/database_execute_sql_params.py +5 -3
  28. samplehc/types/v2/event_emit_params.py +1 -1
  29. samplehc/types/v2/events/__init__.py +3 -0
  30. samplehc/types/v2/events/hie/__init__.py +5 -0
  31. samplehc/types/v2/events/hie/adt_subscribe_params.py +92 -0
  32. samplehc/types/v2/integrations/__init__.py +10 -0
  33. samplehc/types/v2/integrations/glidian/__init__.py +20 -0
  34. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_params.py +32 -0
  35. samplehc/types/v2/integrations/glidian/prior_authorization_create_draft_response.py +22 -0
  36. samplehc/types/v2/integrations/glidian/prior_authorization_retrieve_record_response.py +11 -0
  37. samplehc/types/v2/integrations/glidian/prior_authorization_submit_response.py +14 -0
  38. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_params.py +20 -0
  39. samplehc/types/v2/integrations/glidian/prior_authorization_update_record_response.py +14 -0
  40. samplehc/types/v2/integrations/glidian/prior_authorizations/__init__.py +7 -0
  41. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_list_response.py +40 -0
  42. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_params.py +22 -0
  43. samplehc/types/v2/integrations/glidian/prior_authorizations/clinical_question_update_response.py +17 -0
  44. samplehc/types/v2/integrations/glidian_get_submission_requirements_params.py +17 -0
  45. samplehc/types/v2/integrations/glidian_get_submission_requirements_response.py +31 -0
  46. samplehc/types/v2/integrations/glidian_list_payers_params.py +11 -0
  47. samplehc/types/v2/integrations/glidian_list_payers_response.py +17 -0
  48. samplehc/types/v2/integrations/glidian_list_services_params.py +13 -0
  49. samplehc/types/v2/integrations/glidian_list_services_response.py +19 -0
  50. samplehc/types/v2/ledger_post_remittance_accepted_params.py +37 -0
  51. samplehc/types/v2/ledger_post_remittance_accepted_response.py +12 -0
  52. {samplehc-0.5.0.dist-info → samplehc-0.7.0.dist-info}/METADATA +1 -1
  53. {samplehc-0.5.0.dist-info → samplehc-0.7.0.dist-info}/RECORD +55 -21
  54. {samplehc-0.5.0.dist-info → samplehc-0.7.0.dist-info}/WHEEL +0 -0
  55. {samplehc-0.5.0.dist-info → samplehc-0.7.0.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",
@@ -115,13 +123,16 @@ __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):
122
- claim_information: Required[Annotated[ClaimInformation, PropertyInfo(alias="claimInformation")]]
133
+ billing: Required[Billing]
123
134
 
124
- idempotency_key: Required[Annotated[str, PropertyInfo(alias="idempotencyKey")]]
135
+ claim_information: Required[Annotated[ClaimInformation, PropertyInfo(alias="claimInformation")]]
125
136
 
126
137
  is_testing: Required[Annotated[bool, PropertyInfo(alias="isTesting")]]
127
138
 
@@ -133,27 +144,17 @@ class ClaimSubmitParams(TypedDict, total=False):
133
144
 
134
145
  trading_partner_service_id: Required[Annotated[str, PropertyInfo(alias="tradingPartnerServiceId")]]
135
146
 
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
147
  control_number: Annotated[str, PropertyInfo(alias="controlNumber")]
145
148
 
146
- correlation_id: Annotated[str, PropertyInfo(alias="correlationId")]
147
-
148
149
  dependent: Dependent
149
150
 
150
- event_mapping: Annotated[EventMapping, PropertyInfo(alias="eventMapping")]
151
+ ordering: Ordering
151
152
 
152
- operating_physician: Annotated[OperatingPhysician, PropertyInfo(alias="operatingPhysician")]
153
+ payer_address: Annotated[PayerAddress, PropertyInfo(alias="payerAddress")]
153
154
 
154
- other_operating_physician: Annotated[OtherOperatingPhysician, PropertyInfo(alias="otherOperatingPhysician")]
155
+ pay_to_address: Annotated[PayToAddress, PropertyInfo(alias="payToAddress")]
155
156
 
156
- payer_address: Annotated[PayerAddress, PropertyInfo(alias="payerAddress")]
157
+ pay_to_plan: Annotated[PayToPlan, PropertyInfo(alias="payToPlan")]
157
158
 
158
159
  providers: Iterable[Provider]
159
160
 
@@ -161,59 +162,200 @@ class ClaimSubmitParams(TypedDict, total=False):
161
162
 
162
163
  rendering: Rendering
163
164
 
165
+ supervising: Supervising
166
+
164
167
  trading_partner_name: Annotated[str, PropertyInfo(alias="tradingPartnerName")]
165
168
 
166
169
 
167
- class ClaimInformationClaimCodeInformation(TypedDict, total=False):
168
- admission_type_code: Required[Annotated[str, PropertyInfo(alias="admissionTypeCode")]]
170
+ class BillingAddress(TypedDict, total=False):
171
+ address1: Required[str]
169
172
 
170
- patient_status_code: Required[Annotated[str, PropertyInfo(alias="patientStatusCode")]]
173
+ city: Required[str]
171
174
 
172
- admission_source_code: Annotated[str, PropertyInfo(alias="admissionSourceCode")]
175
+ address2: str
173
176
 
177
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
174
178
 
175
- class ClaimInformationClaimDateInformation(TypedDict, total=False):
176
- statement_begin_date: Required[Annotated[str, PropertyInfo(alias="statementBeginDate")]]
179
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
177
180
 
178
- statement_end_date: Required[Annotated[str, PropertyInfo(alias="statementEndDate")]]
181
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
179
182
 
180
- admission_date_and_hour: Annotated[str, PropertyInfo(alias="admissionDateAndHour")]
183
+ state: str
181
184
 
182
- discharge_hour: Annotated[str, PropertyInfo(alias="dischargeHour")]
183
185
 
184
- repricer_received_date: Annotated[str, PropertyInfo(alias="repricerReceivedDate")]
186
+ class BillingContactInformation(TypedDict, total=False):
187
+ email: str
185
188
 
189
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
186
190
 
187
- class ClaimInformationPrincipalDiagnosis(TypedDict, total=False):
188
- principal_diagnosis_code: Required[Annotated[str, PropertyInfo(alias="principalDiagnosisCode")]]
191
+ name: str
189
192
 
190
- qualifier_code: Required[Annotated[Literal["ABK", "BK"], PropertyInfo(alias="qualifierCode")]]
193
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
191
194
 
192
- present_on_admission_indicator: Annotated[
193
- Literal["N", "Y", "U", "W"], PropertyInfo(alias="presentOnAdmissionIndicator")
194
- ]
195
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
196
+
197
+
198
+ class Billing(TypedDict, total=False):
199
+ address: BillingAddress
200
+
201
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
202
+
203
+ contact_information: Annotated[BillingContactInformation, PropertyInfo(alias="contactInformation")]
204
+
205
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
206
+
207
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
195
208
 
209
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
210
+
211
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
212
+
213
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
214
+
215
+ npi: str
216
+
217
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
218
+
219
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
220
+
221
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
222
+
223
+ ssn: str
224
+
225
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
226
+
227
+ suffix: str
228
+
229
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
230
+
231
+
232
+ class ClaimInformationHealthCareCodeInformation(TypedDict, total=False):
233
+ diagnosis_code: Required[Annotated[str, PropertyInfo(alias="diagnosisCode")]]
234
+
235
+ diagnosis_type_code: Required[Annotated[Literal["BK", "ABK", "BF", "ABF"], PropertyInfo(alias="diagnosisTypeCode")]]
236
+
237
+
238
+ class ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers(TypedDict, total=False):
239
+ diagnosis_code_pointers: Required[Annotated[List[str], PropertyInfo(alias="diagnosisCodePointers")]]
240
+
241
+
242
+ class ClaimInformationServiceLineProfessionalService(TypedDict, total=False):
243
+ composite_diagnosis_code_pointers: Required[
244
+ Annotated[
245
+ ClaimInformationServiceLineProfessionalServiceCompositeDiagnosisCodePointers,
246
+ PropertyInfo(alias="compositeDiagnosisCodePointers"),
247
+ ]
248
+ ]
196
249
 
197
- class ClaimInformationServiceLineInstitutionalService(TypedDict, total=False):
198
250
  line_item_charge_amount: Required[Annotated[str, PropertyInfo(alias="lineItemChargeAmount")]]
199
251
 
200
- measurement_unit: Required[Annotated[Literal["DA", "UN"], PropertyInfo(alias="measurementUnit")]]
252
+ measurement_unit: Required[Annotated[Literal["MJ", "UN"], PropertyInfo(alias="measurementUnit")]]
253
+
254
+ procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
201
255
 
202
- service_line_revenue_code: Required[Annotated[str, PropertyInfo(alias="serviceLineRevenueCode")]]
256
+ procedure_identifier: Required[
257
+ Annotated[Literal["ER", "HC", "IV", "WK"], PropertyInfo(alias="procedureIdentifier")]
258
+ ]
203
259
 
204
260
  service_unit_count: Required[Annotated[str, PropertyInfo(alias="serviceUnitCount")]]
205
261
 
262
+ copay_status_code: Annotated[Literal["0"], PropertyInfo(alias="copayStatusCode")]
263
+
206
264
  description: str
207
265
 
208
- non_covered_charge_amount: Annotated[str, PropertyInfo(alias="nonCoveredChargeAmount")]
266
+ emergency_indicator: Annotated[Literal["Y"], PropertyInfo(alias="emergencyIndicator")]
209
267
 
210
- procedure_code: Annotated[str, PropertyInfo(alias="procedureCode")]
268
+ epsdt_indicator: Annotated[Literal["Y"], PropertyInfo(alias="epsdtIndicator")]
211
269
 
212
- procedure_identifier: Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="procedureIdentifier")]
270
+ family_planning_indicator: Annotated[Literal["Y"], PropertyInfo(alias="familyPlanningIndicator")]
271
+
272
+ place_of_service_code: Annotated[str, PropertyInfo(alias="placeOfServiceCode")]
213
273
 
214
274
  procedure_modifiers: Annotated[List[str], PropertyInfo(alias="procedureModifiers")]
215
275
 
216
276
 
277
+ class ClaimInformationServiceLineAmbulanceCertification(TypedDict, total=False):
278
+ certification_condition_indicator: Required[
279
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
280
+ ]
281
+
282
+ condition_codes: Required[
283
+ Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
284
+ ]
285
+
286
+
287
+ class ClaimInformationServiceLineAmbulanceDropOffLocation(TypedDict, total=False):
288
+ address1: Required[str]
289
+
290
+ city: Required[str]
291
+
292
+ address2: str
293
+
294
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
295
+
296
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
297
+
298
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
299
+
300
+ state: str
301
+
302
+
303
+ class ClaimInformationServiceLineAmbulancePickUpLocation(TypedDict, total=False):
304
+ address1: Required[str]
305
+
306
+ city: Required[str]
307
+
308
+ address2: str
309
+
310
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
311
+
312
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
313
+
314
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
315
+
316
+ state: str
317
+
318
+
319
+ class ClaimInformationServiceLineAmbulanceTransportInformation(TypedDict, total=False):
320
+ ambulance_transport_reason_code: Required[
321
+ Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
322
+ ]
323
+
324
+ transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
325
+
326
+ patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
327
+
328
+ round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
329
+
330
+ stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
331
+
332
+
333
+ class ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment(TypedDict, total=False):
334
+ certification_condition_indicator: Required[
335
+ Annotated[Literal["Y", "N"], PropertyInfo(alias="certificationConditionIndicator")]
336
+ ]
337
+
338
+ condition_indicator: Required[Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicator")]]
339
+
340
+ condition_indicator_code: Annotated[Literal["38", "ZV"], PropertyInfo(alias="conditionIndicatorCode")]
341
+
342
+
343
+ class ClaimInformationServiceLineContractInformation(TypedDict, total=False):
344
+ contract_type_code: Required[
345
+ Annotated[Literal["01", "02", "03", "04", "05", "06", "09"], PropertyInfo(alias="contractTypeCode")]
346
+ ]
347
+
348
+ contract_amount: Annotated[str, PropertyInfo(alias="contractAmount")]
349
+
350
+ contract_code: Annotated[str, PropertyInfo(alias="contractCode")]
351
+
352
+ contract_percentage: Annotated[str, PropertyInfo(alias="contractPercentage")]
353
+
354
+ contract_version_identifier: Annotated[str, PropertyInfo(alias="contractVersionIdentifier")]
355
+
356
+ terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
357
+
358
+
217
359
  class ClaimInformationServiceLineDrugIdentification(TypedDict, total=False):
218
360
  measurement_unit_code: Required[
219
361
  Annotated[Literal["F2", "GR", "ME", "ML", "UN"], PropertyInfo(alias="measurementUnitCode")]
@@ -223,62 +365,65 @@ class ClaimInformationServiceLineDrugIdentification(TypedDict, total=False):
223
365
 
224
366
  national_drug_unit_count: Required[Annotated[str, PropertyInfo(alias="nationalDrugUnitCount")]]
225
367
 
368
+ service_id_qualifier: Required[
369
+ Annotated[Literal["EN", "EO", "HI", "N4", "ON", "UK", "UP"], PropertyInfo(alias="serviceIdQualifier")]
370
+ ]
371
+
226
372
  link_sequence_number: Annotated[str, PropertyInfo(alias="linkSequenceNumber")]
227
373
 
228
374
  pharmacy_prescription_number: Annotated[str, PropertyInfo(alias="pharmacyPrescriptionNumber")]
229
375
 
230
376
 
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")]]
377
+ class ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity(TypedDict, total=False):
378
+ attachment_transmission_code: Required[
379
+ Annotated[Literal["AB", "AD", "AF", "AG", "NS"], PropertyInfo(alias="attachmentTransmissionCode")]
380
+ ]
235
381
 
236
- adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
237
382
 
383
+ class ClaimInformationServiceLineDurableMedicalEquipmentCertification(TypedDict, total=False):
384
+ certification_type_code: Required[Annotated[Literal["I", "R", "S"], PropertyInfo(alias="certificationTypeCode")]]
238
385
 
239
- class ClaimInformationServiceLineLineAdjudicationInformationLineAdjustment(TypedDict, total=False):
240
- adjustment_group_code: Required[
241
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
386
+ durable_medical_equipment_duration_in_months: Required[
387
+ Annotated[str, PropertyInfo(alias="durableMedicalEquipmentDurationInMonths")]
242
388
  ]
243
389
 
244
- claim_adjustment_details: Annotated[
245
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationLineAdjustmentClaimAdjustmentDetail],
246
- PropertyInfo(alias="claimAdjustmentDetails"),
247
- ]
248
390
 
391
+ class ClaimInformationServiceLineDurableMedicalEquipmentService(TypedDict, total=False):
392
+ days: Required[str]
249
393
 
250
- class ClaimInformationServiceLineLineAdjudicationInformation(TypedDict, total=False):
251
- adjudication_or_payment_date: Required[Annotated[str, PropertyInfo(alias="adjudicationOrPaymentDate")]]
394
+ frequency_code: Required[Annotated[Literal["1", "4", "6"], PropertyInfo(alias="frequencyCode")]]
252
395
 
253
- other_payer_primary_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]]
396
+ purchase_price: Required[Annotated[str, PropertyInfo(alias="purchasePrice")]]
254
397
 
255
- paid_service_unit_count: Required[Annotated[str, PropertyInfo(alias="paidServiceUnitCount")]]
398
+ rental_price: Required[Annotated[str, PropertyInfo(alias="rentalPrice")]]
256
399
 
257
- service_line_paid_amount: Required[Annotated[str, PropertyInfo(alias="serviceLinePaidAmount")]]
258
400
 
259
- service_line_revenue_code: Required[Annotated[str, PropertyInfo(alias="serviceLineRevenueCode")]]
401
+ class ClaimInformationServiceLineFormIdentificationSupportingDocumentation(TypedDict, total=False):
402
+ question_number: Required[Annotated[str, PropertyInfo(alias="questionNumber")]]
260
403
 
261
- bundled_line_number: Annotated[str, PropertyInfo(alias="bundledLineNumber")]
404
+ question_response: Annotated[str, PropertyInfo(alias="questionResponse")]
262
405
 
263
- line_adjustment: Annotated[
264
- Iterable[ClaimInformationServiceLineLineAdjudicationInformationLineAdjustment],
265
- PropertyInfo(alias="lineAdjustment"),
266
- ]
406
+ question_response_as_date: Annotated[str, PropertyInfo(alias="questionResponseAsDate")]
267
407
 
268
- procedure_code: Annotated[str, PropertyInfo(alias="procedureCode")]
408
+ question_response_as_percent: Annotated[str, PropertyInfo(alias="questionResponseAsPercent")]
269
409
 
270
- procedure_code_description: Annotated[str, PropertyInfo(alias="procedureCodeDescription")]
410
+ question_response_code: Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="questionResponseCode")]
271
411
 
272
- procedure_modifier: Annotated[List[str], PropertyInfo(alias="procedureModifier")]
273
412
 
274
- product_or_service_id_qualifier: Annotated[
275
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
276
- ]
413
+ class ClaimInformationServiceLineFormIdentification(TypedDict, total=False):
414
+ form_identifier: Required[Annotated[str, PropertyInfo(alias="formIdentifier")]]
277
415
 
278
- remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
416
+ form_type_code: Required[Annotated[Literal["AS", "UT"], PropertyInfo(alias="formTypeCode")]]
417
+
418
+ supporting_documentation: Annotated[
419
+ Iterable[ClaimInformationServiceLineFormIdentificationSupportingDocumentation],
420
+ PropertyInfo(alias="supportingDocumentation"),
421
+ ]
279
422
 
280
423
 
281
- class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAdjustmentDetail(TypedDict, total=False):
424
+ class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail(
425
+ TypedDict, total=False
426
+ ):
282
427
  adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
283
428
 
284
429
  adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
@@ -286,19 +431,21 @@ class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAd
286
431
  adjustment_quantity: Annotated[str, PropertyInfo(alias="adjustmentQuantity")]
287
432
 
288
433
 
289
- class ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustment(TypedDict, total=False):
290
- adjustment_group_code: Required[
291
- Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
434
+ class ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation(TypedDict, total=False):
435
+ adjustment_details: Required[
436
+ Annotated[
437
+ Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformationAdjustmentDetail],
438
+ PropertyInfo(alias="adjustmentDetails"),
439
+ ]
292
440
  ]
293
441
 
294
- claim_adjustment_details: Annotated[
295
- Iterable[ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustmentClaimAdjustmentDetail],
296
- PropertyInfo(alias="claimAdjustmentDetails"),
442
+ adjustment_group_code: Required[
443
+ Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
297
444
  ]
298
445
 
299
446
 
300
- class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=False):
301
- claim_paid_date: Required[Annotated[str, PropertyInfo(alias="claimPaidDate")]]
447
+ class ClaimInformationServiceLineLineAdjudicationInformation(TypedDict, total=False):
448
+ adjudication_or_payment_date: Required[Annotated[str, PropertyInfo(alias="adjudicationOrPaymentDate")]]
302
449
 
303
450
  other_payer_primary_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]]
304
451
 
@@ -306,8 +453,6 @@ class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=Fals
306
453
 
307
454
  procedure_code: Required[Annotated[str, PropertyInfo(alias="procedureCode")]]
308
455
 
309
- remaining_patient_liability: Required[Annotated[str, PropertyInfo(alias="remainingPatientLiability")]]
310
-
311
456
  service_id_qualifier: Required[
312
457
  Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="serviceIdQualifier")]
313
458
  ]
@@ -316,16 +461,19 @@ class ClaimInformationServiceLineLineAdjustmentInformation(TypedDict, total=Fals
316
461
 
317
462
  bundled_or_unbundled_line_number: Annotated[str, PropertyInfo(alias="bundledOrUnbundledLineNumber")]
318
463
 
319
- claim_adjustment: Annotated[
320
- ClaimInformationServiceLineLineAdjustmentInformationClaimAdjustment, PropertyInfo(alias="claimAdjustment")
464
+ claim_adjustment_information: Annotated[
465
+ Iterable[ClaimInformationServiceLineLineAdjudicationInformationClaimAdjustmentInformation],
466
+ PropertyInfo(alias="claimAdjustmentInformation"),
321
467
  ]
322
468
 
323
469
  procedure_code_description: Annotated[str, PropertyInfo(alias="procedureCodeDescription")]
324
470
 
325
- procedure_modifiers: Annotated[List[str], PropertyInfo(alias="procedureModifiers")]
471
+ procedure_modifier: Annotated[List[str], PropertyInfo(alias="procedureModifier")]
472
+
473
+ remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
326
474
 
327
475
 
328
- class ClaimInformationServiceLineLinePricingInformation(TypedDict, total=False):
476
+ class ClaimInformationServiceLineLinePricingRepricingInformation(TypedDict, total=False):
329
477
  pricing_methodology_code: Required[
330
478
  Annotated[
331
479
  Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
@@ -335,225 +483,208 @@ class ClaimInformationServiceLineLinePricingInformation(TypedDict, total=False):
335
483
 
336
484
  repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
337
485
 
338
- apg_amount: Annotated[str, PropertyInfo(alias="apgAmount")]
486
+ exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
339
487
 
340
- apg_code: Annotated[str, PropertyInfo(alias="apgCode")]
488
+ policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
341
489
 
342
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
490
+ reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
343
491
 
344
- flat_rate_amount: Annotated[str, PropertyInfo(alias="flatRateAmount")]
492
+ repriced_approved_ambulatory_patient_group_amount: Annotated[
493
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
494
+ ]
345
495
 
346
- measurement_unit_code: Annotated[Literal["DA", "UN"], PropertyInfo(alias="measurementUnitCode")]
496
+ repriced_approved_ambulatory_patient_group_code: Annotated[
497
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
498
+ ]
347
499
 
348
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
500
+ repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
349
501
 
350
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
502
+ repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
351
503
 
352
- repriced_approved_hcpcs_code: Annotated[str, PropertyInfo(alias="repricedApprovedHCPCSCode")]
504
+ repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
353
505
 
354
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
355
506
 
356
- repriced_organization_identifier: Annotated[str, PropertyInfo(alias="repricedOrganizationIdentifier")]
507
+ class ClaimInformationServiceLineOrderingProviderAddress(TypedDict, total=False):
508
+ address1: Required[str]
357
509
 
358
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
510
+ city: Required[str]
359
511
 
360
- service_id_qualifier: Annotated[Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="serviceIdQualifier")]
512
+ address2: str
361
513
 
514
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
362
515
 
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
- ]
516
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
370
517
 
371
- repriced_allowed_amount: Required[Annotated[str, PropertyInfo(alias="repricedAllowedAmount")]]
518
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
372
519
 
373
- exception_code: Annotated[Literal["1", "2", "3", "4", "5", "6"], PropertyInfo(alias="exceptionCode")]
520
+ state: str
374
521
 
375
- policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
376
522
 
377
- product_or_service_id_qualifier: Annotated[
378
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
379
- ]
523
+ class ClaimInformationServiceLineOrderingProviderContactInformation(TypedDict, total=False):
524
+ name: Required[str]
380
525
 
381
- reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
526
+ email: str
382
527
 
383
- repriced_approved_amount: Annotated[str, PropertyInfo(alias="repricedApprovedAmount")]
528
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
384
529
 
385
- repriced_approved_drg_code: Annotated[str, PropertyInfo(alias="repricedApprovedDRGCode")]
530
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
386
531
 
387
- repriced_approved_hcpcs_code: Annotated[str, PropertyInfo(alias="repricedApprovedHCPCSCode")]
532
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
388
533
 
389
- repriced_approved_revenue_code: Annotated[str, PropertyInfo(alias="repricedApprovedRevenueCode")]
390
534
 
391
- repriced_approved_service_unit_code: Annotated[
392
- Literal["DA", "UN"], PropertyInfo(alias="repricedApprovedServiceUnitCode")
393
- ]
535
+ class ClaimInformationServiceLineOrderingProviderSecondaryIdentifier(TypedDict, total=False):
536
+ identifier: Required[str]
394
537
 
395
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
538
+ qualifier: Required[str]
396
539
 
397
- repriced_org_identifier: Annotated[str, PropertyInfo(alias="repricedOrgIdentifier")]
540
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
398
541
 
399
- repriced_per_diem: Annotated[str, PropertyInfo(alias="repricedPerDiem")]
400
542
 
401
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
543
+ class ClaimInformationServiceLineOrderingProvider(TypedDict, total=False):
544
+ address: ClaimInformationServiceLineOrderingProviderAddress
402
545
 
546
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
403
547
 
404
- class ClaimInformationServiceLineLineSupplementInformationReportInformation(TypedDict, total=False):
405
- attachment_control_number: Required[Annotated[str, PropertyInfo(alias="attachmentControlNumber")]]
548
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
406
549
 
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
- ]
550
+ contact_information: Annotated[
551
+ ClaimInformationServiceLineOrderingProviderContactInformation, PropertyInfo(alias="contactInformation")
474
552
  ]
475
553
 
476
- attachment_transmission_code: Required[
477
- Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
478
- ]
554
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
479
555
 
556
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
480
557
 
481
- class ClaimInformationServiceLineLineSupplementInformation(TypedDict, total=False):
482
- adjusted_repriced_claim_ref_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimRefNumber")]
558
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
483
559
 
484
- auto_accident_state: Annotated[str, PropertyInfo(alias="autoAccidentState")]
560
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
485
561
 
486
- claim_control_number: Annotated[str, PropertyInfo(alias="claimControlNumber")]
562
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
487
563
 
488
- claim_number: Annotated[str, PropertyInfo(alias="claimNumber")]
564
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
489
565
 
490
- demo_project_identifier: Annotated[str, PropertyInfo(alias="demoProjectIdentifier")]
566
+ naic: str
491
567
 
492
- investigational_device_exemption_number: Annotated[str, PropertyInfo(alias="investigationalDeviceExemptionNumber")]
568
+ npi: str
493
569
 
494
- medical_record_number: Annotated[str, PropertyInfo(alias="medicalRecordNumber")]
570
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
495
571
 
496
- peer_review_authorization_number: Annotated[str, PropertyInfo(alias="peerReviewAuthorizationNumber")]
572
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
497
573
 
498
- prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
574
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
499
575
 
500
- referral_number: Annotated[str, PropertyInfo(alias="referralNumber")]
576
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
501
577
 
502
- report_information: Annotated[
503
- ClaimInformationServiceLineLineSupplementInformationReportInformation, PropertyInfo(alias="reportInformation")
578
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
579
+
580
+ secondary_identifier: Annotated[
581
+ Iterable[ClaimInformationServiceLineOrderingProviderSecondaryIdentifier],
582
+ PropertyInfo(alias="secondaryIdentifier"),
504
583
  ]
505
584
 
506
- report_informations: Annotated[
507
- Iterable[ClaimInformationServiceLineLineSupplementInformationReportInformation],
508
- PropertyInfo(alias="reportInformations"),
585
+ ssn: str
586
+
587
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
588
+
589
+ suffix: str
590
+
591
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
592
+
593
+
594
+ class ClaimInformationServiceLinePurchasedServiceInformation(TypedDict, total=False):
595
+ purchased_service_charge_amount: Required[Annotated[str, PropertyInfo(alias="purchasedServiceChargeAmount")]]
596
+
597
+ purchased_service_provider_identifier: Required[
598
+ Annotated[str, PropertyInfo(alias="purchasedServiceProviderIdentifier")]
509
599
  ]
510
600
 
511
- repriced_claim_number: Annotated[str, PropertyInfo(alias="repricedClaimNumber")]
512
601
 
513
- service_authorization_exception_code: Annotated[
514
- Literal["1", "2", "3", "4", "5", "6", "7"], PropertyInfo(alias="serviceAuthorizationExceptionCode")
602
+ class ClaimInformationServiceLinePurchasedServiceProviderAddress(TypedDict, total=False):
603
+ address1: Required[str]
604
+
605
+ city: Required[str]
606
+
607
+ address2: str
608
+
609
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
610
+
611
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
612
+
613
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
614
+
615
+ state: str
616
+
617
+
618
+ class ClaimInformationServiceLinePurchasedServiceProviderContactInformation(TypedDict, total=False):
619
+ email: str
620
+
621
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
622
+
623
+ name: str
624
+
625
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
626
+
627
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
628
+
629
+
630
+ class ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier(TypedDict, total=False):
631
+ identifier: Required[str]
632
+
633
+ qualifier: Required[str]
634
+
635
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
636
+
637
+
638
+ class ClaimInformationServiceLinePurchasedServiceProvider(TypedDict, total=False):
639
+ address: ClaimInformationServiceLinePurchasedServiceProviderAddress
640
+
641
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
642
+
643
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
644
+
645
+ contact_information: Annotated[
646
+ ClaimInformationServiceLinePurchasedServiceProviderContactInformation, PropertyInfo(alias="contactInformation")
515
647
  ]
516
648
 
649
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
517
650
 
518
- class ClaimInformationServiceLineOperatingPhysician(TypedDict, total=False):
519
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
651
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
520
652
 
521
653
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
522
654
 
523
- identification_qualifier_code: Annotated[
524
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
525
- ]
655
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
656
+
657
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
526
658
 
527
659
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
528
660
 
661
+ naic: str
662
+
529
663
  npi: str
530
664
 
531
665
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
532
666
 
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")]]
667
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
540
668
 
541
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
669
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
542
670
 
543
- identification_qualifier_code: Annotated[
544
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
545
- ]
671
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
546
672
 
547
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
673
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
548
674
 
549
- npi: str
675
+ secondary_identifier: Annotated[
676
+ Iterable[ClaimInformationServiceLinePurchasedServiceProviderSecondaryIdentifier],
677
+ PropertyInfo(alias="secondaryIdentifier"),
678
+ ]
550
679
 
551
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
680
+ ssn: str
552
681
 
553
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
682
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
554
683
 
555
684
  suffix: str
556
685
 
686
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
687
+
557
688
 
558
689
  class ClaimInformationServiceLineReferringProviderAddress(TypedDict, total=False):
559
690
  address1: Required[str]
@@ -572,26 +703,32 @@ class ClaimInformationServiceLineReferringProviderAddress(TypedDict, total=False
572
703
 
573
704
 
574
705
  class ClaimInformationServiceLineReferringProviderContactInformation(TypedDict, total=False):
575
- name: Required[str]
576
-
577
706
  email: str
578
707
 
579
708
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
580
709
 
581
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
710
+ name: str
582
711
 
583
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
712
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
713
+
714
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
584
715
 
585
716
 
586
- class ClaimInformationServiceLineReferringProviderReferenceIdentification(TypedDict, total=False):
717
+ class ClaimInformationServiceLineReferringProviderSecondaryIdentifier(TypedDict, total=False):
587
718
  identifier: Required[str]
588
719
 
589
720
  qualifier: Required[str]
590
721
 
722
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
723
+
591
724
 
592
725
  class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
726
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
727
+
593
728
  address: ClaimInformationServiceLineReferringProviderAddress
594
729
 
730
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
731
+
595
732
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
596
733
 
597
734
  contact_information: Annotated[
@@ -600,6 +737,8 @@ class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
600
737
 
601
738
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
602
739
 
740
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
741
+
603
742
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
604
743
 
605
744
  last_name: Annotated[str, PropertyInfo(alias="lastName")]
@@ -608,24 +747,24 @@ class ClaimInformationServiceLineReferringProvider(TypedDict, total=False):
608
747
 
609
748
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
610
749
 
750
+ naic: str
751
+
611
752
  npi: str
612
753
 
613
754
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
614
755
 
615
- provider_type: Annotated[Literal["ReferringProvider"], PropertyInfo(alias="providerType")]
756
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
616
757
 
617
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
758
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
618
759
 
619
- reference_identification: Annotated[
620
- Iterable[ClaimInformationServiceLineReferringProviderReferenceIdentification],
621
- PropertyInfo(alias="referenceIdentification"),
622
- ]
760
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
623
761
 
624
- secondary_identification_qualifier_code: Annotated[
625
- Literal["0B", "1G", "G2"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
762
+ secondary_identifier: Annotated[
763
+ Iterable[ClaimInformationServiceLineReferringProviderSecondaryIdentifier],
764
+ PropertyInfo(alias="secondaryIdentifier"),
626
765
  ]
627
766
 
628
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
767
+ ssn: str
629
768
 
630
769
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
631
770
 
@@ -651,26 +790,32 @@ class ClaimInformationServiceLineRenderingProviderAddress(TypedDict, total=False
651
790
 
652
791
 
653
792
  class ClaimInformationServiceLineRenderingProviderContactInformation(TypedDict, total=False):
654
- name: Required[str]
655
-
656
793
  email: str
657
794
 
658
795
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
659
796
 
660
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
797
+ name: str
798
+
799
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
661
800
 
662
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
801
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
663
802
 
664
803
 
665
- class ClaimInformationServiceLineRenderingProviderReferenceIdentification(TypedDict, total=False):
804
+ class ClaimInformationServiceLineRenderingProviderSecondaryIdentifier(TypedDict, total=False):
666
805
  identifier: Required[str]
667
806
 
668
807
  qualifier: Required[str]
669
808
 
809
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
810
+
670
811
 
671
812
  class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
813
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
814
+
672
815
  address: ClaimInformationServiceLineRenderingProviderAddress
673
816
 
817
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
818
+
674
819
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
675
820
 
676
821
  contact_information: Annotated[
@@ -679,6 +824,8 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
679
824
 
680
825
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
681
826
 
827
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
828
+
682
829
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
683
830
 
684
831
  last_name: Annotated[str, PropertyInfo(alias="lastName")]
@@ -687,24 +834,24 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
687
834
 
688
835
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
689
836
 
837
+ naic: str
838
+
690
839
  npi: str
691
840
 
692
841
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
693
842
 
694
- provider_type: Annotated[Literal["RenderingProvider"], PropertyInfo(alias="providerType")]
843
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
695
844
 
696
- provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
845
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
697
846
 
698
- reference_identification: Annotated[
699
- Iterable[ClaimInformationServiceLineRenderingProviderReferenceIdentification],
700
- PropertyInfo(alias="referenceIdentification"),
701
- ]
847
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
702
848
 
703
- secondary_identification_qualifier_code: Annotated[
704
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
849
+ secondary_identifier: Annotated[
850
+ Iterable[ClaimInformationServiceLineRenderingProviderSecondaryIdentifier],
851
+ PropertyInfo(alias="secondaryIdentifier"),
705
852
  ]
706
853
 
707
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
854
+ ssn: str
708
855
 
709
856
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
710
857
 
@@ -713,37 +860,104 @@ class ClaimInformationServiceLineRenderingProvider(TypedDict, total=False):
713
860
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
714
861
 
715
862
 
863
+ class ClaimInformationServiceLineServiceFacilityLocationAddress(TypedDict, total=False):
864
+ address1: Required[str]
865
+
866
+ city: Required[str]
867
+
868
+ address2: str
869
+
870
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
871
+
872
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
873
+
874
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
875
+
876
+ state: str
877
+
878
+
879
+ class ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
880
+ identifier: Required[str]
881
+
882
+ qualifier: Required[str]
883
+
884
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
885
+
886
+
887
+ class ClaimInformationServiceLineServiceFacilityLocation(TypedDict, total=False):
888
+ address: Required[ClaimInformationServiceLineServiceFacilityLocationAddress]
889
+
890
+ organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
891
+
892
+ npi: str
893
+
894
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
895
+
896
+ phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
897
+
898
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
899
+
900
+ secondary_identifier: Annotated[
901
+ Iterable[ClaimInformationServiceLineServiceFacilityLocationSecondaryIdentifier],
902
+ PropertyInfo(alias="secondaryIdentifier"),
903
+ ]
904
+
905
+
716
906
  class ClaimInformationServiceLineServiceLineDateInformation(TypedDict, total=False):
717
- begin_service_date: Annotated[str, PropertyInfo(alias="beginServiceDate")]
907
+ begin_therapy_date: Annotated[str, PropertyInfo(alias="beginTherapyDate")]
718
908
 
719
- end_service_date: Annotated[str, PropertyInfo(alias="endServiceDate")]
909
+ certification_revision_or_recertification_date: Annotated[
910
+ str, PropertyInfo(alias="certificationRevisionOrRecertificationDate")
911
+ ]
720
912
 
721
- service_date: Annotated[str, PropertyInfo(alias="serviceDate")]
913
+ hemoglobin_test_date: Annotated[str, PropertyInfo(alias="hemoglobinTestDate")]
722
914
 
723
- valid_date_information: Annotated[bool, PropertyInfo(alias="validDateInformation")]
915
+ initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
724
916
 
917
+ last_certification_date: Annotated[str, PropertyInfo(alias="lastCertificationDate")]
725
918
 
726
- class ClaimInformationServiceLineServiceLineReferenceInformationProviderControlNumber(TypedDict, total=False):
727
- provider_control_number: Required[Annotated[str, PropertyInfo(alias="providerControlNumber")]]
919
+ last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
728
920
 
921
+ prescription_date: Annotated[str, PropertyInfo(alias="prescriptionDate")]
729
922
 
730
- class ClaimInformationServiceLineServiceLineReferenceInformationRepricedLineItemRefNumber(TypedDict, total=False):
731
- repriced_line_item_ref_number: Required[Annotated[str, PropertyInfo(alias="repricedLineItemRefNumber")]]
923
+ serum_creatine_test_date: Annotated[str, PropertyInfo(alias="serumCreatineTestDate")]
732
924
 
925
+ shipped_date: Annotated[str, PropertyInfo(alias="shippedDate")]
733
926
 
734
- class ClaimInformationServiceLineServiceLineReferenceInformationAdjustedRepricedLineItemRefNumber(
735
- TypedDict, total=False
736
- ):
737
- adjusted_repriced_line_item_ref_number: Required[
738
- Annotated[str, PropertyInfo(alias="adjustedRepricedLineItemRefNumber")]
927
+ treatment_or_therapy_date: Annotated[str, PropertyInfo(alias="treatmentOrTherapyDate")]
928
+
929
+
930
+ class ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization(TypedDict, total=False):
931
+ prior_authorization_or_referral_number: Required[
932
+ Annotated[str, PropertyInfo(alias="priorAuthorizationOrReferralNumber")]
739
933
  ]
740
934
 
935
+ other_payer_primary_identifier: Annotated[str, PropertyInfo(alias="otherPayerPrimaryIdentifier")]
741
936
 
742
- ClaimInformationServiceLineServiceLineReferenceInformation: TypeAlias = Union[
743
- ClaimInformationServiceLineServiceLineReferenceInformationProviderControlNumber,
744
- ClaimInformationServiceLineServiceLineReferenceInformationRepricedLineItemRefNumber,
745
- ClaimInformationServiceLineServiceLineReferenceInformationAdjustedRepricedLineItemRefNumber,
746
- ]
937
+
938
+ class ClaimInformationServiceLineServiceLineReferenceInformation(TypedDict, total=False):
939
+ adjusted_repriced_line_item_reference_number: Annotated[
940
+ str, PropertyInfo(alias="adjustedRepricedLineItemReferenceNumber")
941
+ ]
942
+
943
+ clinical_laboratory_improvement_amendment_number: Annotated[
944
+ str, PropertyInfo(alias="clinicalLaboratoryImprovementAmendmentNumber")
945
+ ]
946
+
947
+ immunization_batch_number: Annotated[str, PropertyInfo(alias="immunizationBatchNumber")]
948
+
949
+ mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
950
+
951
+ prior_authorization: Annotated[
952
+ Iterable[ClaimInformationServiceLineServiceLineReferenceInformationPriorAuthorization],
953
+ PropertyInfo(alias="priorAuthorization"),
954
+ ]
955
+
956
+ referral_number: Annotated[List[str], PropertyInfo(alias="referralNumber")]
957
+
958
+ referring_clia_number: Annotated[str, PropertyInfo(alias="referringCliaNumber")]
959
+
960
+ repriced_line_item_reference_number: Annotated[str, PropertyInfo(alias="repricedLineItemReferenceNumber")]
747
961
 
748
962
 
749
963
  class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, total=False):
@@ -789,7 +1003,7 @@ class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, t
789
1003
  "LA",
790
1004
  "M1",
791
1005
  "MT",
792
- "NN",
1006
+ "NM",
793
1007
  "OB",
794
1008
  "OC",
795
1009
  "OD",
@@ -823,94 +1037,284 @@ class ClaimInformationServiceLineServiceLineSupplementalInformation(TypedDict, t
823
1037
  attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
824
1038
 
825
1039
 
1040
+ class ClaimInformationServiceLineSupervisingProviderAddress(TypedDict, total=False):
1041
+ address1: Required[str]
1042
+
1043
+ city: Required[str]
1044
+
1045
+ address2: str
1046
+
1047
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
1048
+
1049
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
1050
+
1051
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
1052
+
1053
+ state: str
1054
+
1055
+
1056
+ class ClaimInformationServiceLineSupervisingProviderContactInformation(TypedDict, total=False):
1057
+ email: str
1058
+
1059
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1060
+
1061
+ name: str
1062
+
1063
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1064
+
1065
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1066
+
1067
+
1068
+ class ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier(TypedDict, total=False):
1069
+ identifier: Required[str]
1070
+
1071
+ qualifier: Required[str]
1072
+
1073
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1074
+
1075
+
1076
+ class ClaimInformationServiceLineSupervisingProvider(TypedDict, total=False):
1077
+ provider_type: Required[Annotated[str, PropertyInfo(alias="providerType")]]
1078
+
1079
+ address: ClaimInformationServiceLineSupervisingProviderAddress
1080
+
1081
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
1082
+
1083
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
1084
+
1085
+ contact_information: Annotated[
1086
+ ClaimInformationServiceLineSupervisingProviderContactInformation, PropertyInfo(alias="contactInformation")
1087
+ ]
1088
+
1089
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
1090
+
1091
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
1092
+
1093
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
1094
+
1095
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
1096
+
1097
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
1098
+
1099
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1100
+
1101
+ naic: str
1102
+
1103
+ npi: str
1104
+
1105
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1106
+
1107
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1108
+
1109
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
1110
+
1111
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
1112
+
1113
+ secondary_identifier: Annotated[
1114
+ Iterable[ClaimInformationServiceLineSupervisingProviderSecondaryIdentifier],
1115
+ PropertyInfo(alias="secondaryIdentifier"),
1116
+ ]
1117
+
1118
+ ssn: str
1119
+
1120
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
1121
+
1122
+ suffix: str
1123
+
1124
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
1125
+
1126
+
1127
+ class ClaimInformationServiceLineTestResult(TypedDict, total=False):
1128
+ measurement_qualifier: Required[
1129
+ Annotated[Literal["HT", "R1", "R2", "R3", "R4"], PropertyInfo(alias="measurementQualifier")]
1130
+ ]
1131
+
1132
+ measurement_reference_identification_code: Required[
1133
+ Annotated[Literal["OG", "TR"], PropertyInfo(alias="measurementReferenceIdentificationCode")]
1134
+ ]
1135
+
1136
+ test_results: Required[Annotated[str, PropertyInfo(alias="testResults")]]
1137
+
1138
+
826
1139
  class ClaimInformationServiceLine(TypedDict, total=False):
827
- institutional_service: Required[
828
- Annotated[ClaimInformationServiceLineInstitutionalService, PropertyInfo(alias="institutionalService")]
1140
+ professional_service: Required[
1141
+ Annotated[ClaimInformationServiceLineProfessionalService, PropertyInfo(alias="professionalService")]
829
1142
  ]
830
1143
 
831
- adjusted_repriced_line_item_reference_number: Annotated[
832
- str, PropertyInfo(alias="adjustedRepricedLineItemReferenceNumber")
1144
+ service_date: Required[Annotated[str, PropertyInfo(alias="serviceDate")]]
1145
+
1146
+ additional_notes: Annotated[str, PropertyInfo(alias="additionalNotes")]
1147
+
1148
+ ambulance_certification: Annotated[
1149
+ Iterable[ClaimInformationServiceLineAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
1150
+ ]
1151
+
1152
+ ambulance_drop_off_location: Annotated[
1153
+ ClaimInformationServiceLineAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
1154
+ ]
1155
+
1156
+ ambulance_patient_count: Annotated[float, PropertyInfo(alias="ambulancePatientCount")]
1157
+
1158
+ ambulance_pick_up_location: Annotated[
1159
+ ClaimInformationServiceLineAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
1160
+ ]
1161
+
1162
+ ambulance_transport_information: Annotated[
1163
+ ClaimInformationServiceLineAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
833
1164
  ]
834
1165
 
835
1166
  assigned_number: Annotated[str, PropertyInfo(alias="assignedNumber")]
836
1167
 
837
- description: str
1168
+ condition_indicator_durable_medical_equipment: Annotated[
1169
+ ClaimInformationServiceLineConditionIndicatorDurableMedicalEquipment,
1170
+ PropertyInfo(alias="conditionIndicatorDurableMedicalEquipment"),
1171
+ ]
1172
+
1173
+ contract_information: Annotated[
1174
+ ClaimInformationServiceLineContractInformation, PropertyInfo(alias="contractInformation")
1175
+ ]
838
1176
 
839
1177
  drug_identification: Annotated[
840
1178
  ClaimInformationServiceLineDrugIdentification, PropertyInfo(alias="drugIdentification")
841
1179
  ]
842
1180
 
843
- facility_tax_amount: Annotated[str, PropertyInfo(alias="facilityTaxAmount")]
1181
+ durable_medical_equipment_certificate_of_medical_necessity: Annotated[
1182
+ ClaimInformationServiceLineDurableMedicalEquipmentCertificateOfMedicalNecessity,
1183
+ PropertyInfo(alias="durableMedicalEquipmentCertificateOfMedicalNecessity"),
1184
+ ]
1185
+
1186
+ durable_medical_equipment_certification: Annotated[
1187
+ ClaimInformationServiceLineDurableMedicalEquipmentCertification,
1188
+ PropertyInfo(alias="durableMedicalEquipmentCertification"),
1189
+ ]
1190
+
1191
+ durable_medical_equipment_service: Annotated[
1192
+ ClaimInformationServiceLineDurableMedicalEquipmentService, PropertyInfo(alias="durableMedicalEquipmentService")
1193
+ ]
1194
+
1195
+ file_information: Annotated[List[str], PropertyInfo(alias="fileInformation")]
1196
+
1197
+ form_identification: Annotated[
1198
+ Iterable[ClaimInformationServiceLineFormIdentification], PropertyInfo(alias="formIdentification")
1199
+ ]
1200
+
1201
+ goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
1202
+
1203
+ hospice_employee_indicator: Annotated[bool, PropertyInfo(alias="hospiceEmployeeIndicator")]
844
1204
 
845
1205
  line_adjudication_information: Annotated[
846
1206
  Iterable[ClaimInformationServiceLineLineAdjudicationInformation],
847
1207
  PropertyInfo(alias="lineAdjudicationInformation"),
848
1208
  ]
849
1209
 
850
- line_adjustment_information: Annotated[
851
- ClaimInformationServiceLineLineAdjustmentInformation, PropertyInfo(alias="lineAdjustmentInformation")
1210
+ line_pricing_repricing_information: Annotated[
1211
+ ClaimInformationServiceLineLinePricingRepricingInformation,
1212
+ PropertyInfo(alias="linePricingRepricingInformation"),
1213
+ ]
1214
+
1215
+ obstetric_anesthesia_additional_units: Annotated[float, PropertyInfo(alias="obstetricAnesthesiaAdditionalUnits")]
1216
+
1217
+ ordering_provider: Annotated[ClaimInformationServiceLineOrderingProvider, PropertyInfo(alias="orderingProvider")]
1218
+
1219
+ postage_tax_amount: Annotated[str, PropertyInfo(alias="postageTaxAmount")]
1220
+
1221
+ purchased_service_information: Annotated[
1222
+ ClaimInformationServiceLinePurchasedServiceInformation, PropertyInfo(alias="purchasedServiceInformation")
1223
+ ]
1224
+
1225
+ purchased_service_provider: Annotated[
1226
+ ClaimInformationServiceLinePurchasedServiceProvider, PropertyInfo(alias="purchasedServiceProvider")
1227
+ ]
1228
+
1229
+ referring_provider: Annotated[ClaimInformationServiceLineReferringProvider, PropertyInfo(alias="referringProvider")]
1230
+
1231
+ rendering_provider: Annotated[ClaimInformationServiceLineRenderingProvider, PropertyInfo(alias="renderingProvider")]
1232
+
1233
+ sales_tax_amount: Annotated[str, PropertyInfo(alias="salesTaxAmount")]
1234
+
1235
+ service_date_end: Annotated[str, PropertyInfo(alias="serviceDateEnd")]
1236
+
1237
+ service_facility_location: Annotated[
1238
+ ClaimInformationServiceLineServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
1239
+ ]
1240
+
1241
+ service_line_date_information: Annotated[
1242
+ ClaimInformationServiceLineServiceLineDateInformation, PropertyInfo(alias="serviceLineDateInformation")
1243
+ ]
1244
+
1245
+ service_line_reference_information: Annotated[
1246
+ ClaimInformationServiceLineServiceLineReferenceInformation,
1247
+ PropertyInfo(alias="serviceLineReferenceInformation"),
1248
+ ]
1249
+
1250
+ service_line_supplemental_information: Annotated[
1251
+ Iterable[ClaimInformationServiceLineServiceLineSupplementalInformation],
1252
+ PropertyInfo(alias="serviceLineSupplementalInformation"),
1253
+ ]
1254
+
1255
+ supervising_provider: Annotated[
1256
+ ClaimInformationServiceLineSupervisingProvider, PropertyInfo(alias="supervisingProvider")
1257
+ ]
1258
+
1259
+ test_results: Annotated[Iterable[ClaimInformationServiceLineTestResult], PropertyInfo(alias="testResults")]
1260
+
1261
+ third_party_organization_notes: Annotated[str, PropertyInfo(alias="thirdPartyOrganizationNotes")]
1262
+
1263
+
1264
+ class ClaimInformationAmbulanceCertification(TypedDict, total=False):
1265
+ certification_condition_indicator: Required[
1266
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1267
+ ]
1268
+
1269
+ condition_codes: Required[
1270
+ Annotated[List[Literal["01", "04", "05", "06", "07", "08", "09", "12"]], PropertyInfo(alias="conditionCodes")]
852
1271
  ]
853
1272
 
854
- line_note_text: Annotated[str, PropertyInfo(alias="lineNoteText")]
855
1273
 
856
- line_pricing_information: Annotated[
857
- ClaimInformationServiceLineLinePricingInformation, PropertyInfo(alias="linePricingInformation")
858
- ]
1274
+ class ClaimInformationAmbulanceDropOffLocation(TypedDict, total=False):
1275
+ address1: Required[str]
1276
+
1277
+ city: Required[str]
1278
+
1279
+ address2: str
1280
+
1281
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
859
1282
 
860
- line_repricing_information: Annotated[
861
- ClaimInformationServiceLineLineRepricingInformation, PropertyInfo(alias="lineRepricingInformation")
862
- ]
1283
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
863
1284
 
864
- line_supplement_information: Annotated[
865
- ClaimInformationServiceLineLineSupplementInformation, PropertyInfo(alias="lineSupplementInformation")
866
- ]
1285
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
867
1286
 
868
- operating_physician: Annotated[
869
- ClaimInformationServiceLineOperatingPhysician, PropertyInfo(alias="operatingPhysician")
870
- ]
1287
+ state: str
871
1288
 
872
- other_operating_physician: Annotated[
873
- ClaimInformationServiceLineOtherOperatingPhysician, PropertyInfo(alias="otherOperatingPhysician")
874
- ]
875
1289
 
876
- referring_provider: Annotated[ClaimInformationServiceLineReferringProvider, PropertyInfo(alias="referringProvider")]
1290
+ class ClaimInformationAmbulancePickUpLocation(TypedDict, total=False):
1291
+ address1: Required[str]
877
1292
 
878
- rendering_provider: Annotated[ClaimInformationServiceLineRenderingProvider, PropertyInfo(alias="renderingProvider")]
1293
+ city: Required[str]
879
1294
 
880
- repriced_line_item_reference_number: Annotated[str, PropertyInfo(alias="repricedLineItemReferenceNumber")]
1295
+ address2: str
881
1296
 
882
- service_date: Annotated[str, PropertyInfo(alias="serviceDate")]
1297
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
883
1298
 
884
- service_date_end: Annotated[str, PropertyInfo(alias="serviceDateEnd")]
1299
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
885
1300
 
886
- service_line_date_information: Annotated[
887
- ClaimInformationServiceLineServiceLineDateInformation, PropertyInfo(alias="serviceLineDateInformation")
888
- ]
1301
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
889
1302
 
890
- service_line_reference_information: Annotated[
891
- ClaimInformationServiceLineServiceLineReferenceInformation,
892
- PropertyInfo(alias="serviceLineReferenceInformation"),
893
- ]
1303
+ state: str
894
1304
 
895
- service_line_supplemental_information: Annotated[
896
- ClaimInformationServiceLineServiceLineSupplementalInformation,
897
- PropertyInfo(alias="serviceLineSupplementalInformation"),
898
- ]
899
1305
 
900
- service_line_supplemental_informations: Annotated[
901
- Iterable[ClaimInformationServiceLineServiceLineSupplementalInformation],
902
- PropertyInfo(alias="serviceLineSupplementalInformations"),
1306
+ class ClaimInformationAmbulanceTransportInformation(TypedDict, total=False):
1307
+ ambulance_transport_reason_code: Required[
1308
+ Annotated[Literal["A", "B", "C", "D", "E"], PropertyInfo(alias="ambulanceTransportReasonCode")]
903
1309
  ]
904
1310
 
905
- service_tax_amount: Annotated[str, PropertyInfo(alias="serviceTaxAmount")]
906
-
907
- third_party_organization_notes: Annotated[str, PropertyInfo(alias="thirdPartyOrganizationNotes")]
1311
+ transport_distance_in_miles: Required[Annotated[str, PropertyInfo(alias="transportDistanceInMiles")]]
908
1312
 
1313
+ patient_weight_in_pounds: Annotated[str, PropertyInfo(alias="patientWeightInPounds")]
909
1314
 
910
- class ClaimInformationAdmittingDiagnosis(TypedDict, total=False):
911
- admitting_diagnosis_code: Required[Annotated[str, PropertyInfo(alias="admittingDiagnosisCode")]]
1315
+ round_trip_purpose_description: Annotated[str, PropertyInfo(alias="roundTripPurposeDescription")]
912
1316
 
913
- qualifier_code: Required[Annotated[Literal["ABJ", "BJ"], PropertyInfo(alias="qualifierCode")]]
1317
+ stretcher_purpose_description: Annotated[str, PropertyInfo(alias="stretcherPurposeDescription")]
914
1318
 
915
1319
 
916
1320
  class ClaimInformationClaimContractInformation(TypedDict, total=False):
@@ -929,41 +1333,57 @@ class ClaimInformationClaimContractInformation(TypedDict, total=False):
929
1333
  terms_discount_percentage: Annotated[str, PropertyInfo(alias="termsDiscountPercentage")]
930
1334
 
931
1335
 
932
- class ClaimInformationClaimNotes(TypedDict, total=False):
933
- additional_information: Annotated[List[str], PropertyInfo(alias="additionalInformation")]
1336
+ class ClaimInformationClaimDateInformation(TypedDict, total=False):
1337
+ accident_date: Annotated[str, PropertyInfo(alias="accidentDate")]
934
1338
 
935
- allergies: List[str]
1339
+ acute_manifestation_date: Annotated[str, PropertyInfo(alias="acuteManifestationDate")]
936
1340
 
937
- diagnosis_description: Annotated[List[str], PropertyInfo(alias="diagnosisDescription")]
1341
+ admission_date: Annotated[str, PropertyInfo(alias="admissionDate")]
938
1342
 
939
- dme: List[str]
1343
+ assumed_and_relinquished_care_begin_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareBeginDate")]
940
1344
 
941
- functional_limits_or_reason_homebound: Annotated[List[str], PropertyInfo(alias="functionalLimitsOrReasonHomebound")]
1345
+ assumed_and_relinquished_care_end_date: Annotated[str, PropertyInfo(alias="assumedAndRelinquishedCareEndDate")]
942
1346
 
943
- goal_rehab_or_discharge_plans: Annotated[List[str], PropertyInfo(alias="goalRehabOrDischargePlans")]
1347
+ authorized_return_to_work_date: Annotated[str, PropertyInfo(alias="authorizedReturnToWorkDate")]
944
1348
 
945
- medications: List[str]
1349
+ disability_begin_date: Annotated[str, PropertyInfo(alias="disabilityBeginDate")]
946
1350
 
947
- nutritional_requirments: Annotated[List[str], PropertyInfo(alias="nutritionalRequirments")]
1351
+ disability_end_date: Annotated[str, PropertyInfo(alias="disabilityEndDate")]
948
1352
 
949
- orders_for_discip_lines_and_treatments: Annotated[
950
- List[str], PropertyInfo(alias="ordersForDiscipLinesAndTreatments")
951
- ]
1353
+ discharge_date: Annotated[str, PropertyInfo(alias="dischargeDate")]
1354
+
1355
+ first_contact_date: Annotated[str, PropertyInfo(alias="firstContactDate")]
1356
+
1357
+ hearing_and_vision_prescription_date: Annotated[str, PropertyInfo(alias="hearingAndVisionPrescriptionDate")]
1358
+
1359
+ initial_treatment_date: Annotated[str, PropertyInfo(alias="initialTreatmentDate")]
1360
+
1361
+ last_menstrual_period_date: Annotated[str, PropertyInfo(alias="lastMenstrualPeriodDate")]
952
1362
 
953
- reasons_patient_leaves_home: Annotated[List[str], PropertyInfo(alias="reasonsPatientLeavesHome")]
1363
+ last_seen_date: Annotated[str, PropertyInfo(alias="lastSeenDate")]
954
1364
 
955
- safety_measures: Annotated[List[str], PropertyInfo(alias="safetyMeasures")]
1365
+ last_worked_date: Annotated[str, PropertyInfo(alias="lastWorkedDate")]
956
1366
 
957
- supplemental_plan_of_treatment: Annotated[List[str], PropertyInfo(alias="supplementalPlanOfTreatment")]
1367
+ last_x_ray_date: Annotated[str, PropertyInfo(alias="lastXRayDate")]
958
1368
 
959
- times_and_reasons_patient_not_at_home: Annotated[List[str], PropertyInfo(alias="timesAndReasonsPatientNotAtHome")]
1369
+ repricer_received_date: Annotated[str, PropertyInfo(alias="repricerReceivedDate")]
1370
+
1371
+ symptom_date: Annotated[str, PropertyInfo(alias="symptomDate")]
1372
+
1373
+
1374
+ class ClaimInformationClaimNote(TypedDict, total=False):
1375
+ additional_information: Annotated[str, PropertyInfo(alias="additionalInformation")]
960
1376
 
961
- unusual_home_or_social_env: Annotated[List[str], PropertyInfo(alias="unusualHomeOrSocialEnv")]
1377
+ certification_narrative: Annotated[str, PropertyInfo(alias="certificationNarrative")]
962
1378
 
963
- updated_information: Annotated[List[str], PropertyInfo(alias="updatedInformation")]
1379
+ diagnosis_description: Annotated[str, PropertyInfo(alias="diagnosisDescription")]
964
1380
 
1381
+ goal_rehab_or_discharge_plans: Annotated[str, PropertyInfo(alias="goalRehabOrDischargePlans")]
965
1382
 
966
- class ClaimInformationClaimPricingInformation(TypedDict, total=False):
1383
+ third_part_org_notes: Annotated[str, PropertyInfo(alias="thirdPartOrgNotes")]
1384
+
1385
+
1386
+ class ClaimInformationClaimPricingRepricingInformation(TypedDict, total=False):
967
1387
  pricing_methodology_code: Required[
968
1388
  Annotated[
969
1389
  Literal["00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14"],
@@ -977,36 +1397,24 @@ class ClaimInformationClaimPricingInformation(TypedDict, total=False):
977
1397
 
978
1398
  policy_compliance_code: Annotated[Literal["1", "2", "3", "4", "5"], PropertyInfo(alias="policyComplianceCode")]
979
1399
 
980
- product_or_service_id_qualifier: Annotated[
981
- Literal["ER", "HC", "HP", "IV", "WK"], PropertyInfo(alias="productOrServiceIDQualifier")
982
- ]
983
-
984
1400
  reject_reason_code: Annotated[Literal["T1", "T2", "T3", "T4", "T5", "T6"], PropertyInfo(alias="rejectReasonCode")]
985
1401
 
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")
1402
+ repriced_approved_ambulatory_patient_group_amount: Annotated[
1403
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupAmount")
996
1404
  ]
997
1405
 
998
- repriced_approved_service_unit_count: Annotated[str, PropertyInfo(alias="repricedApprovedServiceUnitCount")]
1406
+ repriced_approved_ambulatory_patient_group_code: Annotated[
1407
+ str, PropertyInfo(alias="repricedApprovedAmbulatoryPatientGroupCode")
1408
+ ]
999
1409
 
1000
- repriced_org_identifier: Annotated[str, PropertyInfo(alias="repricedOrgIdentifier")]
1410
+ repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
1001
1411
 
1002
- repriced_per_diem: Annotated[str, PropertyInfo(alias="repricedPerDiem")]
1412
+ repricing_organization_identifier: Annotated[str, PropertyInfo(alias="repricingOrganizationIdentifier")]
1003
1413
 
1004
- repriced_saving_amount: Annotated[str, PropertyInfo(alias="repricedSavingAmount")]
1414
+ repricing_per_diem_or_flat_rate_amount: Annotated[str, PropertyInfo(alias="repricingPerDiemOrFlatRateAmount")]
1005
1415
 
1006
1416
 
1007
1417
  class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, total=False):
1008
- attachment_control_number: Required[Annotated[str, PropertyInfo(alias="attachmentControlNumber")]]
1009
-
1010
1418
  attachment_report_type_code: Required[
1011
1419
  Annotated[
1012
1420
  Literal[
@@ -1049,7 +1457,7 @@ class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, t
1049
1457
  "LA",
1050
1458
  "M1",
1051
1459
  "MT",
1052
- "NN",
1460
+ "NM",
1053
1461
  "OB",
1054
1462
  "OC",
1055
1463
  "OD",
@@ -1080,23 +1488,29 @@ class ClaimInformationClaimSupplementalInformationReportInformation(TypedDict, t
1080
1488
  Annotated[Literal["AA", "BM", "EL", "EM", "FT", "FX"], PropertyInfo(alias="attachmentTransmissionCode")]
1081
1489
  ]
1082
1490
 
1491
+ attachment_control_number: Annotated[str, PropertyInfo(alias="attachmentControlNumber")]
1492
+
1083
1493
 
1084
1494
  class ClaimInformationClaimSupplementalInformation(TypedDict, total=False):
1085
- adjusted_repriced_claim_ref_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimRefNumber")]
1495
+ adjusted_repriced_claim_number: Annotated[str, PropertyInfo(alias="adjustedRepricedClaimNumber")]
1086
1496
 
1087
- auto_accident_state: Annotated[str, PropertyInfo(alias="autoAccidentState")]
1497
+ care_plan_oversight_number: Annotated[str, PropertyInfo(alias="carePlanOversightNumber")]
1088
1498
 
1089
1499
  claim_control_number: Annotated[str, PropertyInfo(alias="claimControlNumber")]
1090
1500
 
1091
1501
  claim_number: Annotated[str, PropertyInfo(alias="claimNumber")]
1092
1502
 
1503
+ clia_number: Annotated[str, PropertyInfo(alias="cliaNumber")]
1504
+
1093
1505
  demo_project_identifier: Annotated[str, PropertyInfo(alias="demoProjectIdentifier")]
1094
1506
 
1095
1507
  investigational_device_exemption_number: Annotated[str, PropertyInfo(alias="investigationalDeviceExemptionNumber")]
1096
1508
 
1509
+ mammography_certification_number: Annotated[str, PropertyInfo(alias="mammographyCertificationNumber")]
1510
+
1097
1511
  medical_record_number: Annotated[str, PropertyInfo(alias="medicalRecordNumber")]
1098
1512
 
1099
- peer_review_authorization_number: Annotated[str, PropertyInfo(alias="peerReviewAuthorizationNumber")]
1513
+ medicare_crossover_reference_id: Annotated[str, PropertyInfo(alias="medicareCrossoverReferenceId")]
1100
1514
 
1101
1515
  prior_authorization_number: Annotated[str, PropertyInfo(alias="priorAuthorizationNumber")]
1102
1516
 
@@ -1118,12 +1532,8 @@ class ClaimInformationClaimSupplementalInformation(TypedDict, total=False):
1118
1532
  ]
1119
1533
 
1120
1534
 
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")]]
1535
+ class ClaimInformationConditionInformation(TypedDict, total=False):
1536
+ condition_codes: Required[Annotated[List[str], PropertyInfo(alias="conditionCodes")]]
1127
1537
 
1128
1538
 
1129
1539
  class ClaimInformationEpsdtReferral(TypedDict, total=False):
@@ -1134,48 +1544,6 @@ class ClaimInformationEpsdtReferral(TypedDict, total=False):
1134
1544
  condition_codes: Required[Annotated[List[Literal["AV", "NU", "S2", "ST"]], PropertyInfo(alias="conditionCodes")]]
1135
1545
 
1136
1546
 
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
1547
  class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress(TypedDict, total=False):
1180
1548
  address1: Required[str]
1181
1549
 
@@ -1197,6 +1565,8 @@ class ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerSecondar
1197
1565
 
1198
1566
  qualifier: Required[str]
1199
1567
 
1568
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1569
+
1200
1570
 
1201
1571
  class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=False):
1202
1572
  other_payer_identifier: Required[Annotated[str, PropertyInfo(alias="otherPayerIdentifier")]]
@@ -1207,8 +1577,6 @@ class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=
1207
1577
 
1208
1578
  other_payer_organization_name: Required[Annotated[str, PropertyInfo(alias="otherPayerOrganizationName")]]
1209
1579
 
1210
- other_insured_additional_identifier: Annotated[str, PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1211
-
1212
1580
  other_payer_address: Annotated[
1213
1581
  ClaimInformationOtherSubscriberInformationOtherPayerNameOtherPayerAddress,
1214
1582
  PropertyInfo(alias="otherPayerAddress"),
@@ -1232,7 +1600,7 @@ class ClaimInformationOtherSubscriberInformationOtherPayerName(TypedDict, total=
1232
1600
  ]
1233
1601
 
1234
1602
 
1235
- class ClaimInformationOtherSubscriberInformationOtherSubscriberNameAddress(TypedDict, total=False):
1603
+ class ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress(TypedDict, total=False):
1236
1604
  address1: Required[str]
1237
1605
 
1238
1606
  city: Required[str]
@@ -1259,20 +1627,21 @@ class ClaimInformationOtherSubscriberInformationOtherSubscriberName(TypedDict, t
1259
1627
 
1260
1628
  other_insured_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="otherInsuredQualifier")]]
1261
1629
 
1262
- address: ClaimInformationOtherSubscriberInformationOtherSubscriberNameAddress
1263
-
1264
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
1630
+ other_insured_additional_identifier: Annotated[str, PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1265
1631
 
1266
- other_insured_additional_identifier: Annotated[List[str], PropertyInfo(alias="otherInsuredAdditionalIdentifier")]
1632
+ other_insured_address: Annotated[
1633
+ ClaimInformationOtherSubscriberInformationOtherSubscriberNameOtherInsuredAddress,
1634
+ PropertyInfo(alias="otherInsuredAddress"),
1635
+ ]
1267
1636
 
1268
1637
  other_insured_first_name: Annotated[str, PropertyInfo(alias="otherInsuredFirstName")]
1269
1638
 
1270
1639
  other_insured_middle_name: Annotated[str, PropertyInfo(alias="otherInsuredMiddleName")]
1271
1640
 
1272
- other_insured_suffix: Annotated[str, PropertyInfo(alias="otherInsuredSuffix")]
1641
+ other_insured_name_suffix: Annotated[str, PropertyInfo(alias="otherInsuredNameSuffix")]
1273
1642
 
1274
1643
 
1275
- class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustmentDetail(TypedDict, total=False):
1644
+ class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail(TypedDict, total=False):
1276
1645
  adjustment_amount: Required[Annotated[str, PropertyInfo(alias="adjustmentAmount")]]
1277
1646
 
1278
1647
  adjustment_reason_code: Required[Annotated[str, PropertyInfo(alias="adjustmentReasonCode")]]
@@ -1281,59 +1650,15 @@ class ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentClaimAdjustm
1281
1650
 
1282
1651
 
1283
1652
  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")
1653
+ adjustment_details: Required[
1654
+ Annotated[
1655
+ Iterable[ClaimInformationOtherSubscriberInformationClaimLevelAdjustmentAdjustmentDetail],
1656
+ PropertyInfo(alias="adjustmentDetails"),
1657
+ ]
1333
1658
  ]
1334
1659
 
1335
- pps_operating_hospital_specific_drg_amount: Annotated[
1336
- str, PropertyInfo(alias="ppsOperatingHospitalSpecificDrgAmount")
1660
+ adjustment_group_code: Required[
1661
+ Annotated[Literal["CO", "CR", "OA", "PI", "PR"], PropertyInfo(alias="adjustmentGroupCode")]
1337
1662
  ]
1338
1663
 
1339
1664
 
@@ -1351,25 +1676,6 @@ class ClaimInformationOtherSubscriberInformationMedicareOutpatientAdjudication(T
1351
1676
  reimbursement_rate: Annotated[str, PropertyInfo(alias="reimbursementRate")]
1352
1677
 
1353
1678
 
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
1679
  class ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPayerBillingProviderIdentifier(
1374
1680
  TypedDict, total=False
1375
1681
  ):
@@ -1377,8 +1683,12 @@ class ClaimInformationOtherSubscriberInformationOtherPayerBillingProviderOtherPa
1377
1683
 
1378
1684
  qualifier: Required[str]
1379
1685
 
1686
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1687
+
1380
1688
 
1381
1689
  class ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider(TypedDict, total=False):
1690
+ entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1691
+
1382
1692
  other_payer_billing_provider_identifier: Required[
1383
1693
  Annotated[
1384
1694
  Iterable[
@@ -1389,104 +1699,93 @@ class ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider(TypedD
1389
1699
  ]
1390
1700
 
1391
1701
 
1392
- class ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysicianOtherPayerOperatingPhysicianIdentifier(
1702
+ class ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier(
1393
1703
  TypedDict, total=False
1394
1704
  ):
1395
1705
  identifier: Required[str]
1396
1706
 
1397
1707
  qualifier: Required[str]
1398
1708
 
1709
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1710
+
1399
1711
 
1400
- class ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysician(TypedDict, total=False):
1401
- other_payer_operating_physician_identifier: Required[
1712
+ class ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider(TypedDict, total=False):
1713
+ other_payer_referring_provider_identifier: Required[
1402
1714
  Annotated[
1403
1715
  Iterable[
1404
- ClaimInformationOtherSubscriberInformationOtherPayerOperatingPhysicianOtherPayerOperatingPhysicianIdentifier
1716
+ ClaimInformationOtherSubscriberInformationOtherPayerReferringProviderOtherPayerReferringProviderIdentifier
1405
1717
  ],
1406
- PropertyInfo(alias="otherPayerOperatingPhysicianIdentifier"),
1718
+ PropertyInfo(alias="otherPayerReferringProviderIdentifier"),
1407
1719
  ]
1408
1720
  ]
1409
1721
 
1410
1722
 
1411
- class ClaimInformationOtherSubscriberInformationOtherPayerOtherOperatingPhysicianOtherPayerOtherOperatingPhysicianIdentifier(
1723
+ class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier(
1412
1724
  TypedDict, total=False
1413
1725
  ):
1414
1726
  identifier: Required[str]
1415
1727
 
1416
1728
  qualifier: Required[str]
1417
1729
 
1730
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1418
1731
 
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
1732
 
1733
+ class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider(TypedDict, total=False):
1734
+ entity_type_qualifier: Required[Annotated[Literal["1", "2"], PropertyInfo(alias="entityTypeQualifier")]]
1437
1735
 
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
- ]
1736
+ other_payer_rendering_provider_secondary_identifier: Annotated[
1737
+ Iterable[
1738
+ ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderSecondaryIdentifier
1739
+ ],
1740
+ PropertyInfo(alias="otherPayerRenderingProviderSecondaryIdentifier"),
1446
1741
  ]
1447
1742
 
1448
1743
 
1449
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderIdentifier(
1744
+ class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier(
1450
1745
  TypedDict, total=False
1451
1746
  ):
1452
1747
  identifier: Required[str]
1453
1748
 
1454
1749
  qualifier: Required[str]
1455
1750
 
1751
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1456
1752
 
1457
- class ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider(TypedDict, total=False):
1458
- other_payer_rendering_provider_identifier: Required[
1753
+
1754
+ class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation(TypedDict, total=False):
1755
+ other_payer_service_facility_location_secondary_identifier: Required[
1459
1756
  Annotated[
1460
1757
  Iterable[
1461
- ClaimInformationOtherSubscriberInformationOtherPayerRenderingProviderOtherPayerRenderingProviderIdentifier
1758
+ ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationSecondaryIdentifier
1462
1759
  ],
1463
- PropertyInfo(alias="otherPayerRenderingProviderIdentifier"),
1760
+ PropertyInfo(alias="otherPayerServiceFacilityLocationSecondaryIdentifier"),
1464
1761
  ]
1465
1762
  ]
1466
1763
 
1467
1764
 
1468
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationIdentifier(
1765
+ class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier(
1469
1766
  TypedDict, total=False
1470
1767
  ):
1471
1768
  identifier: Required[str]
1472
1769
 
1473
1770
  qualifier: Required[str]
1474
1771
 
1772
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1475
1773
 
1476
- class ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation(TypedDict, total=False):
1477
- other_payer_service_facility_location_identifier: Required[
1774
+
1775
+ class ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider(TypedDict, total=False):
1776
+ other_payer_supervising_provider_identifier: Required[
1478
1777
  Annotated[
1479
1778
  Iterable[
1480
- ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocationOtherPayerServiceFacilityLocationIdentifier
1779
+ ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProviderOtherPayerSupervisingProviderIdentifier
1481
1780
  ],
1482
- PropertyInfo(alias="otherPayerServiceFacilityLocationIdentifier"),
1781
+ PropertyInfo(alias="otherPayerSupervisingProviderIdentifier"),
1483
1782
  ]
1484
1783
  ]
1485
1784
 
1486
1785
 
1487
1786
  class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1488
1787
  benefits_assignment_certification_indicator: Required[
1489
- Annotated[Literal["N", "Y", "W"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1788
+ Annotated[Literal["N", "W", "Y"], PropertyInfo(alias="benefitsAssignmentCertificationIndicator")]
1490
1789
  ]
1491
1790
 
1492
1791
  claim_filing_indicator_code: Required[
@@ -1502,6 +1801,7 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1502
1801
  "AM",
1503
1802
  "BL",
1504
1803
  "CH",
1804
+ "CI",
1505
1805
  "DS",
1506
1806
  "FI",
1507
1807
  "HM",
@@ -1550,11 +1850,10 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1550
1850
  PropertyInfo(alias="claimLevelAdjustments"),
1551
1851
  ]
1552
1852
 
1553
- group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
1853
+ insurance_group_or_policy_number: Annotated[str, PropertyInfo(alias="insuranceGroupOrPolicyNumber")]
1554
1854
 
1555
- medicare_inpatient_adjudication: Annotated[
1556
- ClaimInformationOtherSubscriberInformationMedicareInpatientAdjudication,
1557
- PropertyInfo(alias="medicareInpatientAdjudication"),
1855
+ insurance_type_code: Annotated[
1856
+ Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
1558
1857
  ]
1559
1858
 
1560
1859
  medicare_outpatient_adjudication: Annotated[
@@ -1566,60 +1865,48 @@ class ClaimInformationOtherSubscriberInformation(TypedDict, total=False):
1566
1865
 
1567
1866
  other_insured_group_name: Annotated[str, PropertyInfo(alias="otherInsuredGroupName")]
1568
1867
 
1569
- other_payer_attending_provider: Annotated[
1570
- ClaimInformationOtherSubscriberInformationOtherPayerAttendingProvider,
1571
- PropertyInfo(alias="otherPayerAttendingProvider"),
1572
- ]
1573
-
1574
1868
  other_payer_billing_provider: Annotated[
1575
- ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider,
1869
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerBillingProvider],
1576
1870
  PropertyInfo(alias="otherPayerBillingProvider"),
1577
1871
  ]
1578
1872
 
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
1873
  other_payer_referring_provider: Annotated[
1590
- ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider,
1874
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerReferringProvider],
1591
1875
  PropertyInfo(alias="otherPayerReferringProvider"),
1592
1876
  ]
1593
1877
 
1594
1878
  other_payer_rendering_provider: Annotated[
1595
- ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider,
1879
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerRenderingProvider],
1596
1880
  PropertyInfo(alias="otherPayerRenderingProvider"),
1597
1881
  ]
1598
1882
 
1599
1883
  other_payer_service_facility_location: Annotated[
1600
- ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation,
1884
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerServiceFacilityLocation],
1601
1885
  PropertyInfo(alias="otherPayerServiceFacilityLocation"),
1602
1886
  ]
1603
1887
 
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")]
1888
+ other_payer_supervising_provider: Annotated[
1889
+ Iterable[ClaimInformationOtherSubscriberInformationOtherPayerSupervisingProvider],
1890
+ PropertyInfo(alias="otherPayerSupervisingProvider"),
1891
+ ]
1609
1892
 
1893
+ patient_signature_generated_for_patient: Annotated[bool, PropertyInfo(alias="patientSignatureGeneratedForPatient")]
1610
1894
 
1611
- class ClaimInformationPatientReasonForVisit(TypedDict, total=False):
1612
- patient_reason_for_visit_code: Required[Annotated[str, PropertyInfo(alias="patientReasonForVisitCode")]]
1895
+ payer_paid_amount: Annotated[str, PropertyInfo(alias="payerPaidAmount")]
1613
1896
 
1614
- qualifier_code: Required[Annotated[Literal["APR", "PR"], PropertyInfo(alias="qualifierCode")]]
1897
+ remaining_patient_liability: Annotated[str, PropertyInfo(alias="remainingPatientLiability")]
1615
1898
 
1616
1899
 
1617
- class ClaimInformationPrincipalProcedureInformation(TypedDict, total=False):
1618
- principal_procedure_code: Required[Annotated[str, PropertyInfo(alias="principalProcedureCode")]]
1900
+ class ClaimInformationPatientConditionInformationVision(TypedDict, total=False):
1901
+ certification_condition_indicator: Required[
1902
+ Annotated[Literal["N", "Y"], PropertyInfo(alias="certificationConditionIndicator")]
1903
+ ]
1619
1904
 
1620
- qualifier_code: Required[Annotated[Literal["BBR", "BR", "CAH"], PropertyInfo(alias="qualifierCode")]]
1905
+ code_category: Required[Annotated[Literal["E1", "E2", "E3"], PropertyInfo(alias="codeCategory")]]
1621
1906
 
1622
- principal_procedure_date: Annotated[str, PropertyInfo(alias="principalProcedureDate")]
1907
+ condition_codes: Required[
1908
+ Annotated[List[Literal["L1", "L2", "L3", "L4", "L5"]], PropertyInfo(alias="conditionCodes")]
1909
+ ]
1623
1910
 
1624
1911
 
1625
1912
  class ClaimInformationServiceFacilityLocationAddress(TypedDict, total=False):
@@ -1638,24 +1925,40 @@ class ClaimInformationServiceFacilityLocationAddress(TypedDict, total=False):
1638
1925
  state: str
1639
1926
 
1640
1927
 
1928
+ class ClaimInformationServiceFacilityLocationSecondaryIdentifier(TypedDict, total=False):
1929
+ identifier: Required[str]
1930
+
1931
+ qualifier: Required[str]
1932
+
1933
+ other_identifier: Annotated[str, PropertyInfo(alias="otherIdentifier")]
1934
+
1935
+
1641
1936
  class ClaimInformationServiceFacilityLocation(TypedDict, total=False):
1642
1937
  address: Required[ClaimInformationServiceFacilityLocationAddress]
1643
1938
 
1644
1939
  organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
1645
1940
 
1646
- identification_code: Annotated[str, PropertyInfo(alias="identificationCode")]
1941
+ npi: str
1942
+
1943
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1944
+
1945
+ phone_name: Annotated[str, PropertyInfo(alias="phoneName")]
1946
+
1947
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1647
1948
 
1648
- secondary_identification_qualifier_code: Annotated[
1649
- Literal["0B", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
1949
+ secondary_identifier: Annotated[
1950
+ Iterable[ClaimInformationServiceFacilityLocationSecondaryIdentifier], PropertyInfo(alias="secondaryIdentifier")
1650
1951
  ]
1651
1952
 
1652
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
1653
1953
 
1954
+ class ClaimInformationSpinalManipulationServiceInformation(TypedDict, total=False):
1955
+ patient_condition_code: Required[Annotated[str, PropertyInfo(alias="patientConditionCode")]]
1654
1956
 
1655
- class ClaimInformationValueInformationList(TypedDict, total=False):
1656
- value_code: Required[Annotated[str, PropertyInfo(alias="valueCode")]]
1957
+ patient_condition_description1: Annotated[
1958
+ Literal["A", "C", "D", "E", "F", "G", "M"], PropertyInfo(alias="patientConditionDescription1")
1959
+ ]
1657
1960
 
1658
- value_code_amount: Required[Annotated[str, PropertyInfo(alias="valueCodeAmount")]]
1961
+ patient_condition_description2: Annotated[str, PropertyInfo(alias="patientConditionDescription2")]
1659
1962
 
1660
1963
 
1661
1964
  class ClaimInformation(TypedDict, total=False):
@@ -1665,14 +1968,6 @@ class ClaimInformation(TypedDict, total=False):
1665
1968
 
1666
1969
  claim_charge_amount: Required[Annotated[str, PropertyInfo(alias="claimChargeAmount")]]
1667
1970
 
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
1971
  claim_filing_code: Required[
1677
1972
  Annotated[
1678
1973
  Literal[
@@ -1704,116 +1999,173 @@ class ClaimInformation(TypedDict, total=False):
1704
1999
  ]
1705
2000
  ]
1706
2001
 
1707
- claim_frequency_code: Required[Annotated[str, PropertyInfo(alias="claimFrequencyCode")]]
1708
-
1709
- place_of_service_code: Required[Annotated[str, PropertyInfo(alias="placeOfServiceCode")]]
2002
+ claim_frequency_code: Required[Annotated[Literal["1", "7", "8"], PropertyInfo(alias="claimFrequencyCode")]]
1710
2003
 
1711
- plan_participation_code: Required[Annotated[Literal["A", "B", "C"], PropertyInfo(alias="planParticipationCode")]]
2004
+ health_care_code_information: Required[
2005
+ Annotated[Iterable[ClaimInformationHealthCareCodeInformation], PropertyInfo(alias="healthCareCodeInformation")]
2006
+ ]
1712
2007
 
1713
- principal_diagnosis: Required[
1714
- Annotated[ClaimInformationPrincipalDiagnosis, PropertyInfo(alias="principalDiagnosis")]
2008
+ place_of_service_code: Required[
2009
+ Annotated[
2010
+ Literal[
2011
+ "01",
2012
+ "02",
2013
+ "03",
2014
+ "04",
2015
+ "05",
2016
+ "06",
2017
+ "07",
2018
+ "08",
2019
+ "09",
2020
+ "10",
2021
+ "11",
2022
+ "12",
2023
+ "13",
2024
+ "14",
2025
+ "15",
2026
+ "16",
2027
+ "17",
2028
+ "18",
2029
+ "19",
2030
+ "20",
2031
+ "21",
2032
+ "22",
2033
+ "23",
2034
+ "24",
2035
+ "25",
2036
+ "26",
2037
+ "27",
2038
+ "31",
2039
+ "32",
2040
+ "33",
2041
+ "34",
2042
+ "41",
2043
+ "42",
2044
+ "49",
2045
+ "50",
2046
+ "51",
2047
+ "52",
2048
+ "53",
2049
+ "54",
2050
+ "55",
2051
+ "56",
2052
+ "57",
2053
+ "58",
2054
+ "60",
2055
+ "61",
2056
+ "62",
2057
+ "65",
2058
+ "66",
2059
+ "71",
2060
+ "72",
2061
+ "81",
2062
+ "99",
2063
+ ],
2064
+ PropertyInfo(alias="placeOfServiceCode"),
2065
+ ]
1715
2066
  ]
1716
2067
 
2068
+ plan_participation_code: Required[Annotated[Literal["A", "B", "C"], PropertyInfo(alias="planParticipationCode")]]
2069
+
1717
2070
  release_information_code: Required[Annotated[Literal["I", "Y"], PropertyInfo(alias="releaseInformationCode")]]
1718
2071
 
1719
2072
  service_lines: Required[Annotated[Iterable[ClaimInformationServiceLine], PropertyInfo(alias="serviceLines")]]
1720
2073
 
1721
- admitting_diagnosis: Annotated[ClaimInformationAdmittingDiagnosis, PropertyInfo(alias="admittingDiagnosis")]
2074
+ signature_indicator: Required[Annotated[Literal["N", "Y"], PropertyInfo(alias="signatureIndicator")]]
1722
2075
 
1723
- billing_note: Annotated[str, PropertyInfo(alias="billingNote")]
2076
+ ambulance_certification: Annotated[
2077
+ Iterable[ClaimInformationAmbulanceCertification], PropertyInfo(alias="ambulanceCertification")
2078
+ ]
1724
2079
 
1725
- claim_contract_information: Annotated[
1726
- ClaimInformationClaimContractInformation, PropertyInfo(alias="claimContractInformation")
2080
+ ambulance_drop_off_location: Annotated[
2081
+ ClaimInformationAmbulanceDropOffLocation, PropertyInfo(alias="ambulanceDropOffLocation")
1727
2082
  ]
1728
2083
 
1729
- claim_notes: Annotated[ClaimInformationClaimNotes, PropertyInfo(alias="claimNotes")]
2084
+ ambulance_pick_up_location: Annotated[
2085
+ ClaimInformationAmbulancePickUpLocation, PropertyInfo(alias="ambulancePickUpLocation")
2086
+ ]
1730
2087
 
1731
- claim_pricing_information: Annotated[
1732
- ClaimInformationClaimPricingInformation, PropertyInfo(alias="claimPricingInformation")
2088
+ ambulance_transport_information: Annotated[
2089
+ ClaimInformationAmbulanceTransportInformation, PropertyInfo(alias="ambulanceTransportInformation")
1733
2090
  ]
1734
2091
 
1735
- claim_supplemental_information: Annotated[
1736
- ClaimInformationClaimSupplementalInformation, PropertyInfo(alias="claimSupplementalInformation")
2092
+ anesthesia_related_surgical_procedure: Annotated[
2093
+ List[str], PropertyInfo(alias="anesthesiaRelatedSurgicalProcedure")
1737
2094
  ]
1738
2095
 
1739
- condition_codes: Annotated[List[Literal["AV", "NU", "S2", "ST"]], PropertyInfo(alias="conditionCodes")]
2096
+ auto_accident_country_code: Annotated[str, PropertyInfo(alias="autoAccidentCountryCode")]
1740
2097
 
1741
- condition_codes_list: Annotated[
1742
- Iterable[Iterable[ClaimInformationConditionCodesList]], PropertyInfo(alias="conditionCodesList")
1743
- ]
2098
+ auto_accident_state_code: Annotated[str, PropertyInfo(alias="autoAccidentStateCode")]
1744
2099
 
1745
- delay_reason_code: Annotated[
1746
- Literal["1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"], PropertyInfo(alias="delayReasonCode")
2100
+ claim_contract_information: Annotated[
2101
+ ClaimInformationClaimContractInformation, PropertyInfo(alias="claimContractInformation")
1747
2102
  ]
1748
2103
 
1749
- diagnosis_related_group_information: Annotated[
1750
- ClaimInformationDiagnosisRelatedGroupInformation, PropertyInfo(alias="diagnosisRelatedGroupInformation")
1751
- ]
2104
+ claim_date_information: Annotated[ClaimInformationClaimDateInformation, PropertyInfo(alias="claimDateInformation")]
1752
2105
 
1753
- epsdt_referral: Annotated[ClaimInformationEpsdtReferral, PropertyInfo(alias="epsdtReferral")]
2106
+ claim_note: Annotated[ClaimInformationClaimNote, PropertyInfo(alias="claimNote")]
1754
2107
 
1755
- external_cause_of_injuries: Annotated[
1756
- Iterable[ClaimInformationExternalCauseOfInjury], PropertyInfo(alias="externalCauseOfInjuries")
2108
+ claim_pricing_repricing_information: Annotated[
2109
+ ClaimInformationClaimPricingRepricingInformation, PropertyInfo(alias="claimPricingRepricingInformation")
1757
2110
  ]
1758
2111
 
1759
- file_information: Annotated[List[str], PropertyInfo(alias="fileInformation")]
1760
-
1761
- occurrence_information_list: Annotated[
1762
- Iterable[Iterable[ClaimInformationOccurrenceInformationList]], PropertyInfo(alias="occurrenceInformationList")
2112
+ claim_supplemental_information: Annotated[
2113
+ ClaimInformationClaimSupplementalInformation, PropertyInfo(alias="claimSupplementalInformation")
1763
2114
  ]
1764
2115
 
1765
- occurrence_span_informations: Annotated[
1766
- Iterable[Iterable[ClaimInformationOccurrenceSpanInformation]], PropertyInfo(alias="occurrenceSpanInformations")
2116
+ condition_information: Annotated[
2117
+ Iterable[ClaimInformationConditionInformation], PropertyInfo(alias="conditionInformation")
1767
2118
  ]
1768
2119
 
1769
- other_diagnosis_information_list: Annotated[
1770
- Iterable[Iterable[ClaimInformationOtherDiagnosisInformationList]],
1771
- PropertyInfo(alias="otherDiagnosisInformationList"),
2120
+ death_date: Annotated[str, PropertyInfo(alias="deathDate")]
2121
+
2122
+ delay_reason_code: Annotated[
2123
+ Literal["1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"], PropertyInfo(alias="delayReasonCode")
1772
2124
  ]
1773
2125
 
1774
- other_procedure_information_list: Annotated[
1775
- Iterable[Iterable[ClaimInformationOtherProcedureInformationList]],
1776
- PropertyInfo(alias="otherProcedureInformationList"),
1777
- ]
2126
+ epsdt_referral: Annotated[ClaimInformationEpsdtReferral, PropertyInfo(alias="epsdtReferral")]
2127
+
2128
+ file_information: Annotated[str, PropertyInfo(alias="fileInformation")]
2129
+
2130
+ file_information_list: Annotated[List[str], PropertyInfo(alias="fileInformationList")]
2131
+
2132
+ homebound_indicator: Annotated[bool, PropertyInfo(alias="homeboundIndicator")]
1778
2133
 
1779
2134
  other_subscriber_information: Annotated[
1780
- ClaimInformationOtherSubscriberInformation, PropertyInfo(alias="otherSubscriberInformation")
2135
+ Iterable[ClaimInformationOtherSubscriberInformation], PropertyInfo(alias="otherSubscriberInformation")
1781
2136
  ]
1782
2137
 
1783
2138
  patient_amount_paid: Annotated[str, PropertyInfo(alias="patientAmountPaid")]
1784
2139
 
1785
- patient_estimated_amount_due: Annotated[str, PropertyInfo(alias="patientEstimatedAmountDue")]
1786
-
1787
- patient_reason_for_visits: Annotated[
1788
- Iterable[ClaimInformationPatientReasonForVisit], PropertyInfo(alias="patientReasonForVisits")
2140
+ patient_condition_information_vision: Annotated[
2141
+ Iterable[ClaimInformationPatientConditionInformationVision],
2142
+ PropertyInfo(alias="patientConditionInformationVision"),
1789
2143
  ]
1790
2144
 
2145
+ patient_signature_source_code: Annotated[bool, PropertyInfo(alias="patientSignatureSourceCode")]
2146
+
1791
2147
  patient_weight: Annotated[str, PropertyInfo(alias="patientWeight")]
1792
2148
 
1793
- principal_procedure_information: Annotated[
1794
- ClaimInformationPrincipalProcedureInformation, PropertyInfo(alias="principalProcedureInformation")
1795
- ]
2149
+ pregnancy_indicator: Annotated[Literal["Y"], PropertyInfo(alias="pregnancyIndicator")]
1796
2150
 
1797
2151
  property_casualty_claim_number: Annotated[str, PropertyInfo(alias="propertyCasualtyClaimNumber")]
1798
2152
 
2153
+ related_causes_code: Annotated[List[Literal["AA", "EM", "OA"]], PropertyInfo(alias="relatedCausesCode")]
2154
+
1799
2155
  service_facility_location: Annotated[
1800
2156
  ClaimInformationServiceFacilityLocation, PropertyInfo(alias="serviceFacilityLocation")
1801
2157
  ]
1802
2158
 
1803
- signature_indicator: Annotated[str, PropertyInfo(alias="signatureIndicator")]
1804
-
1805
- treatment_code_information_list: Annotated[Iterable[List[str]], PropertyInfo(alias="treatmentCodeInformationList")]
2159
+ special_program_code: Annotated[Literal["02", "03", "05", "09"], PropertyInfo(alias="specialProgramCode")]
1806
2160
 
1807
- value_information_list: Annotated[
1808
- Iterable[Iterable[ClaimInformationValueInformationList]], PropertyInfo(alias="valueInformationList")
2161
+ spinal_manipulation_service_information: Annotated[
2162
+ ClaimInformationSpinalManipulationServiceInformation, PropertyInfo(alias="spinalManipulationServiceInformation")
1809
2163
  ]
1810
2164
 
1811
2165
 
1812
2166
  class Receiver(TypedDict, total=False):
1813
2167
  organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
1814
2168
 
1815
- tax_id: Annotated[str, PropertyInfo(alias="taxId")]
1816
-
1817
2169
 
1818
2170
  class SubmitterContactInformation(TypedDict, total=False):
1819
2171
  email: str
@@ -1822,17 +2174,23 @@ class SubmitterContactInformation(TypedDict, total=False):
1822
2174
 
1823
2175
  name: str
1824
2176
 
1825
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2177
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1826
2178
 
1827
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2179
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1828
2180
 
1829
2181
 
1830
2182
  class Submitter(TypedDict, total=False):
1831
2183
  contact_information: Required[Annotated[SubmitterContactInformation, PropertyInfo(alias="contactInformation")]]
1832
2184
 
1833
- organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2185
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
2186
+
2187
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2188
+
2189
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2190
+
2191
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1834
2192
 
1835
- tax_id: Required[Annotated[str, PropertyInfo(alias="taxId")]]
2193
+ submitter_identification: Annotated[str, PropertyInfo(alias="submitterIdentification")]
1836
2194
 
1837
2195
 
1838
2196
  class SubscriberAddress(TypedDict, total=False):
@@ -1851,40 +2209,58 @@ class SubscriberAddress(TypedDict, total=False):
1851
2209
  state: str
1852
2210
 
1853
2211
 
1854
- class Subscriber(TypedDict, total=False):
1855
- first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
2212
+ class SubscriberContactInformation(TypedDict, total=False):
2213
+ name: Required[str]
1856
2214
 
1857
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2215
+ email: str
1858
2216
 
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
- ]
2217
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2218
+
2219
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2220
+
2221
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1865
2222
 
2223
+
2224
+ class Subscriber(TypedDict, total=False):
1866
2225
  address: SubscriberAddress
1867
2226
 
2227
+ contact_information: Annotated[SubscriberContactInformation, PropertyInfo(alias="contactInformation")]
2228
+
1868
2229
  date_of_birth: Annotated[str, PropertyInfo(alias="dateOfBirth")]
1869
2230
 
2231
+ first_name: Annotated[str, PropertyInfo(alias="firstName")]
2232
+
1870
2233
  gender: Literal["M", "F", "U"]
1871
2234
 
1872
2235
  group_number: Annotated[str, PropertyInfo(alias="groupNumber")]
1873
2236
 
2237
+ insurance_type_code: Annotated[
2238
+ Literal["12", "13", "14", "15", "16", "41", "42", "43", "47"], PropertyInfo(alias="insuranceTypeCode")
2239
+ ]
2240
+
2241
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2242
+
1874
2243
  member_id: Annotated[str, PropertyInfo(alias="memberId")]
1875
2244
 
1876
2245
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1877
2246
 
2247
+ organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2248
+
2249
+ payment_responsibility_level_code: Annotated[
2250
+ Literal["A", "B", "C", "D", "E", "F", "G", "H", "P", "S", "T", "U"],
2251
+ PropertyInfo(alias="paymentResponsibilityLevelCode"),
2252
+ ]
2253
+
1878
2254
  policy_number: Annotated[str, PropertyInfo(alias="policyNumber")]
1879
2255
 
1880
2256
  ssn: str
1881
2257
 
1882
- standard_health_id: Annotated[str, PropertyInfo(alias="standardHealthId")]
2258
+ subscriber_group_name: Annotated[str, PropertyInfo(alias="subscriberGroupName")]
1883
2259
 
1884
2260
  suffix: str
1885
2261
 
1886
2262
 
1887
- class AttendingAddress(TypedDict, total=False):
2263
+ class DependentAddress(TypedDict, total=False):
1888
2264
  address1: Required[str]
1889
2265
 
1890
2266
  city: Required[str]
@@ -1900,49 +2276,47 @@ class AttendingAddress(TypedDict, total=False):
1900
2276
  state: str
1901
2277
 
1902
2278
 
1903
- class AttendingContactInformation(TypedDict, total=False):
2279
+ class DependentContactInformation(TypedDict, total=False):
1904
2280
  name: Required[str]
1905
2281
 
1906
2282
  email: str
1907
2283
 
1908
2284
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1909
2285
 
1910
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1911
-
1912
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2286
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1913
2287
 
2288
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1914
2289
 
1915
- class Attending(TypedDict, total=False):
1916
- address: AttendingAddress
1917
2290
 
1918
- contact_information: Annotated[AttendingContactInformation, PropertyInfo(alias="contactInformation")]
2291
+ class Dependent(TypedDict, total=False):
2292
+ date_of_birth: Required[Annotated[str, PropertyInfo(alias="dateOfBirth")]]
1919
2293
 
1920
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2294
+ first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
1921
2295
 
1922
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2296
+ gender: Required[Literal["M", "F", "U"]]
1923
2297
 
1924
- last_name: Annotated[str, PropertyInfo(alias="lastName")]
2298
+ last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
1925
2299
 
1926
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2300
+ relationship_to_subscriber_code: Required[
2301
+ Annotated[
2302
+ Literal["01", "19", "20", "21", "39", "40", "53", "G8"], PropertyInfo(alias="relationshipToSubscriberCode")
2303
+ ]
2304
+ ]
1927
2305
 
1928
- npi: str
2306
+ address: DependentAddress
1929
2307
 
1930
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2308
+ contact_information: Annotated[DependentContactInformation, PropertyInfo(alias="contactInformation")]
1931
2309
 
1932
- provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2310
+ member_id: Annotated[str, PropertyInfo(alias="memberId")]
1933
2311
 
1934
- secondary_identification_qualifier_code: Annotated[
1935
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
1936
- ]
2312
+ middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1937
2313
 
1938
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2314
+ ssn: str
1939
2315
 
1940
2316
  suffix: str
1941
2317
 
1942
- taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
1943
-
1944
2318
 
1945
- class BillingAddress(TypedDict, total=False):
2319
+ class OrderingAddress(TypedDict, total=False):
1946
2320
  address1: Required[str]
1947
2321
 
1948
2322
  city: Required[str]
@@ -1958,28 +2332,30 @@ class BillingAddress(TypedDict, total=False):
1958
2332
  state: str
1959
2333
 
1960
2334
 
1961
- class BillingContactInformation(TypedDict, total=False):
1962
- name: Required[str]
1963
-
2335
+ class OrderingContactInformation(TypedDict, total=False):
1964
2336
  email: str
1965
2337
 
1966
2338
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
1967
2339
 
1968
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2340
+ name: str
1969
2341
 
1970
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2342
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
1971
2343
 
2344
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
1972
2345
 
1973
- class Billing(TypedDict, total=False):
1974
- address: Required[BillingAddress]
1975
2346
 
1976
- employer_id: Required[Annotated[str, PropertyInfo(alias="employerId")]]
2347
+ class Ordering(TypedDict, total=False):
2348
+ address: OrderingAddress
1977
2349
 
1978
- npi: Required[str]
2350
+ claim_office_number: Annotated[str, PropertyInfo(alias="claimOfficeNumber")]
1979
2351
 
1980
2352
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
1981
2353
 
1982
- contact_information: Annotated[BillingContactInformation, PropertyInfo(alias="contactInformation")]
2354
+ contact_information: Annotated[OrderingContactInformation, PropertyInfo(alias="contactInformation")]
2355
+
2356
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2357
+
2358
+ employer_identification_number: Annotated[str, PropertyInfo(alias="employerIdentificationNumber")]
1983
2359
 
1984
2360
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
1985
2361
 
@@ -1989,17 +2365,19 @@ class Billing(TypedDict, total=False):
1989
2365
 
1990
2366
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
1991
2367
 
2368
+ naic: str
2369
+
2370
+ npi: str
2371
+
1992
2372
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
1993
2373
 
1994
- provider_type: Annotated[Literal["BillingProvider"], PropertyInfo(alias="providerType")]
2374
+ payer_identification_number: Annotated[str, PropertyInfo(alias="payerIdentificationNumber")]
2375
+
2376
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
1995
2377
 
1996
2378
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
1997
2379
 
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")]
2380
+ ssn: str
2003
2381
 
2004
2382
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2005
2383
 
@@ -2008,7 +2386,7 @@ class Billing(TypedDict, total=False):
2008
2386
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2009
2387
 
2010
2388
 
2011
- class BillingPayToAddressNameAddress(TypedDict, total=False):
2389
+ class PayerAddress(TypedDict, total=False):
2012
2390
  address1: Required[str]
2013
2391
 
2014
2392
  city: Required[str]
@@ -2024,13 +2402,7 @@ class BillingPayToAddressNameAddress(TypedDict, total=False):
2024
2402
  state: str
2025
2403
 
2026
2404
 
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):
2405
+ class PayToAddress(TypedDict, total=False):
2034
2406
  address1: Required[str]
2035
2407
 
2036
2408
  city: Required[str]
@@ -2046,27 +2418,7 @@ class BillingPayToPlanNameAddress(TypedDict, total=False):
2046
2418
  state: str
2047
2419
 
2048
2420
 
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):
2421
+ class PayToPlanAddress(TypedDict, total=False):
2070
2422
  address1: Required[str]
2071
2423
 
2072
2424
  city: Required[str]
@@ -2082,63 +2434,68 @@ class DependentAddress(TypedDict, total=False):
2082
2434
  state: str
2083
2435
 
2084
2436
 
2085
- class Dependent(TypedDict, total=False):
2086
- date_of_birth: Required[Annotated[str, PropertyInfo(alias="dateOfBirth")]]
2437
+ class PayToPlan(TypedDict, total=False):
2438
+ address: Required[PayToPlanAddress]
2087
2439
 
2088
- first_name: Required[Annotated[str, PropertyInfo(alias="firstName")]]
2440
+ organization_name: Required[Annotated[str, PropertyInfo(alias="organizationName")]]
2089
2441
 
2090
- gender: Required[Literal["M", "F", "U"]]
2442
+ primary_identifier: Required[Annotated[str, PropertyInfo(alias="primaryIdentifier")]]
2091
2443
 
2092
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2444
+ primary_identifier_type_code: Required[
2445
+ Annotated[Literal["PI", "XV"], PropertyInfo(alias="primaryIdentifierTypeCode")]
2446
+ ]
2093
2447
 
2094
- relationship_to_subscriber_code: Required[
2095
- Annotated[
2096
- Literal["01", "19", "20", "21", "39", "40", "53", "G8"], PropertyInfo(alias="relationshipToSubscriberCode")
2097
- ]
2448
+ tax_identification_number: Required[Annotated[str, PropertyInfo(alias="taxIdentificationNumber")]]
2449
+
2450
+ secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2451
+
2452
+ secondary_identifier_type_code: Annotated[
2453
+ Literal["2U", "FY", "NF"], PropertyInfo(alias="secondaryIdentifierTypeCode")
2098
2454
  ]
2099
2455
 
2100
- address: DependentAddress
2101
2456
 
2102
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2457
+ class ProviderAddress(TypedDict, total=False):
2458
+ address1: Required[str]
2103
2459
 
2104
- ssn: str
2460
+ city: Required[str]
2105
2461
 
2106
- suffix: str
2462
+ address2: str
2107
2463
 
2464
+ country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2108
2465
 
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"""
2466
+ country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2112
2467
 
2468
+ postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2113
2469
 
2114
- class OperatingPhysician(TypedDict, total=False):
2115
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2470
+ state: str
2116
2471
 
2117
- first_name: Annotated[str, PropertyInfo(alias="firstName")]
2118
2472
 
2119
- identification_qualifier_code: Annotated[
2120
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
2121
- ]
2473
+ class ProviderContactInformation(TypedDict, total=False):
2474
+ email: str
2122
2475
 
2123
- middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2476
+ fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2124
2477
 
2125
- npi: str
2478
+ name: str
2126
2479
 
2127
- organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2480
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2128
2481
 
2129
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2482
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2130
2483
 
2131
- suffix: str
2132
2484
 
2485
+ class Provider(TypedDict, total=False):
2486
+ address: ProviderAddress
2133
2487
 
2134
- class OtherOperatingPhysician(TypedDict, total=False):
2135
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2488
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2489
+
2490
+ contact_information: Annotated[ProviderContactInformation, PropertyInfo(alias="contactInformation")]
2491
+
2492
+ employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2136
2493
 
2137
2494
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2138
2495
 
2139
- identification_qualifier_code: Annotated[
2140
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="identificationQualifierCode")
2141
- ]
2496
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2497
+
2498
+ location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2142
2499
 
2143
2500
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
2144
2501
 
@@ -2146,28 +2503,20 @@ class OtherOperatingPhysician(TypedDict, total=False):
2146
2503
 
2147
2504
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2148
2505
 
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]
2506
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2158
2507
 
2159
- address2: str
2508
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2160
2509
 
2161
- country_code: Annotated[str, PropertyInfo(alias="countryCode")]
2510
+ ssn: str
2162
2511
 
2163
- country_sub_division_code: Annotated[str, PropertyInfo(alias="countrySubDivisionCode")]
2512
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2164
2513
 
2165
- postal_code: Annotated[str, PropertyInfo(alias="postalCode")]
2514
+ suffix: str
2166
2515
 
2167
- state: str
2516
+ taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2168
2517
 
2169
2518
 
2170
- class ProviderAddress(TypedDict, total=False):
2519
+ class ReferringAddress(TypedDict, total=False):
2171
2520
  address1: Required[str]
2172
2521
 
2173
2522
  city: Required[str]
@@ -2183,31 +2532,24 @@ class ProviderAddress(TypedDict, total=False):
2183
2532
  state: str
2184
2533
 
2185
2534
 
2186
- class ProviderContactInformation(TypedDict, total=False):
2187
- name: Required[str]
2188
-
2535
+ class ReferringContactInformation(TypedDict, total=False):
2189
2536
  email: str
2190
2537
 
2191
2538
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2192
2539
 
2193
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2540
+ name: str
2194
2541
 
2195
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2542
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2196
2543
 
2544
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2197
2545
 
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
2546
 
2206
- address: ProviderAddress
2547
+ class Referring(TypedDict, total=False):
2548
+ address: ReferringAddress
2207
2549
 
2208
- contact_information: Annotated[ProviderContactInformation, PropertyInfo(alias="contactInformation")]
2550
+ commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2209
2551
 
2210
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2552
+ contact_information: Annotated[ReferringContactInformation, PropertyInfo(alias="contactInformation")]
2211
2553
 
2212
2554
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2213
2555
 
@@ -2219,18 +2561,18 @@ class Provider(TypedDict, total=False):
2219
2561
 
2220
2562
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2221
2563
 
2222
- secondary_identification_qualifier_code: Annotated[
2223
- Literal["0B", "1G", "G2", "LU"], PropertyInfo(alias="secondaryIdentificationQualifierCode")
2224
- ]
2564
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2225
2565
 
2226
- secondary_identifier: Annotated[str, PropertyInfo(alias="secondaryIdentifier")]
2566
+ provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2567
+
2568
+ state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2227
2569
 
2228
2570
  suffix: str
2229
2571
 
2230
2572
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2231
2573
 
2232
2574
 
2233
- class ReferringAddress(TypedDict, total=False):
2575
+ class RenderingAddress(TypedDict, total=False):
2234
2576
  address1: Required[str]
2235
2577
 
2236
2578
  city: Required[str]
@@ -2246,31 +2588,29 @@ class ReferringAddress(TypedDict, total=False):
2246
2588
  state: str
2247
2589
 
2248
2590
 
2249
- class ReferringContactInformation(TypedDict, total=False):
2250
- name: Required[str]
2251
-
2591
+ class RenderingContactInformation(TypedDict, total=False):
2252
2592
  email: str
2253
2593
 
2254
2594
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2255
2595
 
2256
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2596
+ name: str
2257
2597
 
2258
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2598
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2259
2599
 
2600
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2260
2601
 
2261
- class Referring(TypedDict, total=False):
2262
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2263
2602
 
2264
- address: ReferringAddress
2603
+ class Rendering(TypedDict, total=False):
2604
+ address: RenderingAddress
2265
2605
 
2266
2606
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2267
2607
 
2268
- contact_information: Annotated[ReferringContactInformation, PropertyInfo(alias="contactInformation")]
2269
-
2270
- employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2608
+ contact_information: Annotated[RenderingContactInformation, PropertyInfo(alias="contactInformation")]
2271
2609
 
2272
2610
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2273
2611
 
2612
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2613
+
2274
2614
  location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2275
2615
 
2276
2616
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
@@ -2279,16 +2619,10 @@ class Referring(TypedDict, total=False):
2279
2619
 
2280
2620
  organization_name: Annotated[str, PropertyInfo(alias="organizationName")]
2281
2621
 
2282
- provider_type: Annotated[Literal["ReferringProvider"], PropertyInfo(alias="providerType")]
2622
+ provider_type: Annotated[str, PropertyInfo(alias="providerType")]
2283
2623
 
2284
2624
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2285
2625
 
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
2626
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2293
2627
 
2294
2628
  suffix: str
@@ -2296,7 +2630,7 @@ class Referring(TypedDict, total=False):
2296
2630
  taxonomy_code: Annotated[str, PropertyInfo(alias="taxonomyCode")]
2297
2631
 
2298
2632
 
2299
- class RenderingAddress(TypedDict, total=False):
2633
+ class SupervisingAddress(TypedDict, total=False):
2300
2634
  address1: Required[str]
2301
2635
 
2302
2636
  city: Required[str]
@@ -2312,31 +2646,31 @@ class RenderingAddress(TypedDict, total=False):
2312
2646
  state: str
2313
2647
 
2314
2648
 
2315
- class RenderingContactInformation(TypedDict, total=False):
2316
- name: Required[str]
2317
-
2649
+ class SupervisingContactInformation(TypedDict, total=False):
2318
2650
  email: str
2319
2651
 
2320
2652
  fax_number: Annotated[str, PropertyInfo(alias="faxNumber")]
2321
2653
 
2322
- phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2654
+ name: str
2323
2655
 
2324
- valid_contact: Annotated[bool, PropertyInfo(alias="validContact")]
2656
+ phone_extension: Annotated[str, PropertyInfo(alias="phoneExtension")]
2325
2657
 
2658
+ phone_number: Annotated[str, PropertyInfo(alias="phoneNumber")]
2326
2659
 
2327
- class Rendering(TypedDict, total=False):
2328
- last_name: Required[Annotated[str, PropertyInfo(alias="lastName")]]
2329
2660
 
2330
- address: RenderingAddress
2661
+ class Supervising(TypedDict, total=False):
2662
+ address: SupervisingAddress
2331
2663
 
2332
2664
  commercial_number: Annotated[str, PropertyInfo(alias="commercialNumber")]
2333
2665
 
2334
- contact_information: Annotated[RenderingContactInformation, PropertyInfo(alias="contactInformation")]
2666
+ contact_information: Annotated[SupervisingContactInformation, PropertyInfo(alias="contactInformation")]
2335
2667
 
2336
2668
  employer_id: Annotated[str, PropertyInfo(alias="employerId")]
2337
2669
 
2338
2670
  first_name: Annotated[str, PropertyInfo(alias="firstName")]
2339
2671
 
2672
+ last_name: Annotated[str, PropertyInfo(alias="lastName")]
2673
+
2340
2674
  location_number: Annotated[str, PropertyInfo(alias="locationNumber")]
2341
2675
 
2342
2676
  middle_name: Annotated[str, PropertyInfo(alias="middleName")]
@@ -2349,11 +2683,7 @@ class Rendering(TypedDict, total=False):
2349
2683
 
2350
2684
  provider_upin_number: Annotated[str, PropertyInfo(alias="providerUpinNumber")]
2351
2685
 
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")]
2686
+ ssn: str
2357
2687
 
2358
2688
  state_license_number: Annotated[str, PropertyInfo(alias="stateLicenseNumber")]
2359
2689