| PatientPracticeGuid |
Guid |
Unique identifier representing a patient |
| BillingHeaderGuid |
Guid |
Unique identifier for the billing header |
| BillingPatientInsuranceName |
String |
The name of a billing patient’s insurance |
| PatientInsurancePlanGuid |
Guid |
Unique identifier for a patient’s insurance plan |
| InsuredPolicyIdentifier |
String |
A unique code associated with the insurance plan |
| GroupIdentifier |
String |
The group number associated with the insurance plan |
| PlanName |
String |
Name of the insurance plan |
| DisplaySequence |
Int32 |
The sequence in which patient’s insurance plan data is displayed |
| InsuranceStreet1 |
String |
Insurance company’s street address 1 |
| InsuranceStreet2 |
String |
Insurance company’s street address 2 |
| InsuranceCity |
String |
Insurance company’s address city |
| InsuranceState |
String |
Insurance company’s address state |
| InsuranceZipCode |
String |
Insurance company’s address zip code |
| InsuranceCountry |
String |
Insurance company’s address country |
| ContactFirstName |
String |
The first name of a patient’s insurance plan claim contact |
| ContactMiddleName |
String |
The middle name of a patient’s insurance plan claim contact |
| ContactLastName |
String |
The last name of a patient’s insurance plan claim contact |
| ContactPhone |
String |
Patient insurance plan contact phone number |
| PlanEffectiveDate |
DateTime? |
The date and time a patient insurance plan begins |
| PlanExpirationDate |
DateTime? |
The date and time a patient insurance plan expires |
| PlanType |
String |
Type of insurance plan |
| Relationship |
String |
Type of relationship insurance plan payer has to patient |
| SubscriberFirstName |
String |
The first name for the insurance subscriber |
| SubscriberMiddleName |
String |
The middle name for the insurance subscriber |
| SubscriberLastName |
String |
The last name for the insurance subscriber |
| SubscriberPrimaryPhone |
String |
The primary phone for the insurance subscriber |
| SubscriberPrimaryPhoneExtension |
String |
The primary phone extension for the insurance subscriber |
| SubscriberSecondaryPhone |
String |
The secondary phone for the insurance subscriber |
| SubscriberSecondaryPhoneExtension |
String |
The secondary phone extension for the insurance subscriber |
| SubscriberTertiaryPhone |
String |
The tertiary phone for the insurance subscriber |
| SubscriberTertiaryPhoneExtension |
String |
The tertiary phone extension for the insurance subscriber |
| SubscriberBirthDate |
DateTime? |
The birth date of the insurance subscriber |
| SubscriberGender |
String |
The gender of the insurance subscriber |
| SubscriberSSN |
String |
Social security number of the insurance subscriber |
| SubscriberStreet1 |
String |
The street address 1 of the insurance subscriber |
| SubscriberStreet2 |
String |
The street address 2 of the insurance subscriber |
| SubscriberCity |
String |
The city address of the insurance subscriber |
| SubscriberState |
String |
The state address of the insurance subscriber |
| SubscriberZipCode |
String |
The zipcode address of the insurance subscriber |
| SubscriberCountry |
String |
The country address of the insurance subscriber |
| NameOfEmployer |
String |
Patient’s employer name |
| EmployerNotes |
String |
The note related to the patient’s employer |
| CopayType |
String |
The type of copay for an insurance plan whether fixed or percentage |
| CopayAmount |
Decimal? |
The amount that is charged as copay |
| IsEligibleForCoverage |
Boolean? |
Eligibility for the patient’s insurance coverage |
| IsEligibilityNotAvailable |
Boolean? |
True when insurance eligibility is not available |
| EligibilityRejectReason |
String |
The reason for insurance eligibility rejection |
| EligibilityNotAvailableReason |
String |
The reason for insurance eligibility not available |
| EligibilityLastCheckedDateTimeUtc |
DateTime? |
UTC date and time a patient’s eligibility was last checked |
| LastModifiedByProfileGuid |
Guid |
Unique Identifier for a profile that last modified insurance plan |
| LastModifiedDateTimeUtc |
DateTime |
UTC date and time a patient insurance plan was last modified |
