{
  "date_of_service_start": "2023-12-10",
  "date_of_service_end": "2023-12-20",
  "plan_id": "1234AB56789",
  "billing_provider_npi": 1457450116,
  "principal_diagnosis": {
    "code": "A40.9",
    "present_on_admission": "Y"
  },
  "secondary_diagnosis": [
    {
      "code": "J18. 9",
      "present_on_admission": "Y"
    }
  ],
  "admitting_diagnosis": {
    "code": "J18. 9",
    "present_on_admission": "Y"
  },
  "procedures": [
    {
      "code": "10D00Z0"
    }
  ],
  "discharge_status": 1,
  "drg": "872"
}