Claim

date_of_service_start

string

Example:

"2023-12-10"

date_of_service_end

string

Same as discharge date

Example:

"2023-12-20"

plan_id

string

Identifier for a plan. Allows distringuishing rule sets specific for plans.

Example:

"1234AB56789"

billing_provider_npi

integer

Identifier for a provider

Example:

1457450116

principal_diagnosis

object

Example:

{
  "code": "A40.9",
  "present_on_admission": "Y"
}

secondary_diagnosis

object[]

Example:

[
  {
    "code": "J18. 9",
    "present_on_admission": "Y"
  }
]

admitting_diagnosis

object

Example:

{
  "code": "J18. 9",
  "present_on_admission": "Y"
}

procedures

object[]

Example:

[{ "code": "10D00Z0" }]

discharge_status

integer

Patient's discharge status. Possible values

Required range: 0 <= x <= 100

Example:

1

drg

string

Diagnosis Related Group

Example:

"872"