ValidateRequest
"2023-12-10"
Same as discharge date
"2023-12-20"
Identifier for a plan. Allows distringuishing rule sets specific for plans.
"1234AB56789"
Identifier for a provider
1457450116
ICD-10-CM code, can be passed with or without the decimal A40.9 or A409 are both acceptable.
Y = Yes, N = No, U = Unknown, W = Clinically Undetermined, 1 = Exempt from POA reporting
Y, N, U, W, 1 {
"code": "A40.9",
"present_on_admission": "Y"
}
ICD-10-CM code, can be passed with or without the decimal A40.9 or A409 are both acceptable.
Y = Yes, N = No, U = Unknown, W = Clinically Undetermined, 1 = Exempt from POA reporting
Y, N, U, W, 1 [
{
"code": "J18. 9",
"present_on_admission": "Y"
}
]
ICD-10-CM code, can be passed with or without the decimal A40.9 or A409 are both acceptable.
Y = Yes, N = No, U = Unknown, W = Clinically Undetermined, 1 = Exempt from POA reporting
Y, N, U, W, 1 {
"code": "J18. 9",
"present_on_admission": "Y"
}
ICD-10-PCS code.
"10D00Z0"
[{ "code": "10D00Z0" }]
Diagnosis Related Group
"872"
Medical record's raw text
"Patient Name: John Doe Patient ID: 123456 Date of Birth: 01/01/1980 Date of Admission: 12/10/2023 Date of Discharge: 12/20/2023 Attending Physician: Dr. Jane Smith\nAdmission Diagnosis:\nPneumonia\nSurgical Procedure: None Hospital Course: Mr. John Doe, a 40-year-old male, was admitted to the hospital with symptoms of high fever, cough, shortness of breath, and chest pain. Based on clinical examination and chest X-ray findings, he was diagnosed with bacterial pneumonia..."
{
"claim": {
"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": [],
"discharge_status": 1
},
"discharge_summary": {
"text": "Patient Name: John Doe Patient ID: 123456 Date of Birth: 01/01/1980 Date of Admission: 12/10/2023 Date of Discharge: 12/20/2023 Attending Physician: Dr. Jane Smith\nAdmission Diagnosis:\nPneumonia\nSurgical Procedure: None Hospital Course: Mr. John Doe, a 40-year-old male, was admitted to the hospital with symptoms of high fever, cough, shortness of breath, and chest pain. Based on clinical examination and chest X-ray findings, he was diagnosed with bacterial pneumonia..."
}
}