ClaimLine

amount_allowednumbernullable

amount_billednumbernullable

amount_not_coverednumbernullable

amount_paidnumbernullable

amount_paid_othernumbernullable

coinsurance_patientnumbernullable

copaymentnumbernullable

date_of_service object

boundsstring

enddatenullable

startdatenullable

days_supplyintegernullable

diagnosis_codestringnullable

discountnumbernullable

idinteger

national_drug_codestringnullable

patient_responsibilitynumbernullable

prescription_type_idintegernullable

prescription_type_strstring

procedure_codestringnullable

procedure_namestringnullable

quantitynumbernullable

reductionnumbernullable

total_patient_responsibilitynumber

uuiduuid

vendor_system_idstringrequired

ClaimLine

{
  "amount_allowed": 0,
  "amount_billed": 0,
  "amount_not_covered": 0,
  "amount_paid": 0,
  "amount_paid_other": 0,
  "coinsurance_patient": 0,
  "copayment": 0,
  "date_of_service": {
    "bounds": "string",
    "end": "2024-07-29",
    "start": "2024-07-29"
  },
  "days_supply": 0,
  "diagnosis_code": "string",
  "discount": 0,
  "id": 0,
  "national_drug_code": "string",
  "patient_responsibility": 0,
  "prescription_type_id": 0,
  "prescription_type_str": "string",
  "procedure_code": "string",
  "procedure_name": "string",
  "quantity": 0,
  "reduction": 0,
  "total_patient_responsibility": 0,
  "uuid": "3fa85f64-5717-4562-b3fc-2c963f66afa6",
  "vendor_system_id": "string"
}