ReclaimClaimLineSchema

adjudicated_datedate

aggregate_amount_coinsnumber

aggregate_amount_copaynumber

aggregate_amount_deductiblenumber

aggregate_amount_patient_responsibilitynumber

amount_allowednumber

amount_billednumber

amount_coinsnumber

amount_copaynumber

amount_deductiblenumber

amount_discountnumber

amount_not_coverednumber

amount_patient_responsibilitynumber

amount_plan_paidnumber

billing_provider_idstring

billing_provider_namestring

billing_provider_npistring

billing_provider_phonestring

billing_provider_street_1string

carrier_claim_idstring

check_datedate

check_numberstring

claim_enddate

claim_idstring

claim_line_numberstring

claim_remarksstring

claim_startdate

claim_typestring

diagnosis_icd_1string

diagnosis_icd_1_namestring

dos_plan_yearinteger

location_type_descstring

network_flagboolean

patient_first_namestring

patient_idstring

patient_last_namestring

prescription_days_supplyinteger

prescription_drugstring

prescription_ndcstring

prescription_ndc_namestring

processing_datedate

received_datedate

rendering_provider_idstring

rendering_provider_namestring

rendering_provider_npistring

rendering_provider_street_1string

service_procedure_codestring

service_procedure_namestring

statusstring

stream_namestring

stream_parent_idstring

stream_person_idstring

ReclaimClaimLineSchema

{
  "adjudicated_date": "2024-07-29",
  "aggregate_amount_coins": 0,
  "aggregate_amount_copay": 0,
  "aggregate_amount_deductible": 0,
  "aggregate_amount_patient_responsibility": 0,
  "amount_allowed": 0,
  "amount_billed": 0,
  "amount_coins": 0,
  "amount_copay": 0,
  "amount_deductible": 0,
  "amount_discount": 0,
  "amount_not_covered": 0,
  "amount_patient_responsibility": 0,
  "amount_plan_paid": 0,
  "billing_provider_id": "string",
  "billing_provider_name": "string",
  "billing_provider_npi": "string",
  "billing_provider_phone": "string",
  "billing_provider_street_1": "string",
  "carrier_claim_id": "string",
  "check_date": "2024-07-29",
  "check_number": "string",
  "claim_end": "2024-07-29",
  "claim_id": "string",
  "claim_line_number": "string",
  "claim_remarks": "string",
  "claim_start": "2024-07-29",
  "claim_type": "string",
  "diagnosis_icd_1": "string",
  "diagnosis_icd_1_name": "string",
  "dos_plan_year": 0,
  "location_type_desc": "string",
  "network_flag": true,
  "patient_first_name": "string",
  "patient_id": "string",
  "patient_last_name": "string",
  "prescription_days_supply": 0,
  "prescription_drug": "string",
  "prescription_ndc": "string",
  "prescription_ndc_name": "string",
  "processing_date": "2024-07-29",
  "received_date": "2024-07-29",
  "rendering_provider_id": "string",
  "rendering_provider_name": "string",
  "rendering_provider_npi": "string",
  "rendering_provider_street_1": "string",
  "service_procedure_code": "string",
  "service_procedure_name": "string",
  "status": "string",
  "stream_name": "string",
  "stream_parent_id": "string",
  "stream_person_id": "string"
}