AdjustmentAmount |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- Adjustment amount for reasons such as copay, deductible, and
coinsurance.
|
AdjustmentReason |
- Type
- multipicklist
- Properties
- Create, Filter, Nillable, Update
- Description
- The reason for adjustment.
- Possible values are:
- Coinsurance
- Copay
- Deductible
|
BenefitName |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The name of benefit associated with the payment request line, such
as Physical Therapy or Ambulance Transportation.
|
ClaimItemId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The claim item associated with the payment request line.
- This field is a relationship field.
- Relationship Name
- ClaimItem
- Relationship Type
- Lookup
- Refers To
- ClaimItem
|
DiagnosticCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The diagnostic code associated with the payment request line.
- This field is a polymorphic relationship field.
- Relationship Name
- DiagnosticCode
- Relationship Type
- Lookup
- Refers To
- CodeSet, CodeSetBundle
|
EndDateTime |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The end date of services represented in the payment request
line.
|
FacilityId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The facility associated with the payment request line.
- This field is a polymorphic relationship field.
- Relationship Name
- Facility
- Relationship Type
- Lookup
- Refers To
- Account, HealthcareFacility, Location
|
LastReferencedDate |
- Type
- dateTime
- Properties
- Filter, Nillable, Sort
- Description
- The timestamp for when the current user last viewed a record
related to this record.
|
LastViewedDate |
- Type
- dateTime
- Properties
- Filter, Nillable, Sort
- Description
- The timestamp for when the current user last viewed this record.
If this value is null, it’s possible that this record was
referenced (LastReferencedDate) and not
viewed.
|
Name |
- Type
- string
- Properties
- Create, Filter, Group, idLookup, Sort, Update
- Description
- Required. The name of the payment request line.
|
PaymentRequestId |
- Type
- reference
- Properties
- Create, Filter, Group, Sort
- Description
- Required. The payment request associated with the payment request
line.
- This field is a relationship field.
- Relationship Name
- PaymentRequest
- Relationship Type
- Lookup
- Refers To
- PaymentRequest
|
Quantity |
- Type
- int
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Number of units the payment request line represents, such as
number of days in hospital.
|
QuantityUnitOfMeasure |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Unit of measure for the quantity field.
- Possible values are:
|
RequestedAmount |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- Amount that the requestor is seeking for payment, which is the
service amount minus the adjustment amount.
|
ServiceAmount |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- Total service amount for the payment request line before
adjustments.
|
ServiceCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The service code associated with the payment request line.
- This field is a polymorphic relationship field.
- Relationship Name
- ServiceCode
- Relationship Type
- Lookup
- Refers To
- CodeSet, CodeSetBundle
|
ServiceProviderId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The service provider associated with the payment request
line.
- This field is a polymorphic relationship field.
- Relationship Name
- ServiceProvider
- Relationship Type
- Lookup
- Refers To
- Account, Contact, HealthcareProvider
|
ServiceType |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Type of requested service.
- Possible values are:
- Device
- Medication
- Procedure
- Repairs
|
StartDateTime |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The start date of services represented in the payment request
line.
|
Status |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The status of the payment request line.
- Possible values are:
- Paid
- Partially Paid
- Received
|
UnitPrice |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- Unit Price for the quantity and quantity unit of measure.
|