| PatientPracticeGuid |
Guid |
Unique identifier representing a patient |
| InsurancePlanGuid |
Guid |
Unique identifier for the insurance plan. |
| RelationshipToInsured |
String |
Type of relationship between the insured patient and the insurance plan (e.g., Self). |
| InsuranceId |
String |
Identifier for the patient’s insurance policy (Insurance ID). |
| GroupId |
String |
Group identifier associated with the patient’s insurance plan (Group ID). |
| OrderOfBenefits |
String |
Order of benefits (e.g., Primary) for the patient’s insurance plan. |
| InsurancePlanInactiveDate |
DateTime? |
Date when the patient’s insurance plan became inactive. |
| InsurancePlanIsActive |
Boolean |
Flag that determines if patient’s insurance is active. |
| EffectiveFromDate |
DateTime |
Effective start date of the patient’s insurance coverage. |
| EffectiveToDate |
DateTime? |
Effective end date of the patient’s insurance coverage (nullable). |
| CopayFixedAmount |
Decimal |
Fixed copayment amount that the patient is required to pay for healthcare services. |
| CopayPercentage |
Decimal |
Percentage of healthcare costs that the patient is responsible for as a copayment. |
| InsurancePlanName |
String |
Name or title of the patient’s insurance plan. |
| IsWorkerCompensation |
Boolean |
Indicates whether the insurance coverage is related to workers’ compensation. |
| PayerName |
String |
Name of the insurance payer or provider. |
| PayerContactFirstName |
String |
First name of the contact person at the insurance payer’s organization. |
| PayerContactLastName |
String |
Last name of the contact person at the insurance payer’s organization. |
| PayerAddress1 |
String |
Address line 1 for the insurance payer. |
| PayerAddress2 |
String |
Address line 2 for the insurance payer. |
| PayerCity |
String |
City of the insurance payer |
| PayerState |
String |
State where the insurance payer located. |
| PayerZip |
String |
ZIP code of the insurance payer. |
| PayerContactPhoneNumber |
String |
Payer contact’s phone number. |
| ClaimsPhoneNumberExtension |
String |
Extension associated with the Payer contact’s phone number. |
| ClaimsFaxNumber |
String |
Payer contact’s fax number. |
| ClaimsFaxExtension |
String |
Extension associated with the Payer contact’s fax number. |
| AttorneyFirstName |
String |
First name of the patient’s attorney. |
| AttorneyMiddleName |
String |
Middle name of the patient’s attorney. |
| AttorneyLastName |
String |
Last name of the patient’s attorney. |
| AttorneyAddress1 |
String |
Address Line 1 of the patient’s attorney. |
| AttorneyAddress2 |
String |
Address 2 of the patient’s attorney. |
| AttorneyCity |
String |
City where the patient’s attorney is located. |
| AttorneyState |
String |
State where the patient’s attorney is located. |
| AttorneyZip |
String |
ZIP code of the patient’s attorney’s location. |
| AttorneyPhoneNumber |
String |
Phone number of the patient’s attorney for contact. |
| AttorneyPhoneNumberExtension |
String |
Phone number extension of the patient’s attorney for contact. |
| AttorneyFaxNumber |
String |
Fax number of the patient’s attorney. |
| AttorneyFaxNumberExtension |
String |
Fax number extension of the patient’s attorney. |
| Notes |
String |
Additional notes or comments related to the patient’s insurance information. |
| EmployerName |
String |
Name of the patient’s employer. |
| EmployerAddress1 |
String |
Address line 1 of where the patient’s employer is located. |
| EmployerAddress2 |
String |
Address line 2 of where patient’s employer is located. |
| EmployerCity |
String |
City where the patient’s employer is located. |
| EmployerState |
String |
State where the patient’s employer is located. |
| EmployerZip |
String |
ZIP code of the patient’s employer’s location. |
| SubscriberFirstName |
String |
First name of the subscriber, if applicable. |
| SubscriberMiddleInitial |
String |
Middle initial of the subscriber, if applicable. |
| SubscriberLastName |
String |
Last name of the subscriber, if applicable. |
| SubscriberGender |
String |
Gender of the subscriber. |
| SubscriberDateOfBirth |
DateTime? |
Date of birth of the subscriber. |
| SubscriberAddress1 |
String |
Address Line 1 of the subscriber is located. |
| SubscriberAddress2 |
String |
Address line 2 of where the subscriber is located. |
| SubscriberCity |
String |
City of where the subscriber is located. |
| SubscriberState |
String |
State of the subscriber’s address. |
| SubscriberZip |
String |
ZIP code of the subscriber’s address. |
| SubscriberPrimaryPhoneNumber |
String |
Primary phone number of the subscriber for contact. |
| SubscriberPrimaryPhoneNumberExtension |
String |
Extension for Subscriber’s primary phone number. |
| SubscriberSecondaryPhoneNumber |
String |
Secondary phone number of the subscriber. |
| SubscriberSecondaryPhoneNumberExtension |
String |
Extension for the subscriber’s secondary phone number. |
| SubscriberSocialSecurityNumber |
String |
Social Security Number (SSN) or other identifier of the subscriber. |
| LastModifiedByUserGuid |
Guid? |
Unique identifier of the user who last modified this patient’s insurance information. |
| LastModifiedDateTimeUtc |
DateTime |
UTC date and time when this patient’s insurance information was last modified. |
| PatientInsurancePlanGuid |
Guid |
Unique identifier for the insurance plan associated with the patient. |
