drchrono · Schema

BillingLineItem

EHRElectronic Health RecordsHealthcareMedical RecordsPractice ManagementHIPAAAppointmentsBillingPrescriptionsLab IntegrationFHIR

Properties

Name	Type	Description
code	string
ins3_paid	number	Amount paid by patinet's tertiary insurer
updated_at	string
posted_date	string	date of line_item creation
billing_status	string	One of `""`, `"Incomplete Information"`, `"In Process Emdeon"`, `"In Process iHCFA"`, `"In Process Gateway"`, `"Rejected Emdeon"`, `"Rejected iHCFA"`, `"Rejected Gateway"`, `"In Process Payer"`, `"Pay
pt_paid	number	Amount paid by patient
allowed	number	Amount allowed by insurance
patient	string	Patient ID
adjustment	number	Adjustment from total billed
id	integer
doctor	string	Doctor ID
balance_pt	number	Patient balance
units	string	Default to "UN"
balance_ins	number	Insurance balance
paid_total	string	Total amount paid
diagnosis_pointers	array	List of 4 diagnosis pointers
appointment	integer	Appointment ID
description	string
balance_total	string	Total balance
price	number	Price of procedure
expected_reimbursement	number
ins2_paid	number	Amount paid by patient's secondary insurer
ins1_paid	number	Amount paid by patient's primary insurer
insurance_status	string	This corresponds to the "Status/Adj Type" from billing detail screen
billed	number	Total billed
modifiers	array	List of 4 code modifiers
denied_flag	boolean
ins_total	string	Total amount paid by patient's insurers
procedure_type	string	One of `"CPT(C)"`, `"HCPCS(H)"`, `"Custom(U)"`, use 1 character identifier when using `POST`
service_date	string	Date on which the service was rendered
quantity	number

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "$id": "https://api-evangelist.github.io/drchrono/json-schema/billinglineitem.json",
  "title": "BillingLineItem",
  "required": [
    "appointment",
    "code",
    "procedure_type",
    "diagnosis_pointers"
  ],
  "type": "object",
  "properties": {
    "code": {
      "type": "string",
      "description": "",
      "title": "Code"
    },
    "ins3_paid": {
      "readOnly": true,
      "type": "number",
      "description": "Amount paid by patinet's tertiary insurer",
      "title": "Ins3 paid"
    },
    "updated_at": {
      "readOnly": true,
      "type": "string",
      "description": "",
      "title": "Updated at"
    },
    "posted_date": {
      "readOnly": true,
      "type": "string",
      "description": "date of line_item creation",
      "title": "Posted date"
    },
    "billing_status": {
      "readOnly": true,
      "enum": [
        "",
        "Incomplete Information",
        "In Process Emdeon",
        "In Process iHCFA",
        "In Process Gateway",
        "In Process Jopari",
        "In Process Waystar",
        "In Process EPS",
        "Rejected Emdeon",
        "Rejected iHCFA",
        "Rejected Gateway",
        "Rejected Jopari",
        "Rejected Waystar",
        "Rejected EPS",
        "In Process Payer",
        "Payer Acknowledged",
        "Rejected Payer",
        "Paid in Full",
        "Partially Paid",
        "Coordination of Benefits",
        "ERA Received",
        "ERA Denied"
      ],
      "type": "string",
      "description": "One of `\"\"`, `\"Incomplete Information\"`, `\"In Process Emdeon\"`, `\"In Process iHCFA\"`, `\"In Process Gateway\"`, `\"Rejected Emdeon\"`, `\"Rejected iHCFA\"`, `\"Rejected Gateway\"`, `\"In Process Payer\"`, `\"Payer Acknowledged\"`, `\"Rejected Payer\"`, `\"Paid in Full\"`,  `\"Partially Paid\"`,  `\"Coordination of Benefits\"`,  `\"ERA Received\"`,  `\"ERA Denied\"`",
      "title": "Billing status"
    },
    "pt_paid": {
      "type": "number",
      "description": "Amount paid by patient",
      "title": "Pt paid"
    },
    "allowed": {
      "readOnly": true,
      "type": "number",
      "description": "Amount allowed by insurance",
      "title": "Allowed"
    },
    "patient": {
      "readOnly": true,
      "type": "string",
      "description": "Patient ID",
      "title": "Patient"
    },
    "adjustment": {
      "readOnly": true,
      "type": "number",
      "description": "Adjustment from total billed",
      "title": "Adjustment"
    },
    "id": {
      "readOnly": true,
      "type": "integer",
      "description": "",
      "title": "ID"
    },
    "doctor": {
      "readOnly": true,
      "type": "string",
      "description": "Doctor ID",
      "title": "Doctor"
    },
    "balance_pt": {
      "readOnly": true,
      "type": "number",
      "description": "Patient balance",
      "title": "Balance pt"
    },
    "units": {
      "type": "string",
      "description": "Default to \"UN\"",
      "title": "Units"
    },
    "balance_ins": {
      "type": "number",
      "description": "Insurance balance",
      "title": "Balance ins"
    },
    "paid_total": {
      "readOnly": true,
      "type": "string",
      "description": "Total amount paid",
      "title": "Paid total"
    },
    "diagnosis_pointers": {
      "items": {
        "type": "string",
        "description": "String representation of an integer or ICD code",
        "title": ""
      },
      "type": "array",
      "description": "List of 4 diagnosis pointers",
      "title": "Diagnosis pointers"
    },
    "appointment": {
      "type": "integer",
      "description": "Appointment ID",
      "title": "Appointment"
    },
    "description": {
      "readOnly": true,
      "type": "string",
      "description": "",
      "title": "Description"
    },
    "balance_total": {
      "readOnly": true,
      "type": "string",
      "description": "Total balance",
      "title": "Balance total"
    },
    "price": {
      "type": "number",
      "description": "Price of procedure",
      "title": "Price"
    },
    "expected_reimbursement": {
      "readOnly": true,
      "type": "number",
      "description": "",
      "title": "Expected reimbursement"
    },
    "ins2_paid": {
      "readOnly": true,
      "type": "number",
      "description": "Amount paid by patient's secondary insurer",
      "title": "Ins2 paid"
    },
    "ins1_paid": {
      "readOnly": true,
      "type": "number",
      "description": "Amount paid by patient's primary insurer",
      "title": "Ins1 paid"
    },
    "insurance_status": {
      "readOnly": true,
      "type": "string",
      "description": "This corresponds to the \"Status/Adj Type\" from billing detail screen",
      "title": "Insurance status"
    },
    "billed": {
      "readOnly": true,
      "type": "number",
      "description": "Total billed",
      "title": "Billed"
    },
    "modifiers": {
      "items": {
        "type": "string",
        "description": "String representation of modifier",
        "title": ""
      },
      "type": "array",
      "description": "List of 4 code modifiers",
      "title": "Modifiers"
    },
    "denied_flag": {
      "readOnly": true,
      "type": "boolean",
      "description": "",
      "title": "Denied flag"
    },
    "ins_total": {
      "readOnly": true,
      "type": "string",
      "description": "Total amount paid by patient's insurers",
      "title": "Ins total"
    },
    "procedure_type": {
      "enum": [
        "C",
        "H",
        "U",
        "S"
      ],
      "type": "string",
      "description": "One of `\"CPT(C)\"`, `\"HCPCS(H)\"`, `\"Custom(U)\"`, use 1 character identifier when using `POST`",
      "title": "Procedure type"
    },
    "service_date": {
      "readOnly": true,
      "type": "string",
      "description": "Date on which the service was rendered",
      "title": "Service date"
    },
    "quantity": {
      "type": "number",
      "description": "",
      "title": "Quantity"
    }
  },
  "x-verbose-required": [
    "description"
  ]
}