{ "$schema": "http://json-schema.org/draft-07/schema#", "$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" ] }