openapi: 3.0.2
info:
  title: Medical Network Claims Responses And Reports v2
  description: Claims Responses And Reports
  version: v2
servers:
- url: https://sandbox-apigw.optum.com/medicalnetwork/reports/v2
  description: Optum
tags:
- name: Claims Responses And Reports
  description: Claims Responses And Reports
paths:
  /:
    get:
      tags:
      - Reports
      summary: List Reports
      operationId: list_reports_v2_reports_get
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Reports'
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
  /healthcheck:
    get:
      tags:
      - Health Check
      summary: Health Check
      operationId: health_check_v2_reports_healthcheck_get
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HealthCheck'
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
  /{filename}:
    get:
      tags:
      - Report
      summary: Get Single Report
      operationId: get_single_report_v2_reports__filename__get
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      - required: true
        schema:
          title: Filename
        name: filename
        in: path
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ReportContent'
        '422':
          description: Validation Error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HTTPValidationError'
    delete:
      tags:
      - Report
      summary: Delete Single Report
      operationId: delete_single_report_v2_reports__filename__delete
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      - required: true
        schema:
          title: Filename
        name: filename
        in: path
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ReportDeleted'
        '422':
          description: Validation Error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HTTPValidationError'
  /{filename}/277:
    get:
      tags:
      - Report
      summary: Convert Report 277
      operationId: convert_report_277_v2_reports__filename__277_get
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      - required: true
        schema:
          title: Filename
        name: filename
        in: path
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ClaimStatusTransactionResponse'
        '422':
          description: Validation Error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HTTPValidationError'
  /{filename}/835:
    get:
      tags:
      - Report
      summary: Convert Report 835
      operationId: convert_report_835_v2_reports__filename__835_get
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      - required: true
        schema:
          title: Filename
        name: filename
        in: path
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ClaimPaymentAdviceTransactionResponse'
        '422':
          description: Validation Error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HTTPValidationError'
components:
  schemas:
    Address:
      title: Address
      type: object
      properties:
        address1:
          type: string
          description: N301
        address2:
          type: string
          description: N302
        city:
          type: string
          description: N401
        state:
          type: string
          description: N402
        postalCode:
          type: string
          description: N403
        countryCode:
          type: string
          description: N404
        countrySubCode:
          type: string
          description: N407
      description: Model for Address segment N3 and N4
    Adjustments:
      title: Adjustments
      type: object
      properties:
        adjustmentReasonCode:
          type: string
          description: PLB03-1; PLB05-1; PLB07-1; PLB09-1; PLB11-1; PLB13-1
        adjustmentReasonCodeValue:
          type: string
          description: PLB03-1; PLB05-1; PLB07-1; PLB09-1; PLB11-1; PLB13-1 in English
        providerAdjustmentIdentifier:
          type: string
          description: PLB03-2; PLB05-2; PLB07-2; PLB09-2; PLB11-2; PLB13-2
        providerAdjustmentAmount:
          type: string
          description: PLB04; PLB06; PLB08; PLB10; PLB12; PLB14
    ClaimAdjustments:
      title: ClaimAdjustments
      type: object
      properties:
        claimAdjustmentGroupCode:
          type: string
          description: CAS01
        claimAdjustmentGroupCodeValue:
          type: string
          description: CAS01 Code Value
        adjustmentReasonCode1:
          type: string
          description: CAS02
        adjustmentAmount1:
          type: string
          description: CAS03
        adjustmentQuantity1:
          type: string
          description: CAS04
        adjustmentReasonCode2:
          type: string
          description: CAS05
        adjustmentAmount2:
          type: string
          description: CAS06
        adjustmentQuantity2:
          type: string
          description: CAS07
        adjustmentReasonCode3:
          type: string
          description: CAS08
        adjustmentAmount3:
          type: string
          description: CAS09
        adjustmentQuantity3:
          type: string
          description: CAS10
        adjustmentReasonCode4:
          type: string
          description: CAS11
        adjustmentAmount4:
          type: string
          description: CAS12
        adjustmentQuantity4:
          type: string
          description: CAS13
        adjustmentReasonCode5:
          type: string
          description: CAS14
        adjustmentAmount5:
          type: string
          description: CAS15
        adjustmentQuantity5:
          type: string
          description: CAS16
        adjustmentReasonCode6:
          type: string
          description: CAS17
        adjustmentAmount6:
          type: string
          description: CAS18
        adjustmentQuantity6:
          type: string
          description: CAS19
    ClaimPaymentAdviceResponse:
      title: ClaimPaymentAdviceResponse
      type: object
      properties:
        controlNumber:
          type: string
          description: ST02
        paymentAndRemitReassociationDetails:
          allOf:
          - $ref: '#/components/schemas/PaymentAndRemitReassociationDetails'
          description: TRN
        foreignCurrency:
          type: string
          description: CUR02 where CUR01=PR
        productionDate:
          type: string
          description: DTM02 where DTM01=405
        receiverIdentifier:
          type: string
          description: REF02 where REF01=EV
        versionIdentification:
          type: string
          description: REF02 where REF01=F2
        financialInformation:
          allOf:
          - $ref: '#/components/schemas/FinancialInformation'
          description: BPR
        payer:
          $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_payment_advice__Payer'
        payee:
          $ref: '#/components/schemas/Payee'
        detailInfo:
          type: array
          items:
            $ref: '#/components/schemas/DetailInfo'
          default: []
        providerAdjustments:
          type: array
          items:
            $ref: '#/components/schemas/ProviderAdjustments'
          description: PLB; segment REPEAT >1
          default: []
    ClaimPaymentAdviceTransactionResponse:
      title: ClaimPaymentAdviceTransactionResponse
      required:
      - meta
      type: object
      properties:
        transactions:
          type: array
          items:
            $ref: '#/components/schemas/ClaimPaymentAdviceResponse'
          description: transactions
          default: []
        meta:
          $ref: '#/components/schemas/Meta'
    ClaimPaymentInfo:
      title: ClaimPaymentInfo
      type: object
      properties:
        patientControlNumber:
          type: string
          description: LOOP 2100; CLP01
        claimStatusCode:
          type: string
          description: LOOP 2100; CLP02
        totalClaimChargeAmount:
          type: string
          description: LOOP 2100; CLP03
        claimPaymentAmount:
          type: string
          description: LOOP 2100; CLP04
        patientResponsibilityAmount:
          type: string
          description: LOOP 2100; CLP05
        claimFilingIndicatorCode:
          type: string
          description: LOOP 2100; CLP06
        payerClaimControlNumber:
          type: string
          description: LOOP 2100; CLP07
        facilityTypeCode:
          type: string
          description: LOOP 2100; CLP08
        claimFrequencyCode:
          type: string
          description: LOOP 2100; CLP09
        diagnosisRelatedGroupDRGCode:
          type: string
          description: LOOP 2100; CLP11
        diagnosisRelatedGroupDRGWeight:
          type: string
          description: LOOP 2100; CLP12
        dischargeFraction:
          type: string
          description: LOOP 2100; CLP13
    ClaimStatus:
      title: ClaimStatus
      type: object
      properties:
        referencedTransactionTraceNumber:
          type: string
          description: Loop 2200[D|E] TRN02
        informationClaimStatuses:
          type: array
          items:
            $ref: '#/components/schemas/InformationClaimStatus'
          description: Loop 2200[D|E]
          default: []
        tradingPartnerClaimNumber:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=1K
        billTypeIdentifier:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=BLT
        patientAccountNumber:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=EJ
        pharmacyPrescriptionNumber:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=XZ
        voucherIdentifier:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=VV
        clearinghouseTraceNumber:
          type: string
          description: Loop 2200[D|E] REF02 where REF01=D9
        claimServiceBeginDate:
          type: string
          description: Loop 2200[D|E] DTP03 where DTP02=RD8
        claimServiceEndDate:
          type: string
          description: Loop 2200[D|E] DTP03 where DTP02=RD8
        claimServiceDate:
          type: string
          description: Loop 2200[D|E] DTP03 where DTP02=D8
    ClaimStatusDetails:
      title: ClaimStatusDetails
      type: object
      properties:
        serviceProvider:
          allOf:
          - $ref: '#/components/schemas/ServiceProvider'
          description: Loop 2100C NM1
          default: {}
        providerOFServiceInformationTraceIdentifier:
          type: string
          description: Loop 2200C TRN02
        serviceProviderClaimStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ServiceProviderClaimStatus'
          description: Loop 2200C STC
          default: []
        patientClaimStatusDetails:
          type: array
          items:
            $ref: '#/components/schemas/PatientClaimStatusDetails'
          description: Loop 2000D HL103=22
          default: []
    ClaimStatusResponse:
      title: ClaimStatusResponse
      type: object
      properties:
        controlNumber:
          type: string
          description: ST02
        referenceIdentification:
          type: string
          description: BHT03
        transactionSetCreationDate:
          type: string
          description: BHT04
        transactionSetCreationTime:
          type: string
          description: BHT05
        payers:
          type: array
          items:
            $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Payer'
          description: Loop 2100A
          default: []
    ClaimStatusTransactionResponse:
      title: ClaimStatusTransactionResponse
      required:
      - meta
      type: object
      properties:
        transactions:
          type: array
          items:
            $ref: '#/components/schemas/ClaimStatusResponse'
          description: transactions
          default: []
        meta:
          $ref: '#/components/schemas/Meta'
    ClaimStatusTransactions:
      title: ClaimStatusTransactions
      type: object
      properties:
        provider:
          allOf:
          - $ref: '#/components/schemas/Provider'
          description: Loop 2100B NM1
          default: {}
        claimTransactionBatchNumber:
          type: string
          description: Loop 2200B TRN02
        providerClaimStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ProviderClaimStatus'
          description: Loop 2200B STC
          default: []
        claimStatusDetails:
          type: array
          items:
            $ref: '#/components/schemas/ClaimStatusDetails'
          description: Loop 2000C HL103=19
          default: []
    ClaimSupplementalInformation:
      title: ClaimSupplementalInformation
      type: object
      properties:
        coverageAmount:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = AU
        discountAmount:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = DB
        perDayLimit:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = DY
        patientAmountPaid:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = F5
        interest:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = I
        negativeLedgerBalance:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = NL
        tax:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = T
        totalClaimBeforeTaxes:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = T2
        federalMedicareOrMedicaidPaymentMandateCategory1:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = ZK
        federalMedicareOrMedicaidPaymentMandateCategory2:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = ZL
        federalMedicareOrMedicaidPaymentMandateCategory3:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = ZM
        federalMedicareOrMedicaidPaymentMandateCategory4:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = ZN
        federalMedicareOrMedicaidPaymentMandateCategory5:
          type: string
          description: LOOP 2100; AMT02 where AMT01 = ZO
      description: AMT
    ClaimSupplementalInformationQuantities:
      title: ClaimSupplementalInformationQuantities
      type: object
      properties:
        coveredActual:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = CA
        coInsuredActual:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = CD
        lifeTimeReserveActual:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = LA
        lifeTimeReserveEstimated:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = LE
        nonCoveredEstimated:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = NE
        notReplacedBloodUnits:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = NR
        outlierDays:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = OU
        prescription:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = PS
        visits:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = VS
        federalMedicareOrMedicaidPaymentMandateCategory1:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = ZK
        federalMedicareOrMedicaidPaymentMandateCategory2:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = ZL
        federalMedicareOrMedicaidPaymentMandateCategory3:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = ZM
        federalMedicareOrMedicaidPaymentMandateCategory4:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = ZN
        federalMedicareOrMedicaidPaymentMandateCategory5:
          type: string
          description: LOOP 2100; QTY02 where QTY01 = ZO
      description: QTY
    Claims:
      title: Claims
      type: object
      properties:
        claimStatus:
          allOf:
          - $ref: '#/components/schemas/ClaimStatus'
          description: claimStatus for Loop 2200[D|E]
          default: {}
        serviceLines:
          type: array
          items:
            $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_status_cdpedi__ServiceLines'
          description: serviceDetails for Loop loop 2220[D|E]
          default: []
    Contact:
      title: Contact
      type: object
      properties:
        contactName:
          type: string
          description: PER02
        contactMethods:
          type: array
          items:
            $ref: '#/components/schemas/ContactMethods'
          description: each contact will have a single property set, except for phone with extension
          default: []
      description: Model for Contact Information PER
    ContactInformation:
      title: ContactInformation
      type: object
      properties:
        contactName:
          type: string
          description: PER02
        contactMethods:
          type: array
          items:
            $ref: '#/components/schemas/ContactMethod'
          description: each contact will have a single property set, except for phone with extention
      description: PER - PAYER BUSINESS CONTACT INFORMATION when PER01=CX
    ContactMethod:
      title: ContactMethod
      type: object
      properties:
        email:
          type: string
          description: PER04-06 where PER03-05 = EM
        fax:
          type: string
          description: PER04-06 where PER03-05 = FX
        phone:
          type: string
          description: PER04-06 where PER03-05 = TE
        phoneExtension:
          type: string
          description: PER06-08 where PER05-07 = EX
    ContactMethods:
      title: ContactMethods
      type: object
      properties:
        electronicDataInterChangeAccessNumber:
          type: string
          description: PER04-06-08 where PER03-05-7=ED
        email:
          type: string
          description: PER04-06-08 where PER03-05-7=EM
        fax:
          type: string
          description: PER04-06-08 where PER03-05-7=FX
        phone:
          type: string
          description: PER04-06-08 where PER03-05-7=TE
        phoneExtension:
          type: string
          description: PER04-06-08 where PER03-05-7=EX
    CorrectedPatientOrInsuredName:
      title: CorrectedPatientOrInsuredName
      type: object
      properties:
        organizationName:
          type: string
          description: LOOP 2100; NM103 where NM102=2
        lastName:
          type: string
          description: LOOP 2100; NM103 where NM102=1
        firstName:
          type: string
          description: LOOP 2100; NM104
        middleName:
          type: string
          description: LOOP 2100; NM105
        suffix:
          type: string
          description: LOOP 2100; NM107
        insuredsChangedUniqueIdentificationNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=C
    Dependent:
      title: Dependent
      type: object
      properties:
        lastName:
          type: string
          description: NM103 where NM102=1
        firstName:
          type: string
          description: NM104
        middleName:
          type: string
          description: NM105
        suffix:
          type: string
          description: NM107
    DetailInfo:
      title: DetailInfo
      type: object
      properties:
        assignedNumber:
          type: string
          description: 'LOOP 2000: LX01'
        providerSummaryInformation:
          $ref: '#/components/schemas/ProviderSummaryInformation'
        providerSupplementalSummaryInformation:
          $ref: '#/components/schemas/ProviderSupplementalSummaryInformation'
        paymentInfo:
          type: array
          items:
            $ref: '#/components/schemas/PaymentInfo'
          default: []
      description: Detailed info for LOOP 2000 HEADER NUMBER
    ExtendedProviderStatus:
      title: ExtendedProviderStatus
      type: object
      properties:
        healthCareClaimStatusCategoryCode:
          type: string
          description: STC01-1, STC010-1, STC11-1
        healthCareClaimStatusCategoryCodeValue:
          type: string
          description: STC01-1, STC010-1, STC11-1 in English
        statusCode:
          type: string
          description: STC01-2, STC010-2, STC11-2
        statusCodeValue:
          type: string
          description: STC01-2, STC010-2, STC11-2 in English
        entityIdentifierCode:
          type: string
          description: STC01-3, STC010-3, STC11-3
        entityIdentifierCodeValue:
          type: string
          description: STC01-3, STC010-3, STC11-3 in English
        nationalCouncilForPrescriptionDrugProgramsRejectPaymentCodes:
          type: string
          description: STC01-4, STC010-4, STC11-4 in English
    FinancialInformation:
      title: FinancialInformation
      type: object
      properties:
        transactionHandlingCode:
          type: string
          description: BPR01
        totalActualProviderPaymentAmount:
          type: string
          description: BPR02
        creditOrDebitFlagCode:
          type: string
          description: BPR03
        paymentMethodCode:
          type: string
          description: BPR04
        paymentFormatCode:
          type: string
          description: BPR05
        payerIdentifier:
          type: string
          description: BPR10
        originatingCompanySupplementalCode:
          type: string
          description: BPR11
        checkIssueOrEFTEffectiveDate:
          type: string
          description: BPR16
        senderAccountDetails:
          $ref: '#/components/schemas/SenderAccountDetails'
        receiverAccountDetails:
          $ref: '#/components/schemas/ReceiverAccountDetails'
      description: Model for financial information in claim payment advice transactions BPR
    HTTPValidationError:
      title: HTTPValidationError
      type: object
      properties:
        detail:
          title: Detail
          type: array
          items:
            $ref: '#/components/schemas/ValidationError'
    HealthCareCheckRemarkCodes:
      title: HealthCareCheckRemarkCodes
      type: object
      properties:
        codeListQualifierCode:
          type: string
          description: LOOP 2110; LQ01
        codeListQualifierCodeValue:
          type: string
          description: LOOP 2110; LQ01
        remarkCode:
          type: string
          description: LOOP 2110; LQ02
      description: LQ - HEALTH CARE REMARK CODES
    HealthCarePolicyIdentification:
      title: HealthCarePolicyIdentification
      type: object
      properties:
        policyFormIdentifyingNumber:
          type: string
          description: LOOP 2110; REF02 where REF01=0k
    HealthCheck:
      title: HealthCheck
      required:
      - version
      type: object
      properties:
        version:
          type: string
        status:
          type: string
          description: NM101 60 char, required
    IdentificationEntity:
      title: IdentificationEntity
      type: object
      properties:
        organizationName:
          type: string
          description: LOOP 2100; NM103 where NM102=2
        blueCrossBlueShieldAssociationPlanCode:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=AD
        taxId:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=FI
        nationalAssociationOfInsuranceCommissionersIdentification:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=NI
        payorId:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=PI
        pharmacyProcessorNumber:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=PP
        centersForMedicareAndMedicaidServicesPlanId:
          type: string
          description: LOOP 2100; NM109 WHERE NM108=XV
    InformationClaimStatus:
      title: InformationClaimStatus
      type: object
      properties:
        statusInformationEffectiveDate:
          type: string
          description: Loop 2200[D|E] STC02
        totalClaimChargeAmount:
          type: string
          description: Loop 2200[D|E] STC04
        claimPaymentAmount:
          type: string
          description: Loop 2200[D|E] STC05
        adjudicatedFinalizedDate:
          type: string
          description: Loop 2200[D|E] STC06
        remittanceDate:
          type: string
          description: Loop 2200[D|E] STC08
        remittanceTraceNumber:
          type: string
          description: Loop 2200[D|E] STC09
        informationStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ExtendedProviderStatus'
          description: Loop 2200[D|E] STC01 ,STC10, STC11
          default: []
    InpatientAdjudication:
      title: InpatientAdjudication
      type: object
      properties:
        coveredDaysOrVisitsCount:
          type: string
          description: LOOP 2100; MIA01
        ppsOperatingOutlierAmount:
          type: string
          description: LOOP 2100; MIA02
        lifetimePsychiatricDaysCount:
          type: string
          description: LOOP 2100; MIA03
        claimDRGAmount:
          type: string
          description: LOOP 2100; MIA04
        claimPaymentRemarkCode1:
          type: string
          description: LOOP 2100; MIA05
        claimDisproportionateShareAmount:
          type: string
          description: LOOP 2100; MIA06
        claimMSPPassThroughAmount:
          type: string
          description: LOOP 2100; MIA07
        claimPPSCapitalAmount:
          type: string
          description: LOOP 2100; MIA08
        ppsCapitalFSPDRGAmount:
          type: string
          description: LOOP 2100; MIA09
        ppsCapitalHSPDRGAmount:
          type: string
          description: LOOP 2100; MIA10
        ppsCapitalDSHDRGAmount:
          type: string
          description: LOOP 2100; MIA11
        oldCapitalAmount:
          type: string
          description: LOOP 2100; MIA12
        ppsCapitalIMEAmount:
          type: string
          description: LOOP 2100; MIA13
        ppsOperatingHospitalSpecificDRGAmount:
          type: string
          description: LOOP 2100; MIA14
        costReportDayCount:
          type: string
          description: LOOP 2100; MIA15
        ppsOperatingFederalSpecificDRGAmount:
          type: string
          description: LOOP 2100; MIA16
        claimPPSCapitalOutlierAmount:
          type: string
          description: LOOP 2100; MIA17
        claimIndirectTeachingAmount:
          type: string
          description: LOOP 2100; MIA18
        nonPayableProfessionalComponentAmount:
          type: string
          description: LOOP 2100; MIA19
        claimPaymentRemarkCode2:
          type: string
          description: LOOP 2100; MIA20
        claimPaymentRemarkCode3:
          type: string
          description: LOOP 2100; MIA21
        claimPaymentRemarkCode4:
          type: string
          description: LOOP 2100; MIA22
        claimPaymentRemarkCode5:
          type: string
          description: LOOP 2100; MIA23
        ppsCapitalExceptionAmount:
          type: string
          description: LOOP 2100; MIA24
    Loop:
      title: Loop
      type: object
      properties:
        name:
          type: string
        index:
          type: integer
    Meta:
      title: Meta
      type: object
      properties:
        applicationMode:
          type: string
        senderId:
          type: string
        traceId:
          type: string
    OtherClaimRelatedIdentification:
      title: OtherClaimRelatedIdentification
      type: object
      properties:
        groupOrPolicyNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1L
        memberIdentificationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1W
        employeeIdentificationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 28
        groupNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 6P
        rePricedClaimReferenceNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 9A
        adjustedRePricedClaimReferenceNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 9C
        authorizationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = BB
        classOfContractCode:
          type: string
          description: LOOP 2100; REF02 where REF01 = CE
        medicalRecordIdentificationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = EA
        originalReferenceNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = F8
        priorAuthorizationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = G1
        predeterminationOfBenefitsIdentificationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = G3
        insurancePolicyNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = IG
        ssn:
          type: string
          description: LOOP 2100; REF02 where REF01 = SY
    OutpatientAdjudication:
      title: OutpatientAdjudication
      type: object
      properties:
        reimbursementRate:
          type: string
          description: LOOP 2100; MOA01
        claimHCPCSPayableAmount:
          type: string
          description: LOOP 2100; MOA02
        claimPaymentRemarkCode1:
          type: string
          description: LOOP 2100; MOA03
        claimPaymentRemarkCode2:
          type: string
          description: LOOP 2100; MOA04
        claimPaymentRemarkCode3:
          type: string
          description: LOOP 2100; MOA05
        claimPaymentRemarkCode4:
          type: string
          description: LOOP 2100; MOA06
        claimPaymentRemarkCode5:
          type: string
          description: LOOP 2100; MOA07
        claimESRDPaymentAmount:
          type: string
          description: LOOP 2100; MOA08
        nonPayableProfessionalComponentAmount:
          type: string
          description: LOOP 2100; MOA09
    PatientClaimStatusDetails:
      title: PatientClaimStatusDetails
      type: object
      properties:
        subscriber:
          allOf:
          - $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Subscriber'
          description: Loop 2100D NM1
          default: {}
        dependent:
          allOf:
          - $ref: '#/components/schemas/Dependent'
          description: Loop 2100E NM1
          default: {}
        claims:
          type: array
          items:
            $ref: '#/components/schemas/Claims'
          description: Loop 2200[D|E]
          default: []
    PatientName:
      title: PatientName
      type: object
      properties:
        lastName:
          type: string
          description: LOOP 2100; NM103
        firstName:
          type: string
          description: LOOP 2100; NM104
        middleName:
          type: string
          description: LOOP 2100; NM105
        suffix:
          type: string
          description: LOOP 2100; NM107
        ssn:
          type: string
          description: LOOP 2100 NM109 where NM108=34
        healthInsuranceClaimNumber:
          type: string
          description: LOOP 2100 NM109 where NM108=HN
        standardUniqueHealthIdentifierForEachIndividualInTheUnitedStates:
          type: string
          description: LOOP 2100 NM109 where NM108=II
        memberId:
          type: string
          description: LOOP 2100 NM109 where NM108=MI
        medicaidRecipientIdentificationNumber:
          type: string
          description: LOOP 2100 NM109 where NM108=MR
    Payee:
      title: Payee
      type: object
      properties:
        name:
          type: string
          description: N102
        taxId:
          type: string
          description: N104 where N103 where N103=FI
        centersForMedicareAndMedicaidServicesPlanId:
          type: string
          description: N104 where N103 where N103=XV
        npi:
          type: string
          description: N104 where N103 where N103=XX
        address:
          allOf:
          - $ref: '#/components/schemas/Address'
          description: LOOP 1000B PAYEE Address N3 and N4
          default: {}
        stateLicenseNumber:
          type: string
          description: LOOP 1000B REF02 where REF01=0B
        nationalCouncilForPrescriptionDrugProgramsPharmacyNumber:
          type: string
          description: LOOP 1000B REF02 where REF01=D3
        payeeIdentification:
          type: string
          description: LOOP 1000B REF02 where REF01=PQ
        federalTaxPayersIdentificationNumber:
          type: string
          description: LOOP 1000B REF02 where REF01=TJ
        remittanceDeliveryMethod:
          allOf:
          - $ref: '#/components/schemas/RemittanceDeliveryMethod'
          description: RDM - REMITTANCE DELIVERY METHOD
      description: Model for the Payee Identification for LOOP 1000B
    PaymentAndRemitReassociationDetails:
      title: PaymentAndRemitReassociationDetails
      type: object
      properties:
        traceTypeCode:
          type: string
          description: TRN01
        checkOrEFTTraceNumber:
          type: string
          description: TRN02
        originatingCompanyIdentifier:
          type: string
          description: TRN03
        originatingCompanySupplementalCode:
          type: string
          description: TRN04
      description: Model for Payment And Remit Reassociation Details in claim payment advice transactions
        TRN
    PaymentInfo:
      title: PaymentInfo
      type: object
      properties:
        claimStatementPeriodStart:
          type: string
          description: LOOP 2100; DTM02 where DTM01=232
        claimStatementPeriodEnd:
          type: string
          description: LOOP 2100; DTM02 where DTM01=233
        coverageExpirationDate:
          type: string
          description: LOOP 2100; DTM02 where DTM01=036
        claimReceivedDate:
          type: string
          description: LOOP 2100; DTM02 where DTM01=050
        claimPaymentInfo:
          allOf:
          - $ref: '#/components/schemas/ClaimPaymentInfo'
          description: LOOP 2100; CLP - CLAIM PAYMENT INFORMATION
        claimAdjustments:
          type: array
          items:
            $ref: '#/components/schemas/ClaimAdjustments'
          description: LOOP 2100; CAS - CLAIM ADJUSTMENT, Segment repeat = 99
          default: []
        patientName:
          allOf:
          - $ref: '#/components/schemas/PatientName'
          description: LOOP 2100; NM1 - PATIENT NAME
        subscriber:
          allOf:
          - $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_payment_advice__Subscriber'
          description: LOOP 2100; NM1 - INSURED NAME
        correctedPatientOrInsuredName:
          allOf:
          - $ref: '#/components/schemas/CorrectedPatientOrInsuredName'
          description: LOOP 2100; NM1 - CORRECTED PATIENT/INSURED NAME
        renderingProvider:
          allOf:
          - $ref: '#/components/schemas/RenderingProvider'
          description: LOOP 2100; NM1 - SERVICE PROVIDER NAME NM101 = 82
        crossoverCarrier:
          allOf:
          - $ref: '#/components/schemas/IdentificationEntity'
          description: LOOP 2100; NM1 - CROSSOVER CARRIER NAME NM101=TT
        correctedPriorityPayer:
          allOf:
          - $ref: '#/components/schemas/IdentificationEntity'
          description: LOOP 2100; NM1 - CORRECTED PRIORITY PAYER NAME NM101=PR
        otherSubscriber:
          allOf:
          - $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_payment_advice__Subscriber'
          description: LOOP 2100; NM1 - OTHER SUBSCRIBER NAME NM101=GB
        inpatientAdjudication:
          allOf:
          - $ref: '#/components/schemas/InpatientAdjudication'
          description: LOOP 2100; MIA - INPATIENT ADJUDICATION INFORMATION
        outpatientAdjudication:
          allOf:
          - $ref: '#/components/schemas/OutpatientAdjudication'
          description: LOOP 2100; MOA - OUTPATIENT ADJUDICATION INFORMATION
        claimContactInformation:
          type: array
          items:
            $ref: '#/components/schemas/ContactInformation'
          description: LOOP 2100; PER - CLAIM CONTACT INFORMATION
          default: []
        otherClaimRelatedIdentification:
          allOf:
          - $ref: '#/components/schemas/OtherClaimRelatedIdentification'
          description: LOOP 2100; REF - OTHER CLAIM RELATED IDENTIFICATION
        renderingProviderIdentification:
          allOf:
          - $ref: '#/components/schemas/RenderingProviderIdentification'
          description: LOOP 2100; REF - RENDERING PROVIDER IDENTIFICATION
        claimSupplementalInformation:
          allOf:
          - $ref: '#/components/schemas/ClaimSupplementalInformation'
          description: LOOP 2100; AMT - CLAIM SUPPLEMENTAL INFORMATION
        claimSupplementalInformationQuantities:
          allOf:
          - $ref: '#/components/schemas/ClaimSupplementalInformationQuantities'
          description: LOOP 2100; QTY - CLAIM SUPPLEMENTAL INFORMATION QUANTITY
        serviceLines:
          type: array
          items:
            $ref: '#/components/schemas/cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines'
          default: []
    Provider:
      title: Provider
      type: object
      properties:
        organizationName:
          type: string
          description: NM103 where NM102=2
        lastName:
          type: string
          description: NM103 where NM102=1
        firstName:
          type: string
          description: NM104
        middleName:
          type: string
          description: NM105
        etin:
          type: string
          description: NM109
    ProviderAdjustments:
      title: ProviderAdjustments
      type: object
      properties:
        providerIdentifier:
          type: string
          description: PLB01
        fiscalPeriodDate:
          type: string
          description: PLB02
        adjustments:
          type: array
          items:
            $ref: '#/components/schemas/Adjustments'
          description: PLB03-PLB14; array of size = 6
          default: []
    ProviderClaimStatus:
      title: ProviderClaimStatus
      type: object
      properties:
        statusInformationEffectiveDate:
          type: string
          description: Loop 2200C STC02
        providerStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ProviderStatus'
          description: Loop 2200C STC01 ,STC10, STC11
          default: []
    ProviderStatus:
      title: ProviderStatus
      type: object
      properties:
        healthCareClaimStatusCategoryCode:
          type: string
          description: STC01-1, STC010-1, STC11-1
        healthCareClaimStatusCategoryCodeValue:
          type: string
          description: STC01-1, STC010-1, STC11-1 in English
        statusCode:
          type: string
          description: STC01-2, STC010-2, STC11-2
        statusCodeValue:
          type: string
          description: STC01-2, STC010-2, STC11-2 in English
        entityIdentifierCode:
          type: string
          description: STC01-3, STC010-3, STC11-3
        entityIdentifierCodeValue:
          type: string
          description: STC01-3, STC010-3, STC11-3 in English
    ProviderSummaryInformation:
      title: ProviderSummaryInformation
      type: object
      properties:
        providerIdentifier:
          type: string
          description: LOOP 2000; TS301
        facilityTypeCode:
          type: string
          description: LOOP 2000; TS302
        fiscalPeriodDate:
          type: string
          description: LOOP 2000; TS303
        totalClaimCount:
          type: string
          description: LOOP 2000; TS304
        totalClaimChargeAmount:
          type: string
          description: LOOP 2000; TS305
        totalMSPPayerAmount:
          type: string
          description: LOOP 2000; TS313
        totalNonLabChargeAmount:
          type: string
          description: LOOP 2000; TS315
        totalHCPCSReportedChargeAmount:
          type: string
          description: LOOP 2000; TS317
        totalHCPCSPayableAmount:
          type: string
          description: LOOP 2000; TS318
        totalProfessionalComponentAmount:
          type: string
          description: LOOP 2000; TS320
        totalMSPPatientLiabilityMetAmount:
          type: string
          description: LOOP 2000; TS321
        totalPatientReimbursementAmount:
          type: string
          description: LOOP 2000; TS322
        totalPIPClaimCount:
          type: string
          description: LOOP 2000; TS323
        totalPIPAdjustmentAmount:
          type: string
          description: LOOP 2000; TS324
      description: PROVIDER SUMMARY INFORMATION for LOOP 2000 TS3
    ProviderSupplementalSummaryInformation:
      title: ProviderSupplementalSummaryInformation
      type: object
      properties:
        totalDRGAmount:
          type: string
          description: LOOP 2000; TS201
        totalFederalSpecificAmount:
          type: string
          description: LOOP 2000; TS202
        totalHospitalSpecificAmount:
          type: string
          description: LOOP 2000; TS203
        totalDisproportionateShareAmount:
          type: string
          description: LOOP 2000; TS204
        totalCapitalAmount:
          type: string
          description: LOOP 2000; TS205
        totalIndirectMedicalEducationAmount:
          type: string
          description: LOOP 2000; TS206
        totalOutlierDayCount:
          type: string
          description: LOOP 2000; TS207
        totalDayOutlierAmount:
          type: string
          description: LOOP 2000; TS208
        totalCostOutlierAmount:
          type: string
          description: LOOP 2000; TS209
        averageDRGLengthOfStay:
          type: string
          description: LOOP 2000; TS210
        totalDischargeCount:
          type: string
          description: LOOP 2000; TS211
        totalCostReportDayCount:
          type: string
          description: LOOP 2000; TS212
        totalCoveredDayCount:
          type: string
          description: LOOP 2000; TS213
        totalNonCoveredDayCount:
          type: string
          description: LOOP 2000; TS214
        totalMSPPassThroughAmount:
          type: string
          description: LOOP 2000; TS215
        averageDRGWeight:
          type: string
          description: LOOP 2000; TS216
        totalPPSCapitalFSPDRGAmount:
          type: string
          description: LOOP 2000; TS217
        totalPPSCapitalHSPDRGAmount:
          type: string
          description: LOOP 2000; TS218
        totalPPSDSHDRGAmount:
          type: string
          description: LOOP 2000; TS219
      description: TS2 - PROVIDER SUPPLEMENTAL SUMMARY INFORMATION
    ReceiverAccountDetails:
      title: ReceiverAccountDetails
      type: object
      properties:
        receiverDfiIdNumberQualifier:
          type: string
          description: BPR12
        receiverDfiIdentificationNumber:
          type: string
          description: BPR13
        receiverAccountNumberQualifier:
          type: string
          description: BPR14
        receiverAccountNumber:
          type: string
          description: BPR15
      description: receiver account details related to a Financial Information
    RemittanceDeliveryMethod:
      title: RemittanceDeliveryMethod
      type: object
      properties:
        name:
          type: string
          description: RDM02
        email:
          type: string
          description: RDM03 where RDM01=EM
        ftp:
          type: string
          description: RDM03 where RDM01=FT
        onLine:
          type: string
          description: RDM03 where RDM01=OL
    RenderingProvider:
      title: RenderingProvider
      type: object
      properties:
        organizationName:
          type: string
          description: LOOP 2100; NM103 NM102=2
        lastName:
          type: string
          description: LOOP 2100; NM103 NM102=1
        firstName:
          type: string
          description: LOOP 2100; NM104
        middleName:
          type: string
          description: LOOP 2100; NM105
        suffix:
          type: string
          description: LOOP 2100; NM107
        blueCrossProviderNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=BD
        blueShieldProviderNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=BS
        taxId:
          type: string
          description: LOOP 2100; NM109 where NM108=FI
        medicaidProviderNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=MC
        providerCommercialNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=PC
        stateLicenseNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=SL
        uniquePhysicianIdentificationNumber:
          type: string
          description: LOOP 2100; NM109 where NM108=UP
        npi:
          type: string
          description: LOOP 2100; NM109 where NM108=XX
    RenderingProviderIdentification:
      title: RenderingProviderIdentification
      type: object
      properties:
        stateLicenseNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 0B
        blueCrossProviderNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1A
        blueShieldProviderNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1B
        medicareProviderNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1C
        medicaidProviderNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1D
        providerUPINNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1G
        champusIdentificationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1H
        facilityIdNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = 1J
        nationalCouncilForPrescriptionDrugProgramPharmacyNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = D3
        providerCommercialNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = G2
        locationNumber:
          type: string
          description: LOOP 2100; REF02 where REF01 = LU
    RenderingProviderInformation:
      title: RenderingProviderInformation
      type: object
      properties:
        stateLicenseNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 0B
        blueCrossProviderNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1A
        blueShieldProviderNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1B
        medicareProviderNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1C
        medicaidProviderNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1D
        providerUPINNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1G
        champusIdentificationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1H
        facilityIdNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1J
        nationalCouncilForPrescriptionDrugProgramPharmacyNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = D3
        providerCommercialNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = G2
        npi:
          type: string
          description: LOOP 2110; REF02 where REF01 = HPI
        ssn:
          type: string
          description: LOOP 2110; REF02 where REF01 = SY
        federalTaxpayerIdentificationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = TJ
    ReportContent:
      title: ReportContent
      required:
      - report_content
      - meta
      type: object
      properties:
        report_content:
          title: Report Content
          type: string
        meta:
          $ref: '#/components/schemas/Meta'
    ReportDeleted:
      title: ReportDeleted
      required:
      - status
      - meta
      type: object
      properties:
        status:
          title: Status
          type: string
        meta:
          $ref: '#/components/schemas/Meta'
    Reports:
      title: Reports
      required:
      - meta
      type: object
      properties:
        reports:
          title: Reports
          type: array
          items:
            type: string
          default: []
        meta:
          $ref: '#/components/schemas/Meta'
    Segment:
      title: Segment
      type: object
      properties:
        name:
          type: string
        index:
          type: integer
    SenderAccountDetails:
      title: SenderAccountDetails
      type: object
      properties:
        senderDfiIdNumberQualifier:
          type: string
          description: BPR06
        senderDFIIdentifier:
          type: string
          description: BPR07
        senderAccountNumberQualifier:
          type: string
          description: BPR08
        senderAccountNumber:
          type: string
          description: BPR09
      description: sender account details related to a Financial Information
    Service:
      title: Service
      type: object
      properties:
        serviceIdQualifierCode:
          type: string
          description: Loop 2220[D|E] SVC01-01
        serviceIdQualifierCodeValue:
          type: string
          description: Loop 2220[D|E] SVC01-01 in English
        procedureCode:
          type: string
          description: Loop 2220[D|E] SVC01-02
        procedureModifiers:
          type: array
          items:
            type: string
          description: Loop 2220[D|E] SVC01-03, SVC01-04, SVC01-05, SVC01-06
          default: []
        chargeAmount:
          type: string
          description: Loop 2220[D|E] SVC02
        amountPaid:
          type: string
          description: Loop 2220[D|E] SVC03
        revenueCode:
          type: string
          description: Loop 2220[D|E] SVC04
        submittedUnits:
          type: string
          description: Loop 2220[D|E] SVC07
    ServiceClaimStatus:
      title: ServiceClaimStatus
      type: object
      properties:
        effectiveDate:
          type: string
          description: Loop 2220[D|E] STC02
        serviceStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ExtendedProviderStatus'
          description: Loop 2220[D|E] STC01 ,STC10, STC11
          default: []
    ServiceIdentification:
      title: ServiceIdentification
      type: object
      properties:
        ambulatoryPatientGroupNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = 1S
        ambulatoryPaymentClassification:
          type: string
          description: LOOP 2110; REF02 where REF01 = APC
        authorizationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = BB
        attachmentCode:
          type: string
          description: LOOP 2110; REF02 where REF01 = E9
        priorAuthorizationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = G1
        preDeterminationOfBenefitsIdentificationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = G3
        locationNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = LU
        rateCodeNumber:
          type: string
          description: LOOP 2110; REF02 where REF01 = RB
    ServicePaymentInformation:
      title: ServicePaymentInformation
      type: object
      properties:
        productOrServiceIDQualifier:
          type: string
          description: LOOP 2110; SVC01 - 1
        productOrServiceIDQualifierValue:
          type: string
          description: LOOP 2110; SVC01 - 1
        adjudicatedProcedureCode:
          type: string
          description: LOOP 2110; SVC01 - 2
        adjudicatedProcedureModifierCodes:
          type: array
          items:
            type: string
          description: ARRAY SIZE = 4| SVC01 - 3; SVC01 - 4; SVC01 - 5; SVC01 - 6
          default: []
        lineItemChargeAmount:
          type: string
          description: LOOP 2110; SVC02
        lineItemProviderPaymentAmount:
          type: string
          description: LOOP 2110; SVC03
        nationalUniformBillingCommitteeRevenueCode:
          type: string
          description: LOOP 2110; SVC04
        unitsOfServicePaidCount:
          type: string
          description: LOOP 2110; SVC05
        submittedProductOrServiceIDQualifier:
          type: string
          description: LOOP 2110; SVC06 -1
        submittedProductOrServiceIDQualifierValue:
          type: string
          description: LOOP 2110; SVC06 -1 in English
        submittedAdjudicatedProcedureCode:
          type: string
          description: LOOP 2110; SVC06 -2
        submittedAdjudicatedProcedureModifierCodes:
          type: array
          items:
            type: string
          description: ARRAY SIZE = 4| SVC06 - 3; SVC06 - 4; SVC06 - 5; SVC06 - 6
          default: []
        submittedProcedureCodeDescription:
          type: string
          description: LOOP 2110; SVC06 - 7
        originalUnitsOfServiceCount:
          type: string
          description: LOOP 2110; SVC07
    ServiceProvider:
      title: ServiceProvider
      type: object
      properties:
        organizationName:
          type: string
          description: NM103 where NM102=2
        lastName:
          type: string
          description: NM103 where NM102=1
        firstName:
          type: string
          description: NM104
        middleName:
          type: string
          description: NM105
        suffix:
          type: string
          description: NM107
        tin:
          type: string
          description: NM109 where NM108=FI
        spn:
          type: string
          description: NM109 where NM108=SV
        npi:
          type: string
          description: NM109 where NM108=XX
    ServiceProviderClaimStatus:
      title: ServiceProviderClaimStatus
      type: object
      properties:
        statusInformationEffectiveDate:
          type: string
          description: Loop 2200C STC02
        serviceProviderStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ProviderStatus'
          description: Loop 2200C STC01 ,STC10, STC11
          default: []
    ServiceSupplementalAmounts:
      title: ServiceSupplementalAmounts
      type: object
      properties:
        allowedActual:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = B6
        deductionAmount:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = KH
        tax:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = T
        totalClaimBeforeTaxes:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = T2
        federalMedicareOrMedicaidPaymentMandateCategory1:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = ZK
        federalMedicareOrMedicaidPaymentMandateCategory2:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = ZL
        federalMedicareOrMedicaidPaymentMandateCategory3:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = ZM
        federalMedicareOrMedicaidPaymentMandateCategory4:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = ZN
        federalMedicareOrMedicaidPaymentMandateCategory5:
          type: string
          description: LOOP 2110; AMT02 where AMT01 = ZO
    ServiceSupplementalQuantities:
      title: ServiceSupplementalQuantities
      type: object
      properties:
        federalMedicareOrMedicaidPaymentMandateCategory1:
          type: string
          description: LOOP 2110; QTY02 where QTY01 = ZK
        federalMedicareOrMedicaidPaymentMandateCategory2:
          type: string
          description: LOOP 2110; QTY02 where QTY01 = ZL
        federalMedicareOrMedicaidPaymentMandateCategory3:
          type: string
          description: LOOP 2110; QTY02 where QTY01 = ZM
        federalMedicareOrMedicaidPaymentMandateCategory4:
          type: string
          description: LOOP 2110; QTY02 where QTY01 = ZN
        federalMedicareOrMedicaidPaymentMandateCategory5:
          type: string
          description: LOOP 2110; QTY02 where QTY01 = ZO
      description: QTY SERVICE
    TechnicalContactInformation:
      title: TechnicalContactInformation
      type: object
      properties:
        contactName:
          type: string
          description: LOOP 1000A; PER02
        contactMethods:
          type: array
          items:
            $ref: '#/components/schemas/TechnicalContactMethod'
          description: each contact will have a single property set, except for phone with extention
      description: PER - PAYER TECHNICAL CONTACT INFORMATION when PER01=BL
    TechnicalContactMethod:
      title: TechnicalContactMethod
      type: object
      properties:
        url:
          type: string
          description: PER04-06-08 where PER03-05-07 = UR
        email:
          type: string
          description: PER04-06-08 where PER03-05 = EM
        fax:
          type: string
          description: PER06-08 where PER05-07 = FX
        phone:
          type: string
          description: PER04-06 where PER03-05 = TE
        phoneExtension:
          type: string
          description: PER06-08 where PER05-07 = EX
    ValidationError:
      title: ValidationError
      required:
      - loc
      - msg
      - type
      type: object
      properties:
        loc:
          title: Location
          type: array
          items:
            type: string
        msg:
          title: Message
          type: string
        type:
          title: Error Type
          type: string
    cdpedi__x12__v5010__newmodels__claim_payment_advice__Payer:
      title: Payer
      type: object
      properties:
        name:
          type: string
          description: N102
        centersForMedicareAndMedicaidServicesPlanId:
          type: string
          description: LOOP 1000A N104 and LOOP 1000A N103=XV
        payerIdentificationNumber:
          type: string
          description: REF02 where REF01=2U
        submitterIdentificationNumber:
          type: string
          description: REF02 where REF01=EO
        healthIndustryNumber:
          type: string
          description: REF02 where REF01=HI
        nationalAssociationOfInsuranceCommissioners:
          type: string
          description: REF02 where REF01=NF
        payerWebSiteUrl:
          type: string
          description: PER04 where PER01=IC and PER03=UR
        address:
          allOf:
          - $ref: '#/components/schemas/Address'
          description: LOOP 1000A PAYER Address N3 and N4
          default: {}
        businessContactInformation:
          allOf:
          - $ref: '#/components/schemas/ContactInformation'
          description: LOOP 1000A; PER where PER01=CX
        technicalContactInformation:
          type: array
          items:
            $ref: '#/components/schemas/TechnicalContactInformation'
          description: LOOP 1000A; PER where PER01=BL
          default: []
      description: Model for the Payer Identification for LOOP 1000A
    cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines:
      title: ServiceLines
      type: object
      properties:
        serviceDate:
          type: string
          description: LOOP 2110; DTM02 where DTM01=472
        serviceStartDate:
          type: string
          description: LOOP 2110; DTM02 where DTM01=150
        serviceEndDate:
          type: string
          description: LOOP 2110; DTM02 where DTM01=151
        lineItemControlNumber:
          type: string
          description: LOOP 2110; REF02 where REF01=6R
        servicePaymentInformation:
          allOf:
          - $ref: '#/components/schemas/ServicePaymentInformation'
          description: LOOP 2110; SVC - SERVICE PAYMENT INFORMATION
        serviceAdjustments:
          type: array
          items:
            $ref: '#/components/schemas/ClaimAdjustments'
          description: LOOP 2110; CAS - SERVICE ADJUSTMENT, Segment repeat = 99
          default: []
        serviceIdentification:
          allOf:
          - $ref: '#/components/schemas/ServiceIdentification'
          description: LOOP 2110; REF - SERVICE IDENTIFICATION
        renderingProviderInformation:
          allOf:
          - $ref: '#/components/schemas/RenderingProviderInformation'
          description: LOOP 2110; REF - RENDERING PROVIDER INFORMATION
        serviceSupplementalAmounts:
          allOf:
          - $ref: '#/components/schemas/ServiceSupplementalAmounts'
          description: LOOP 2110; AMT - SERVICE SUPPLEMENTAL AMOUNT
        serviceSupplementalQuantities:
          allOf:
          - $ref: '#/components/schemas/ServiceSupplementalQuantities'
          description: LOOP 2110; QTY - SERVICE SUPPLEMENTAL QUANTITY
        healthCareCheckRemarkCodes:
          type: array
          items:
            $ref: '#/components/schemas/HealthCareCheckRemarkCodes'
          description: LOOP 2110; LQ - HEALTH CARE REMARK CODES, Segment repeat = 99
          default: []
        healthCarePolicyIdentification:
          type: array
          items:
            $ref: '#/components/schemas/HealthCarePolicyIdentification'
          description: LOOP 2120; REF where REF01 = 0K; segment repeat 5
          default: []
      description: LOOP ID = 2110 ; Loop Repeat = 999
    cdpedi__x12__v5010__newmodels__claim_payment_advice__Subscriber:
      title: Subscriber
      type: object
      properties:
        organizationName:
          type: string
          description: LOOP 2100; NM103 where NM102=2
        lastName:
          type: string
          description: LOOP 2100; NM103 where NM102=1
        firstName:
          type: string
          description: LOOP 2100; NM104
        middleName:
          type: string
          description: LOOP 2100; NM105
        suffix:
          type: string
          description: LOOP 2100; NM107
        taxId:
          type: string
          description: LOOP 2100 NM109 where NM108=FI
        standardUniqueHealthIdentifierForEachIndividualInTheUnitedStates:
          type: string
          description: LOOP 2100 NM109 where NM108=II
        memberId:
          type: string
          description: LOOP 2100 NM109 where NM108=MI
    cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Payer:
      title: Payer
      type: object
      properties:
        organizationName:
          type: string
          description: NM103
        payerIdentification:
          type: string
          description: NM109 where NM108=PI
        centersForMedicareAndMedicaidServicePlanId:
          type: string
          description: NM109 where NM108=XV
        payerContactInformation:
          allOf:
          - $ref: '#/components/schemas/Contact'
          description: PER
          default: {}
        claimStatusTransactions:
          type: array
          items:
            $ref: '#/components/schemas/ClaimStatusTransactions'
          description: Loop 2000C
          default: []
      description: Model for the Payer Identification for LOOP 2100A
    cdpedi__x12__v5010__newmodels__claim_status_cdpedi__ServiceLines:
      title: ServiceLines
      type: object
      properties:
        service:
          allOf:
          - $ref: '#/components/schemas/Service'
          description: service for Loop 2220[D|E]
          default: {}
        serviceClaimStatuses:
          type: array
          items:
            $ref: '#/components/schemas/ServiceClaimStatus'
          description: Loop 2220[D|E]
          default: []
        lineItemControlNumber:
          type: string
          description: Loop 2220[D|E] REF02
        serviceLineDate:
          type: string
          description: Loop 2220[D|E] DTP03 where DTP02=D8
        beginServiceLineDate:
          type: string
          description: Loop 2220[D|E] DTP03 where DTP02=RD8
        endServiceLineDate:
          type: string
          description: Loop 2220[D|E] DTP03 where DTP02=RD8
    cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Subscriber:
      title: Subscriber
      type: object
      properties:
        organizationName:
          type: string
          description: NM103 where NM102=2
        lastName:
          type: string
          description: NM103 where NM102=1
        firstName:
          type: string
          description: NM104
        middleName:
          type: string
          description: NM105
        suffix:
          type: string
          description: NM107
        memberId:
          type: string
          description: NM109 where NM108=MI
        employerIdentificationNumber:
          type: string
          description: NM109 where NM108=24
        standardUniqueHealthIdentifierForEachIndividualInTheUnitedStates:
          type: string
          description: NM109 where NM108=II