openapi: 3.0.1
info:
  title: Medical Network Eligibility v3
  description: 270 Eligibility Transaction
  version: v3
servers:
- url: https://sandbox-apigw.optum.com
  description: ''
tags:
- name: Health Check
  description: Health Check
- name: Eligibility
  description: Medical Eligibility
paths:
  /medicalnetwork/eligibility/v3/:
    post:
      tags:
      - Eligibility
      summary: Check Eligibility
      description: Accepts 270 EDI json object model and produces a json object model of a 271 response
      operationId: medicalEligibility
      parameters:
      - name: x-chng-trace-id
        in: header
        required: false
        schema:
          type: string
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/MedicalEligibility'
        required: true
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Response'
  /medicalnetwork/eligibility/v3/healthcheck:
    get:
      tags:
      - Health Check
      summary: Health Check
      operationId: healthCheck
      parameters:
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/> Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      responses:
        '200':
          description: OK
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/HealthCheck'
  /medicalnetwork/eligibility/v3/raw-x12:
    post:
      tags:
      - Eligibility
      summary: Check Eligibility x12
      description: Takes json with a single string property 'x12' that should have a 270 edi string and
        produces a json response with a single 'x12' property that should have a 271 edi string
      operationId: rawX12
      parameters:
      - name: x-chng-trace-id
        in: header
        required: false
        schema:
          type: string
      - name: Authorization
        in: header
        description: 'Bearer Your-Access-Token<br/>Example: <b>Bearer eyJraWQiOiIxIiwid…</b>'
        required: true
        schema:
          type: string
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/RawX12Request'
        required: true
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Response'
components:
  schemas:
    AdditionalIdentification:
      type: object
      properties:
        planNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=18 Plan Number'
        policyNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=1L Group or
            Policy Number'
        memberIdentificationNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=1W Member Identification
            Number'
        contractNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=CT Contract
            Number'
        medicalRecordIdentificationNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=EA Medical Record
            Identification Number'
        patientAccountNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=EJ Patient Account
            Number'
        healthInsuranceClaimNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=F6 Health Insurance
            (HIC) Number'
        identificationCardSerialNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=GH Identification
            Card Serial Number'
        insurancePolicyNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=IG Insurance
            Policy Number'
        planNetworkIdentificationNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=N6 Plan Network
            Identification Number'
        agencyClaimNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=Y4 Agency Claim
            Number'
      description: 'Loop: 2100C and 2100D, Segment: REF Notes: Additional Identification'
    Address:
      type: object
      properties:
        address1:
          maxLength: 55
          minLength: 0
          type: string
          description: 'Segment: N3, Element: N301, Notes: Required, Address Information'
          example: 123 address1
        address2:
          maxLength: 55
          minLength: 0
          type: string
          description: 'Segment: N3, Element: N302, Notes: Address Information'
        city:
          maxLength: 30
          minLength: 0
          type: string
          description: 'Segment: N4, Element: N401, Notes: Required, city'
          example: city1
        state:
          maxLength: 2
          minLength: 0
          type: string
          description: 'Segment: N4, Element: N402, Notes: state example: TN, WA'
          example: wa
        postalCode:
          maxLength: 15
          minLength: 0
          type: string
          description: 'Segment: N4, Element: N403'
          example: '981010000'
        countryCode:
          type: string
          description: 'Segment: N4, Element: N404'
        locationIdentifier:
          type: string
          description: 'Segment: N4, Element: N406'
        countrySubDivisionCode:
          type: string
          description: 'Segment: N4, Element: N407, Notes: Country SubDivision Code'
      description: 'Address: N3 and N4'
    Encounter:
      type: object
      properties:
        beginningDateOfService:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DTP, Element: DTP03, Notes: DTP01=291 and DTP02=RD8,
            Date Expressed in Format YYYYMMDD.'
        endDateOfService:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DTP, Element: DTP03, Notes: DTP01=291 and DTP02=RD8,
            Date Expressed in Format YYYYMMDD.'
        dateOfService:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DTP, Element: DTP03, Notes: DTP01=291 and DTP02=D8,
            Date Expressed in Format YYYYMMDD.'
        serviceTypeCodes:
          maxItems: 99
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ01, Notes: Service Type Codes,
            Allowed Values are: ''1'' Medical Care,''2'' Surgical, ''3'' Consultation, ''4'' Diagnostic
            X-Ray, ''5'' Diagnostic Lab, ''6'' Radiation Therapy, ''7'' Anesthesia, ''8'' Surgical Assistance,
            ''9'' Other Medical, ''10'' Blood Charges, ''11'' Used Durable Medical Equipment, ''12'' Durable
            Medical Equipment Purchase, ''13'' Ambulatory Service Center Facility, ''14'' Renal Supplies
            in the Home, ''15'' Alternate Method Dialysis, ''16'' Chronic Renal Disease (CRD) Equipment,
            ''17'' Pre-Admission Testing, ''18'' Durable Medical Equipment Rental, ''19'' Pneumonia Vaccine,
            ''20'' Second Surgical Opinion, ''21'' Third Surgical Opinion, ''22'' Social Work, ''23''
            Diagnostic Dental, ''24'' Periodontics, ''25'' Restorative, ''26'' Endodontics, ''27'' Maxillofacial
            Prosthetics, ''28'' Adjunctive Dental Services, ''30'' Health Benefit Plan Coverage, ''32''
            Plan Waiting Period, ''33'' Chiropractic, ''34'' Chiropractic Office Visits, ''35'' Dental
            Care, ''36'' Dental Crowns, ''37'' Dental Accident, ''38'' Orthodontics, ''39'' Prosthodontics,
            ''40'' Oral Surgery, ''41'' Routine (Preventive) Dental, ''42'' Home Health Care, ''43'' Home
            Health Prescriptions, ''44'' Home Health Visits, ''45'' Hospice, ''46'' Respite Care, ''47''
            Hospital, ''48'' Hospital - Inpatient, ''49'' Hospital - Room and Board, ''50'' Hospital -
            Outpatient, ''51'' Hospital - Emergency Accident, ''52'' Hospital - Emergency Medical, ''53''
            Hospital - Ambulatory Surgical, ''54'' Long Term Care, ''55'' Major Medical, ''56'' Medically
            Related Transportation, ''57'' Air Transportation, ''58'' Cabulance, ''59'' Licensed Ambulance,
            ''60'' General Benefits, ''61'' In-vitro Fertilization, ''62'' MRI/CAT Scan, ''63'' Donor
            Procedures, ''64'' Acupuncture, ''65'' Newborn Care, ''66'' Pathology, ''67'' Smoking Cessation,
            ''68'' Well Baby Care, ''69'' Maternity, ''70'' Transplants, ''71'' Audiology Exam, ''72''
            Inhalation Therapy, ''73'' Diagnostic Medical, ''74'' Private Duty Nursing, ''75'' Prosthetic
            Device, ''76'' Dialysis, ''77'' Otological Exam, ''78'' Chemotherapy, ''79'' Allergy Testing,
            ''80'' Immunizations, ''81'' Routine Physical, ''82'' Family Planning, ''83'' Infertility,
            ''84'' Abortion, ''85'' AIDS, ''86'' Emergency Services, ''87'' Cancer, ''88'' Pharmacy, ''89''
            Free Standing Prescription Drug, ''90'' Mail Order Prescription Drug, ''91'' Brand Name Prescription
            Drug, ''92'' Generic Prescription Drug, ''93'' Podiatry, ''94'' Podiatry - Office Visits,
            ''95'' Podiatry - Nursing Home Visits, ''96'' Professional (Physician), ''97'' Anesthesiologist,
            ''98'' Professional (Physician) Visit - Office, ''99'' Professional (Physician) Visit - Inpatient,
            ''A0'' Professional (Physician) Visit - Outpatient, ''A1'' Professional (Physician) Visit
            - Nursing Home, ''A2'' Professional (Physician) Visit - Skilled Nursing Facility, ''A3'' Professional
            (Physician) Visit - Home, ''A4'' Psychiatric, ''A5'' Psychiatric - Room and Board, ''A6''
            Psychotherapy, ''A7'' Psychiatric - Inpatient, ''A8'' Psychiatric - Outpatient, ''A9'' Rehabilitation,
            ''AA'' Rehabilitation - Room and Board, ''AB'' Rehabilitation - Inpatient, ''AC'' Rehabilitation
            - Outpatient, ''AD'' Occupational Therapy, ''AE'' Physical Medicine, ''AF'' Speech Therapy,
            ''AG'' Skilled Nursing Care, ''AH'' Skilled Nursing Care - Room and Board, ''AI'' Substance
            Abuse, ''AJ'' Alcoholism, ''AK'' Drug Addiction, ''AL'' Vision (Optometry), ''AM'' Frames,
            ''AN'' Routine Exam, ''AO'' Lenses, ''AQ'' Nonmedically Necessary Physical, ''AR'' Experimental
            Drug Therapy, ''B1'' Burn Care, ''B2'' Brand Name Prescription Drug - Formulary, ''B3'' Brand
            Name Prescription Drug - Non-Formulary, ''BA'' Independent Medical Evaluation, ''BB'' Partial
            Hospitalization (Psychiatric), ''BC'' Day Care (Psychiatric), ''BD'' Cognitive Therapy, ''BE''
            Massage Therapy, ''BF'' Pulmonary Rehabilitation, ''BG'' Cardiac Rehabilitation, ''BH'' Pediatric,
            ''BI'' Nursery, ''BJ'' Skin, ''BK'' Orthopedic, ''BL'' Cardiac, ''BM'' Lymphatic, ''BN'' Gastrointestinal,
            ''BP'' Endocrine, ''BQ'' Neurology, ''BR'' Eye, ''BS'' Invasive Procedures, ''BT'' Gynecological,
            ''BU'' Obstetrical, ''BV'' Obstetrical/Gynecological, ''BW'' Mail Order Prescription Drug:
            Brand Name, ''BX'' Mail Order Prescription Drug: Generic, ''BY'' Physician Visit - Office:
            Sick, ''BZ'' Physician Visit - Office: Well, ''C1'' Coronary Care, ''CA'' Private Duty Nursing
            - Inpatient, ''CB'' Private Duty Nursing - Home, ''CC'' Surgical Benefits - Professional (Physician),
            ''CD'' Surgical Benefits - Facility, ''CE'' Mental Health Provider - Inpatient, ''CF'' Mental
            Health Provider - Outpatient, ''CG'' Mental Health Facility - Inpatient, ''CH'' Mental Health
            Facility - Outpatient, ''CI'' Substance Abuse Facility - Inpatient, ''CJ'' Substance Abuse
            Facility - Outpatient, ''CK'' Screening X-ray, ''CL'' Screening laboratory, ''CM'' Mammogram,
            High Risk Patient, ''CN'' Mammogram, Low Risk Patient, ''CO'' Flu Vaccination, ''CP'' Eyewear
            and Eyewear Accessories, ''CQ'' Case Management, ''DG'' Dermatology, ''DM'' Durable Medical
            Equipment, ''DS'' Diabetic Supplies, ''GF'' Generic Prescription Drug - Formulary, ''GN''
            Generic Prescription Drug - Non-Formulary, ''GY'' Allergy, ''IC'' Intensive Care, ''MH'' Mental
            Health, ''NI'' Neonatal Intensive Care, ''ON'' Oncology, ''PT'' Physical Therapy, ''PU'' Pulmonary,
            ''RN'' Renal, ''RT'' Residential Psychiatric Treatment, ''TC'' Transitional Care, ''TN'' Transitional
            Nursery Care, ''UC'' Urgent Care'
          items:
            type: string
            enum:
            - '1'
            - '2'
            - '3'
            - '4'
            - '5'
            - '6'
            - '7'
            - '8'
            - '9'
            - '10'
            - '11'
            - '12'
            - '13'
            - '14'
            - '15'
            - '16'
            - '17'
            - '18'
            - '19'
            - '20'
            - '21'
            - '22'
            - '23'
            - '24'
            - '25'
            - '26'
            - '27'
            - '28'
            - '30'
            - '32'
            - '33'
            - '34'
            - '35'
            - '36'
            - '37'
            - '38'
            - '39'
            - '40'
            - '41'
            - '42'
            - '43'
            - '44'
            - '45'
            - '46'
            - '47'
            - '48'
            - '49'
            - '50'
            - '51'
            - '52'
            - '53'
            - '54'
            - '55'
            - '56'
            - '57'
            - '58'
            - '59'
            - '60'
            - '61'
            - '62'
            - '63'
            - '64'
            - '65'
            - '66'
            - '67'
            - '68'
            - '69'
            - '70'
            - '71'
            - '72'
            - '73'
            - '74'
            - '75'
            - '76'
            - '77'
            - '78'
            - '79'
            - '80'
            - '81'
            - '82'
            - '83'
            - '84'
            - '85'
            - '86'
            - '87'
            - '88'
            - '89'
            - '90'
            - '91'
            - '92'
            - '93'
            - '94'
            - '95'
            - '96'
            - '97'
            - '98'
            - '99'
            - A0
            - A1
            - A2
            - A3
            - A4
            - A5
            - A6
            - A7
            - A8
            - A9
            - AA
            - AB
            - AC
            - AD
            - AE
            - AF
            - AG
            - AH
            - AI
            - AJ
            - AK
            - AL
            - AM
            - AN
            - AO
            - AQ
            - AR
            - B1
            - B2
            - B3
            - BA
            - BB
            - BC
            - BD
            - BE
            - BF
            - BG
            - BH
            - BI
            - BJ
            - BK
            - BL
            - BM
            - BN
            - BP
            - BQ
            - BR
            - BS
            - BT
            - BU
            - BV
            - BW
            - BX
            - BY
            - BZ
            - C1
            - CA
            - CB
            - CC
            - CD
            - CE
            - CF
            - CG
            - CH
            - CI
            - CJ
            - CK
            - CL
            - CM
            - CN
            - CO
            - CP
            - CQ
            - DG
            - DM
            - DS
            - GF
            - GN
            - GY
            - IC
            - MH
            - NI
            - 'ON'
            - PT
            - PU
            - RN
            - RT
            - TC
            - TN
            - UC
        priorAuthorizationOrReferralNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: REF, Element: REF02, Notes: Prior Authorization
            or Referral Number'
        referenceIdentificationQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: REF, Element: REF01, Notes: Prior Authorization
            or Referral Number, Allowed Values are: ''9F'' Referral Number, ''G1'' Prior Authorization
            Number'
          enum:
          - 9F
          - G1
        industryCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: III, Element: III02, Notes: III01=ZZ Industry
            Code, Allowed Values are: ''01'' Pharmacy, ''02'' Telehealth Provided Other than in Patient''s
            Home, ''03'' School, ''04'' Homeless Shelter, ''05'' Indian Health Service Free-standing Facility,
            ''06'' Indian Health Service Provider-based Facility, ''07'' Tribal 638 Free-standing Facility,
            ''08'' Tribal 638 Provider-based Facility, ''09'' Prison/Correctional Facility, ''10'' Telehealth
            Provided in Patient''s Home, ''11'' Office, ''12'' Home, ''13'' Assisted Living Facility,
            ''14'' Group Home, ''15'' Mobile Unit, ''16'' Temporary Lodging, ''17'' Walk-in Retail Health
            Clinic, ''18'' Place of Employment-Worksite, ''19'' Off Campus-Outpatient Hospital, ''20''
            Urgent Care Facility, ''21'' Inpatient Hospital, ''22'' On Campus-Outpatient Hospital, ''23''
            Emergency Room - Hospital, ''24'' Ambulatory Surgical Center, ''25'' Birthing Center, ''26''
            Military Treatment Facility, ''31'' Skilled Nursing Facility, ''32'' Nursing Facility, ''33''
            Custodial Care Facility, ''34'' Hospice, ''41'' Ambulance - Land, ''42'' Ambulance - Air or
            Water, ''49'' Independent Clinic, ''50'' Federally Qualified Health Center, ''51'' Inpatient
            Psychiatric Facility, ''52'' Psychiatric Facility - Partial Hospitalization, ''53'' Community
            Mental Health Center, ''54'' Intermediate Care Facility / Individuals with Intellectual Disabilities,
            ''55'' Residential Substance Abuse Treatment Facility, ''56'' Psychiatric Residential Treatment
            Center, ''57'' Non-residential Substance Abuse Treatment Facility, ''58'' Non-residential
            Opioid Treatment Facility, ''60'' Mass Immunization Center, ''61'' Comprehensive Inpatient
            Rehabilitation Facility, ''62'' Comprehensive Outpatient Rehabilitation Facility, ''65'' End-Stage
            Renal Disease Treatment Facility, ''71'' Public Health Clinic, ''72'' Rural Health Clinic,
            ''81'' Independent Laboratory, ''99'' Other Place of Service'
          enum:
          - '01'
          - '02'
          - '03'
          - '04'
          - '05'
          - '06'
          - '07'
          - 08
          - 09
          - '10'
          - '11'
          - '12'
          - '13'
          - '14'
          - '15'
          - '16'
          - '17'
          - '18'
          - '19'
          - '20'
          - '21'
          - '22'
          - '23'
          - '24'
          - '25'
          - '26'
          - '31'
          - '32'
          - '33'
          - '34'
          - '41'
          - '42'
          - '49'
          - '50'
          - '51'
          - '52'
          - '53'
          - '54'
          - '55'
          - '56'
          - '57'
          - '58'
          - '60'
          - '61'
          - '62'
          - '65'
          - '71'
          - '72'
          - '81'
          - '99'
        productOrServiceIDQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-1, Notes: Composite Medical
            Procedure Identifier - Product or Service ID Qualifier, Allowed Values are: ''AD'' American
            Dental Association Codes, ''CJ'' Current Procedural Terminology (CPT) Codes, ''HC'' Health
            Care Financing Administration Common Procedural Coding System (HCPCS) Codes, ''ID'' International
            Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) - Procedure, ''IV''
            Home Infusion EDI Coalition (HIEC) Product/Service Code, ''N4'' National Drug Code in 5-4-2
            Format, ''ZZ'' Mutually Defined'
          enum:
          - AD
          - CJ
          - HC
          - ID
          - IV
          - N4
          - ZZ
        procedureCode:
          maxLength: 48
          minLength: 0
          type: string
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-2, Notes: Composite Medical
            Procedure Identifier - Procedure Code'
        procedureModifiers:
          maxItems: 4
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-3, Notes: Composite Medical
            Procedure Identifier - Procedure Modifier'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-3, Notes: Composite Medical
              Procedure Identifier - Procedure Modifier'
        diagnosisCodePointer:
          maxItems: 4
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ05, Notes: Composite Diagnosis
            Code Pointer'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ05, Notes: Composite Diagnosis
              Code Pointer'
        medicalProcedures:
          maxItems: 98
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-1-3, Notes: Composite Medical
            Procedure Identifier'
          items:
            $ref: '#/components/schemas/MedicalProcedure'
      description: 'Loop: 2110C and 2110D, Notes: Eligibility or Benefit Information'
    HealthCareInformation:
      type: object
      properties:
        diagnosisTypeCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-1 , Notes: Diagnosis Type Code,
            Allowed descriptions are: ''BK'' International Classification of Diseases Clinical Modification
            (ICD-9-CM) Principal Diagnosis, ''ABK'' International Classification of Diseases Clinical
            Modification (ICD-10-CM) Principal Diagnosis, ''BF'' International Classification of Diseases
            Clinical Modification (ICD-9-CM) Diagnosis, ''ABF'' International Classification of Diseases
            Clinical Modification (ICD-10-CM) Diagnosis'
          enum:
          - BK
          - ABK
          - BF
          - ABF
        diagnosisCode:
          maxLength: 30
          minLength: 0
          pattern: ^[A-Za-z0-9]+$
          type: string
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-2, Notes: Diagnosis Code'
      description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-1 HI01-2, Notes: Health Care Diagnosis'
    InformationReceiverName:
      type: object
      properties:
        stateLicenceNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=0B State License Number'
        medicareProviderNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=1C Medicare Provider Number'
        medicaidProviderNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=1D Medicaid Provider Number'
        facilityIdNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=1J Facility ID Number'
        contactNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=CT Contact Number'
        devicePinNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=EL Electronic Device Pin
            Number'
        submitterIdNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=EO Submitter Identification
            Number'
        nationalProviderIdentifier:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=HPI Centers for Medicare
            and Medicaid Services National Provider Identifier'
        providerPlanNetworkIdNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=N5 Provider Plan Network
            Identification Number'
        facilityNetworkIdNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=N7 Facility Network Identification
            Number'
        priorIdentifierNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=Q4 Prior Identifier Number'
        socialSecurityNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=SY Social Security Number'
        federalTaxpayerIdentificationNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=TJ Federal Taxpayer''s
            Identification Number'
        informationReceiverAdditionalIdentifierState:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF03, Notes: REF01=0B REF02=stateLicenceNumber
            Federal Taxpayer''s Identification Number'
        address:
          $ref: '#/components/schemas/Address'
      description: 'Loop: 2100B, Notes: Information Receiver Name'
    MedicalEligibility:
      required:
      - controlNumber
      - subscriber
      type: object
      properties:
        submitterTransactionIdentifier:
          type: string
          description: BHT03
        controlNumber:
          maxLength: 9
          minLength: 9
          type: string
          description: 'Segment: ISA, Element: ISA13, Notes: Required, Interchange Control Number - must
            be exactly 9 positive unsigned numeric characters.'
          example: '123456789'
        tradingPartnerServiceId:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100A Segment: NM1, Element: NM109, Notes: we send this as MN108 as PI'
          example: serviceId
        tradingPartnerName:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100A, Segment: NM1, Element: NM103, Notes: organizational name'
        provider:
          $ref: '#/components/schemas/Provider'
        portalUsername:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: User Identification REF01=JD'
        portalPassword:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: Personal Identification Number
            (PIN) REF01=4A'
        informationReceiverName:
          $ref: '#/components/schemas/InformationReceiverName'
        subscriber:
          $ref: '#/components/schemas/RequestSubscriber'
        dependents:
          maxItems: 2147483647
          minItems: 1
          type: array
          description: 'Loop: 2000D, Notes: Dependent Detail'
          items:
            $ref: '#/components/schemas/RequestDependent'
        encounter:
          $ref: '#/components/schemas/Encounter'
      description: MedicalEligibility
    MedicalProcedure:
      type: object
      properties:
        productOrServiceIDQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-1, Notes: Composite Medical
            Procedure Identifier - Product or Service ID Qualifier, Allowed Values are: ''AD'' American
            Dental Association Codes, ''CJ'' Current Procedural Terminology (CPT) Codes, ''HC'' Health
            Care Financing Administration Common Procedural Coding System (HCPCS) Codes, ''ID'' International
            Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) - Procedure, ''IV''
            Home Infusion EDI Coalition (HIEC) Product/Service Code, ''N4'' National Drug Code in 5-4-2
            Format, ''ZZ'' Mutually Defined'
          enum:
          - AD
          - CJ
          - HC
          - ID
          - IV
          - N4
          - ZZ
        procedureCode:
          maxLength: 48
          minLength: 0
          type: string
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-2, Notes: Composite Medical
            Procedure Identifier - Procedure Code'
        procedureModifiers:
          maxItems: 4
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-3, Notes: Composite Medical
            Procedure Identifier - Procedure Modifier'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ02-3, Notes: Composite Medical
              Procedure Identifier - Procedure Modifier'
        diagnosisCodePointer:
          maxItems: 4
          minItems: 0
          type: array
          description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ05, Notes: Composite Diagnosis
            Code Pointer'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segment: EQ, Element: EQ05, Notes: Composite Diagnosis
              Code Pointer'
      description: 'Loop: 2110C and 2110D, Notes: Eligibility or Benefit Information, EQ02 and beyond
        only'
    Provider:
      type: object
      properties:
        organizationName:
          maxLength: 60
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM103, Notes: NM101=PR when providerType=''payer''
            && payerId is present otherwise 1P for Provider, NM102=2 Non-Person Entity, organizationName
            1-60 alphanumeric characters'
          example: provider_name
        firstName:
          maxLength: 35
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM104, Notes: NM101=PR when providerType=''payer''
            && payerId is present otherwise 1P for Provider, NM102=1 Person, firstName 1-35 alphanumeric
            characters'
        lastName:
          maxLength: 60
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM103, Notes: NM101=PR when providerType=''payer''
            && payerId is present otherwise 1P for Provider, NM102=1 Person, lastName 1-60 alphanumeric
            characters'
        npi:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM109, Notes: NM108=XX Centers for Medicare
            and Medicaid Services National Provider Identifier 2-80 alphanumeric characters'
          example: 0123456789
        serviceProviderNumber:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM109, Notes: NM108=SV Service Provider Number
            2-80 alphanumeric characters'
          example: '54321'
        payorId:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM109, Notes: NM101=PR when providerType=''payer''
            && payerId is present otherwise 1P for Provider, NM108=PI Payor Identification 2-80 alphanumeric
            characters'
        taxId:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: NM109, Notes: NM108=FI Federal Taxpayer''s
            Identification Number 2-80 alphanumeric characters'
        ssn:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109 Notes: NM108=34 Social Security Number'
        pharmacyProcessorNumber:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109 Notes: NM108=PP Pharmacy Processor Number'
        servicesPlanID:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109 Notes: NM108=XV Centers for Medicare
            and Medicaid Services PlanID'
        employersId:
          maxLength: 80
          minLength: 0
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109 Notes: NM108=24 Employer''s Identification
            Number'
        providerCode:
          type: string
          description: 'Loop: 2100B Segment: PRV, Element: PRV01, Notes: PRV02=PXC Allowed descriptions
            are: ''AD'' Admitting, ''AT'' Attending, ''BI'' Billing, ''CO'' Consulting, ''CV'' Covering,
            ''H'' Hospital, ''HH'' Home Health Care, ''LA'' Laboratory, ''OT'' Other Physician, ''P1''
            Pharmacist, ''P2'' Pharmacy, ''PC'' Primary Care Physician, ''PE'' Performing, ''R'' Rural
            Health Clinic, ''RF'' Referring, ''SB'' Submitting, ''SK'' Skilled Nursing Facility, ''SU''
            Supervising'
          example: AD
          enum:
          - AD
          - AT
          - BI
          - CO
          - CV
          - H
          - HH
          - LA
          - OT
          - P1
          - P2
          - PC
          - PE
          - R
          - RF
          - SB
          - SK
          - SU
        referenceIdentification:
          type: string
          description: 'Loop: 2100B Segment: PRV, Element: PRV03, Notes: PRV02=PXC referenceIdentification
            and controlNumber into PRV03'
          example: 54321g
        providerType:
          type: string
          description: 'Loop: 2100B Segment: MN1, Element: MN101, Notes: Allowed descriptions are: ''PR''
            when providerType=''payer'' && payerId is present, ''2B'' when providerType=''third-party
            administrator'', ''36'' when providerType=''employer'', ''80'' when providerType=''hospital'',
            ''FA'' when providerType=''facility'', ''GP'' when providerType=''gateway provider'', ''P5''
            when providerType=''plan sponsor'', ''1P'' when providerType=''provider'''
          enum:
          - payer
          - third-party administrator
          - employer
          - hospital
          - facility
          - gateway provider
          - plan sponsor
          - provider
      description: 'Loop: 2100B, Segment: NM1, Notes: Information Receiver'
    RequestDependent:
      type: object
      properties:
        birthSequenceNumber:
          maxLength: 9
          minLength: 0
          pattern: ^[0-9]+$
          type: string
          description: 'Loop: 2100D Segment: INS, Element: INS17, Notes: Birth Sequence Number - must
            be exactly 9 positive unsigned numeric characters.'
        individualRelationshipCode:
          type: string
          description: 'Loop: 2100D Segment: INS, Element: INS02, Notes: Allowed Values are: ''01'' -
            Spouse, ''19'' - Child, ''34'' Other Adult'
          enum:
          - '01'
          - '19'
          - '34'
        issueNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100D Segment: REF, Element: REF02, Notes: REF01=IF Issue Number'
        eligibilityCategory:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100D Segment: REF, Element: REF02, Notes: REF01=MRC Eligibility Category'
        memberId:
          maxLength: 80
          minLength: 2
          pattern: ^[A-Za-z0-9-]+$
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM109, Notes: NM108=MI, memberId
            2-80 alphanumeric characters'
          example: '0000000000'
        firstName:
          maxLength: 35
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM104, Notes: firstName 1-35 alphanumeric
            characters'
          example: janeOne
        middleName:
          maxLength: 25
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM105, Notes: middleName 1-25 alphanumeric
            characters'
        lastName:
          maxLength: 60
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM103, Notes: lastName 1-60 alphanumeric
            characters'
          example: doeOne
        suffix:
          maxLength: 10
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM107, Notes: lastName 1-10 alphanumeric
            characters'
        gender:
          maxLength: 1
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DMG, Element: DMG03, Notes: gender 1 character
            ''M'' or ''F'''
          example: F
          enum:
          - M
          - F
        dateOfBirth:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DMG, Element: DMG02, Notes: date of birth in YYYYMMDD'
          example: '18160421'
        ssn:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=SY Social Security
            Number'
        groupNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=6P Group Number'
          example: '1111111111'
        idCard:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=HJ Identity
            Card Number'
        providerCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV01, Notes: Provider Code, Notes:
            Allowed Values are: ''AD'' Admitting, ''AT'' Attending, ''BI'' Billing, ''CO'' Consulting,
            ''CV'' Covering, ''H'' Hospital, ''HH'' Home Health Care, ''LA'' Laboratory, ''OT'' Other
            Physician, ''P1'' Pharmacist, ''P2'' Pharmacy, ''PC'' Primary Care Physician, ''PE'' Performing,
            ''R'' Rural Health Clinic, ''RF'' Referring, ''SK'' Skilled Nursing Facility, ''SU'' Supervising'
          enum:
          - AD
          - AT
          - BI
          - CO
          - CV
          - H
          - HH
          - LA
          - OT
          - P1
          - P2
          - PC
          - PE
          - R
          - RF
          - SK
          - SU
        referenceIdentificationQualifier:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV02, Notes: Allowed Values are:
            ''9K'' Servicer, ''D3'' National Council for Prescription Drug Programs Pharmacy Number, ''EI''
            Employer''s Identification Number, ''HPI'' Centers for Medicare and Medicaid Services National
            Provider Identifier, ''PXC'' Health Care Provider Taxonomy Code, ''SY'' Social Security Number,
            ''TJ'' Federal Taxpayer''s Identification Number'
          enum:
          - 9K
          - D3
          - EI
          - HPI
          - PXC
          - SY
          - TJ
        providerIdentifier:
          maxLength: 50
          minLength: 0
          pattern: ^[A-Za-z0-9]+$
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV03, Notes: Provider Identifier'
        beginningCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=RD8
            Retired'
        endCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=RD8
            Retired'
        idCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=D8
            Retired'
        planIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=D8
            Retired'
        beginningPlanIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=RD8
            Retired'
        endPlanIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=RD8
            Retired'
        healthCareCodeInformation:
          maxItems: 8
          minItems: 0
          type: array
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-1 HI01-2, Notes: Health Care
            Diagnosis'
          items:
            $ref: '#/components/schemas/HealthCareInformation'
        address:
          $ref: '#/components/schemas/Address'
        additionalIdentification:
          $ref: '#/components/schemas/AdditionalIdentification'
      description: 'Loop: 2000D, Notes: Dependent Detail'
    RequestSubscriber:
      type: object
      properties:
        birthSequenceNumber:
          maxLength: 9
          minLength: 0
          pattern: ^[0-9]+$
          type: string
          description: 'Loop: 2100C Segment: INS, Element: INS17, Notes: Birth Sequence Number - must
            be exactly 9 positive unsigned numeric characters.'
        caseNumber:
          maxLength: 50
          minLength: 0
          pattern: ^[A-Za-z0-9]+$
          type: string
          description: 'Loop: 2100C Segment: REF, Element: REF02, Notes: REF01=3H Case Number'
        medicaidRecipientIdentificationNumber:
          maxLength: 80
          minLength: 0
          pattern: ^[A-Za-z0-9]+$
          type: string
          description: 'Loop: 2110C Segment: REF, Element: REF02, Notes: REF01=NQ Medicaid Recipient Identification
            Number'
        spendDownAmount:
          maxLength: 18
          minLength: 0
          type: string
          description: 'Loop: 2110C Segment: ATM, Element: ATM02, Notes: ATM01=R Spend Down'
        spendDownTotalBilledAmount:
          maxLength: 18
          minLength: 0
          type: string
          description: 'Loop: 2110C Segment: ATM, Element: ATM02, Notes: ATM01=PB Billed Amount'
        coverageLevelCode:
          maxLength: 3
          minLength: 0
          type: string
          description: 'Loop: 2110C Segment: EQ, Element: EQ03, Notes: Retired, Not Used'
        memberId:
          maxLength: 80
          minLength: 0
          pattern: ^[A-Za-z0-9-]+$
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM109, Notes: NM108=MI, memberId
            2-80 alphanumeric characters'
          example: '0000000000'
        firstName:
          maxLength: 35
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM104, Notes: firstName 1-35 alphanumeric
            characters'
          example: johnOne
        middleName:
          maxLength: 25
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM105, Notes: middleName 1-25 alphanumeric
            characters'
        lastName:
          maxLength: 60
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM103, Notes: lastName 1-60 alphanumeric
            characters'
          example: doeOne
        suffix:
          maxLength: 10
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: MN1, Element: NM107, Notes: lastName 1-10 alphanumeric
            characters'
        gender:
          maxLength: 1
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DMG, Element: DMG03, Notes: gender 1 character
            ''M'' or ''F'''
          example: M
          enum:
          - M
          - F
        dateOfBirth:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: DMG, Element: DMG02, Notes: date of birth in YYYYMMDD'
          example: '18800102'
        ssn:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=SY Social Security
            Number'
        groupNumber:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=6P Group Number'
          example: '1111111111'
        idCard:
          maxLength: 50
          minLength: 0
          type: string
          description: 'Loop: 2100C and 2100D, Segment: REF, Element: REF02, Notes: REF01=HJ Identity
            Card Number'
        providerCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV01, Notes: Allowed Values are:
            ''AD'' Admitting, ''AT'' Attending, ''BI'' Billing, ''CO'' Consulting, ''CV'' Covering, ''H''
            Hospital, ''HH'' Home Health Care, ''LA'' Laboratory, ''OT'' Other Physician, ''P1'' Pharmacist,
            ''P2'' Pharmacy, ''PC'' Primary Care Physician, ''PE'' Performing, ''R'' Rural Health Clinic,
            ''RF'' Referring, ''SK'' Skilled Nursing Facility, ''SU'' Supervising'
          enum:
          - AD
          - AT
          - BI
          - CO
          - CV
          - H
          - HH
          - LA
          - OT
          - P1
          - P2
          - PC
          - PE
          - R
          - RF
          - SK
          - SU
        referenceIdentificationQualifier:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV02, Notes: Allowed Values are:
            ''9K'' Servicer, ''D3'' National Council for Prescription Drug Programs Pharmacy Number, ''EI''
            Employer''s Identification Number, ''HPI'' Centers for Medicare and Medicaid Services National
            Provider Identifier, ''PXC'' Health Care Provider Taxonomy Code, ''SY'' Social Security Number,
            ''TJ'' Federal Taxpayer''s Identification Number'
          enum:
          - 9K
          - D3
          - EI
          - HPI
          - PXC
          - SY
          - TJ
        providerIdentifier:
          maxLength: 50
          minLength: 0
          pattern: ^[A-Za-z0-9]+$
          type: string
          description: 'Loop: 2100C and 2100D, Segment: PRV, Element: PRV03, Notes: Provider Identifier'
        beginningCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=RD8
            Retired'
        endCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=RD8
            Retired'
        idCardIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=102, DTP02=D8
            Retired'
        planIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=D8
            Retired'
        beginningPlanIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=RD8
            Retired'
        endPlanIssueDate:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: DTP, Element: DTP03, Notes: DTP01=291, DTP02=RD8
            Retired'
        healthCareCodeInformation:
          maxItems: 8
          minItems: 0
          type: array
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-1 HI01-2, Notes: Health Care
            Diagnosis'
          items:
            $ref: '#/components/schemas/HealthCareInformation'
        address:
          $ref: '#/components/schemas/Address'
        additionalIdentification:
          $ref: '#/components/schemas/AdditionalIdentification'
      description: 'Loop: 2100C, Notes: Subscriber Detail'
    AdditionalInformation:
      type: object
      properties:
        description:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: MSG, Element: MSG01, Notes: Message Text Description'
      description: AdditionalInformation
    BenefitsAdditionalInformation:
      type: object
      properties:
        stateLicenseNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=0B stateLicenseNumber'
        medicareProviderNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=1D medicareProviderNumber'
        medicaidProviderNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=1C medicaidProviderNumber'
        facilityIdNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=1J facilityIdNumber'
        personalIdentificationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=4A personalIdentificationNumber'
        planNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=18 planNumber'
        policyNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=1L policyNumber'
        memberId:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=1W memberId'
        caseNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=3H caseNumber'
        familyUnitNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=46 familyUnitNumber'
        groupNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=6P groupNumber'
        referralNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=9F referralNumber'
        alternativeListId:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=ALS alternativeListId'
        classOfContractCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=CEE classOfContractCode'
        coverageListId:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=CLI coverageListId'
        contractNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=CT contractNumber'
        medicalRecordIdentificationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=EA medicalRecordIdentificationNumber'
        electronicDevicePin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=EL electronicDevicePin'
        submitterIdentificationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=EO submitterIdentificationNumber'
        patientAccountNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=EJ patientAccountNumber'
        hicNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=F6 hicNumber'
        drugFormularyNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=FO drugFormularyNumber'
        priorAuthorizationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=G1 priorAuthorizationNumber'
        idCardSerialNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=GH idCardSerialNumber'
        idCardNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=HJ idCardNumber'
        centersForMedicareAndMedicaidServicesNPI:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=HPI centersForMedicareAndMedicaidServicesNPI'
        issueNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=IF issueNumber'
        insurancePolicyNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=IG insurancePolicyNumber'
        userIdentification:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=JD userIdentification'
        medicalAssistanceCategory:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=M7 medicalAssistanceCategory'
        eligibilityCategory:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=MRC medicalAssistanceCategory'
        planNetworkIdNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=N6 planNetworkIdNumber'
        facilityNetworkIdentificationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=N7 facilityNetworkIdentificationNumber'
        medicaidRecepientIdNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=NQ medicaidRecipientIdNumber'
        priorIdNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=Q4 priorIdNumber'
        socialSecurityNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=SY socialSecurityNumber'
        federalTaxpayersIdentificationNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=TJ federalTaxpayersIdentificationNumber'
        agencyClaimNumber:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: REF, Element: REF02, Notes: REF01=Y4 agencyClaimNumber'
      description: BenefitsAdditionalInformation
    BenefitsDateInformation:
      type: object
      properties:
        discharge:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=096 Discharge'
        discharges:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=096 Discharge'
          items:
            $ref: '#/components/schemas/DtpDate'
        issue:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=102 issue'
        effectiveDateOfChange:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=152 effectiveDateOfChange'
        periodStart:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=193 periodStart'
        periodEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=193 periodEnd'
        completion:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=198 completion'
        coordinationOfBenefits:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=290 coordinationOfBenefits'
        plan:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=291 plan'
        benefit:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=292 benefit'
        primaryCareProvider:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=295 primaryCareProvider'
        latestVisitOrConsultation:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=304 latestVisitOrConsultation'
        eligibility:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=307 eligibility'
        added:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=318 added'
        cobraBegin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=340 cobraBegin'
        cobraEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=341 cobraEnd'
        premiumPaidtoDateBegin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=342 premiumPaidToDateBegin'
        premiumPaidToDateEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=343 premiumPaidToDateEnd'
        planBegin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=346 planBegin'
        planEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=347 planEnd'
        benefitBegin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=348 benefitBegin'
        benefitEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=349 benefitEnd'
        eligibilityBegin:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=356 eligibilityBegin'
        eligibilityEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=357 eligibilityEnd'
        enrollment:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=382 enrollment'
        admission:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=435 admission'
        admissions:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=435 admission'
          items:
            $ref: '#/components/schemas/DtpDate'
        dateOfDeath:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=442 dateOfDeath'
        certification:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=458 certification'
        service:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=472 service'
        policyEffective:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=539 policyEffective'
        policyExpiration:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=540 policyExpiration'
        dateOfLastUpdate:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=636 dateOfLastUpdate'
        status:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03 Notes: DTP01=771 status'
      description: BenefitsDateInformation
    BenefitsInformation:
      type: object
      properties:
        code:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB01, Notes: Eligibility or Benefit
            Information Code'
        name:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB01, Notes: Eligibility or Benefit
            Information Code'
        coverageLevelCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB02, Notes: Coverage Level Code'
        coverageLevel:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB02, Notes: Coverage Level'
        serviceTypeCodes:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Service Type Codes'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Service Type Codes'
        serviceTypes:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Service Types'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Service Types'
        insuranceTypeCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB04, Notes: Insurance Type Code'
        insuranceType:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB04, Notes: Insurance Type'
        planCoverage:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB05, Notes: Plan Coverage Description'
        timeQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB06, Notes: Time Period Qualifier
            Code'
        timeQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB06, Notes: Time Period Qualifier'
        benefitAmount:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB07, Notes: Monetary Amount'
        benefitPercent:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB08, Notes: Percentage as Decimal'
        quantityQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB09, Notes: Quantity Qualifier
            Code'
        quantityQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB09, Notes: Quantity Qualifier'
        benefitQuantity:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB10, Notes: Quantity'
        authOrCertIndicator:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB11, Notes: Yes/No Condition or
            Response Code'
        inPlanNetworkIndicatorCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB12, Notes: Yes/No Condition or
            Response Code'
        inPlanNetworkIndicator:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB12, Notes: Yes/No Condition or
            Response'
        headerLoopIdentifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: LS, Element: LS01, Notes: Loop Identifier Code'
        trailerLoopIdentifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: LE, Element: LE01, Notes: Loop Identifier Code'
        compositeMedicalProcedureIdentifier:
          $ref: '#/components/schemas/CompositeMedicalProcedureIdentifier'
        benefitsAdditionalInformation:
          $ref: '#/components/schemas/BenefitsAdditionalInformation'
        benefitsDateInformation:
          $ref: '#/components/schemas/BenefitsDateInformation'
        benefitsRelatedEntity:
          $ref: '#/components/schemas/BenefitsRelatedEntity'
        benefitsRelatedEntities:
          type: array
          description: 'Loop: 2120C and 2120D, Segments: NM1, N3, N4, PER, PRV, Notes: All occurrence
            of SUBSCRIBER/DEPENDENT BENEFIT RELATED ENTITY'
          items:
            $ref: '#/components/schemas/BenefitsRelatedEntity'
        benefitsServiceDelivery:
          type: array
          items:
            $ref: '#/components/schemas/BenefitsServiceDelivery'
        additionalInformation:
          type: array
          items:
            $ref: '#/components/schemas/AdditionalInformation'
        eligibilityAdditionalInformation:
          $ref: '#/components/schemas/EligibilityAdditionalInformation'
        eligibilityAdditionalInformationList:
          type: array
          description: 'Loop: 2115C and 2115D, Segments: III Notes: all occurrences'
          items:
            $ref: '#/components/schemas/EligibilityAdditionalInformation'
      description: BenefitsInformation
    BenefitsRelatedEntity:
      type: object
      properties:
        entityIdentifier:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM101, Notes: Entity Identifier
            Code'
        entityType:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM102, Notes: Entity Type Qualifier'
        entityName:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM103, Notes: Benefit Related Entity
            Last or Organization Name'
        entityFirstname:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM104, Notes: Name First'
        entityMiddlename:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM105, Notes: Name Middle'
        entitySuffix:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM107, Notes: Name Suffix'
        entityIdentification:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM108, Notes: Identification Code
            Qualifier'
        entityIdentificationValue:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM109, Notes: Benefit Related Entity
            Identifier'
        entityRelationship:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: NM1, Element: NM110, Notes: Entity Relationship
            Code'
        address:
          $ref: '#/components/schemas/Address'
        contactInformation:
          $ref: '#/components/schemas/ContactInformation'
        providerInformation:
          $ref: '#/components/schemas/ProviderInformation'
      description: BenefitsRelatedEntity
    BenefitsServiceDelivery:
      type: object
      properties:
        quantityQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD01'
        quantityQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD01, Notes: Description of the
            quantityQualifier Code'
        quantity:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD02'
        unitForMeasurementCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD03, Notes: Description of the
            qualifier Code'
        sampleSelectionModulus:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD04'
        timePeriodQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD05'
        timePeriodQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD05, Notes: Description of the
            timePeriodQualifier Code'
        numOfPeriods:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD06'
        deliveryOrCalendarPatternCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD07, Notes: Description of the
            deliveryOrCalendarPatternQualifier Code'
        deliveryPatternTimeCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD08'
        unitForMeasurementQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD03'
        unitForMeasurementQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD03, Notes: Description of the
            unitForMeasurementQualifier Code'
        deliveryOrCalendarPatternQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD07'
        deliveryOrCalendarPatternQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD07, Notes: Description of the
            deliveryOrCalendarPatternQualifier Code'
        deliveryPatternTimeQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD08'
        deliveryPatternTimeQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: HSD, Element: HSD08, Notes: Description of the
            deliveryPatternTimeQualifier Code'
      description: BenefitsServiceDelivery
    CompositeMedicalProcedureIdentifier:
      type: object
      properties:
        productOrServiceIdQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB13-1, Notes: Product or Service
            ID Qualifier Code'
        productOrServiceIdQualifier:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB13-1, Notes: Product or Service
            ID Qualifier'
        procedureCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB13-2, Notes: Procedure Code'
        procedureModifiers:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB13-3-6, Notes: ProcedureModifier'
          items:
            type: string
        productOrServiceID:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB13-8, Notes: Product or Service
            ID'
        diagnosisCodePointer:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB14-1-4, Notes: DiagnosisCodePointer'
          items:
            type: string
      description: CompositeMedicalProcedureIdentifier
    ContactInformation:
      type: object
      properties:
        name:
          type: string
          description: 'Loop: 2100A, 2120C and 2120D, Segments: PER, Element: PER02, Notes: Name'
        contacts:
          type: array
          description: 'Loop: 2100A, 2120C and 2120D, Segments: PER, Element: PER03-8, Notes: Communication'
          items:
            $ref: '#/components/schemas/Contacts'
      description: ContactInformation
    Contacts:
      type: object
      properties:
        communicationMode:
          type: string
          description: 'Loop: 2100A, Segments: PER, Element: PER03-8, Notes: Communication Number Qualifier'
        communicationNumber:
          type: string
          description: 'Loop: 2100A, Segments: PER, Element: PER03-8, Notes: Communication Number'
      description: Contacts
    DtpDate:
      type: object
      properties:
        date:
          type: string
          description: DTP03 where DTP02=D8, single date
        startDate:
          type: string
          description: DTP03 where DTP02=RD8 left side of date range
        endDate:
          type: string
          description: DTP03 where DTP02=RD8 right side of date range
      description: DtpDate
    EligibilityAdditionalInformation:
      type: object
      properties:
        codeListQualifierCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: III, Element: III01'
        industryCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: III, Element: III02'
        codeCategory:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: III, Element: III03'
        injuredBodyPartName:
          type: string
          description: 'Loop: 2110C and 2110D, Segment: III, Element: III04'
      description: EligibilityAdditionalInformation
    Error:
      type: object
      properties:
        field:
          type: string
        code:
          type: string
        description:
          type: string
        followupAction:
          type: string
        location:
          type: string
        possibleResolutions:
          type: string
    HealthCareDiagnosisCode:
      type: object
      properties:
        diagnosisTypeCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-1, HI02-1, HI03-1, HI04-1, HI05-1,
            HI06-1, HI01-7, HI08-1'
        diagnosisCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: HI, Element: HI01-2, HI02-2, HI03-2, HI04-2, HI05-2,
            HI06-2, HI01-2, HI08-2'
      description: HealthCareDiagnosisCode
    MetaData:
      type: object
      properties:
        senderId:
          type: string
          description: Sender id assigned to this request
        submitterId:
          type: string
          description: Submitter id assigned to this request
        billerId:
          type: string
          description: Billing id assigned to this request
        applicationMode:
          type: string
          description: Used by Optum to identify where this request can be found for support
        traceId:
          type: string
          description: Unique Id assigned to each request by Optum
        outboundTraceId:
          type: string
          description: BHT03 Value for submitterTransactionIdentifier
      description: Meta data about the response
    Payer:
      type: object
      properties:
        entityIdentifier:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM101 Notes: Entity Identifier Code'
        entityType:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM102 Notes: Entity Type Qualifier'
        firstName:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM104 Notes: Name First'
        lastName:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM103 Notes: Name Last'
        name:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM103 Notes: Organization Name'
        middleName:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM105 Notes: Name Middle'
        suffix:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM107 Notes: Name Suffix'
        employersId:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=24 Employer''s Identification
            Number'
        federalTaxpayersIdNumber:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=FI Federal Taxpayer''s
            Identification Number'
        naic:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=NI National Association
            of Insurance Commissioners (NAIC) Identification'
        npi:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=XX Centers for Medicare
            and Medicaid Services National Provider Identifier'
        centersForMedicareAndMedicaidPlanId:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=XV Centers for Medicare
            and Medicaid Services PlanID'
        payorIdentification:
          type: string
          description: 'Loop: 2100A, Segments: NM1, Element: NM109 Notes: NM108=PI Payor Identification'
        contactInformation:
          $ref: '#/components/schemas/ContactInformation'
        aaaErrors:
          type: array
          items:
            $ref: '#/components/schemas/Error'
        etin:
          type: string
      description: Payer
    PlanDateInformation:
      type: object
      properties:
        discharge:
          type: string
          description: 'Loop: 2100C and 2100D or 2110C and 2110D, Segments: DTP, Element: DTP03, Notes:
            DTP01=096 Discharge'
        issue:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=102 issue'
        effectiveDateOfChange:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=152 effectiveDateOfChange'
        periodStart:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03, Notes: DTP01=193 periodStart'
        periodEnd:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03, Notes: DTP01=194 periodEnd'
        completion:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03, Notes: DTP01=198 completion'
        coordinationOfBenefits:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: DTP, Element: DTP03, Notes: DTP01=290 coordinationOfBenefits'
        plan:
          type: string
          description: 'Loop: 2100C and 2100D or 2110C and 2110D, Segments: DTP, Element: DTP03, Notes:
            DTP01=291 plan'
        benefit:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=292 benefit'
        primaryCareProvider:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=295 primaryCareProvider'
        latestVisitOrConsultation:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=304 latestVisitOrConsultation'
        eligibility:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=307 eligibility'
        added:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=318 added'
        cobraBegin:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=340 cobraBegin'
        cobraEnd:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=341 cobraEnd'
        premiumPaidToDateBegin:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=342 premiumPaidToDateBegin'
        premiumPaidToDateEnd:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=343 premiumPaidToDateEnd'
        planBegin:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=346 planBegin'
        planEnd:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=347 planEnd'
        benefitBegin:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=348 benefitBegin'
        benefitEnd:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=349 benefitEnd'
        eligibilityBegin:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=356 eligibilityBegin'
        eligibilityEnd:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=357 eligibilityEnd'
        enrollment:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=382 enrollment'
        admission:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=435 admission'
        dateOfDeath:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=442 dateOfDeath'
        certification:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=458 certification'
        service:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=472 service'
        policyEffective:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=539 policyEffective'
        policyExpiration:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=540 policyExpiration'
        dateOfLastUpdate:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=636 dateOfLastUpdate'
        status:
          type: string
          description: 'Loop: 2100C and 2100D, Segments: DTP, Element: DTP03, Notes: DTP01=771 status'
      description: PlanDateInformation
    PlanInformation:
      type: object
      properties:
        stateLicenseNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=0B State License Number'
        medicareProviderNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=1C Medicare Provider
            Number'
        medicaidProviderNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=1D Medicaid Provider
            Number'
        facilityIdNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=1J Facility ID Number'
        personalIdentificationNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=4A Personal Identification
            Number'
        planNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=18 Plan Number'
        planDescription:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF03; Notes: REF01=18 Plan Description'
        policyNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=1L Group or Policy
            Number'
        memberId:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=1W Member Identification
            Number'
        caseNumber:
          type: string
          description: 'Loop: 2100C; Segments: REF; Element: REF02; Notes: REF01=3H Case Number'
        familyUnitNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=49 Family Unit
            Number'
        groupNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=6P Group Number'
        groupDescription:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF03; Notes: REF01=6P Group Description'
        referralNumber:
          type: string
          description: 'Loop: 2110C, 2110D; Segments: REF; Element: REF02; Notes: REF01=9F Referral Number'
        alternativeListId:
          type: string
          description: 'Loop: 2110C, 2110D; Segments: REF; Element: REF02; Notes: REF01=ALS Alternative
            List ID'
        classOfContractCode:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=CE Class of Contract
            Code'
        coverageListId:
          type: string
          description: 'Loop: 2110C, 2110D; Segments: REF; Element: REF02; Notes: REF01=CLI Coverage List
            ID'
        contractNumber:
          type: string
          description: 'Loop: 2100B, 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=CT Contract
            Number'
        medicalRecordIdentificationNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=EA Medical Record
            Identification Number'
        electronicDevicePin:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=EL Electronic device
            pin number'
        submitterIdentificationNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=EO Submitter Identification
            Number'
        patientAccountNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=EJ Patient Account
            Number'
        hicNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=F6 Health Insurance
            Claim Number'
        drugFormularyNumber:
          type: string
          description: 'Loop: 2110C, 2110D; Segments: REF; Element: REF02; Notes: REF01=FO Drug Formulary
            Number'
        priorAuthorizationNumber:
          type: string
          description: 'Loop: 2110C, 2110D; Segments: REF; Element: REF02; Notes: REF01=G1 Prior Authorization
            Number'
        idCardSerialNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=GH Identification
            Card Serial Number'
        idCardNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=HJ Identity Card
            Number'
        centersForMedicareAndMedicaidServicesNPI:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=HPI Centers for Medicare
            and Medicaid Services NPI'
        issueNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=IF Issue Number'
        insurancePolicyNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=IG Insurance Policy
            Number'
        userIdentification:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=JD User Identification'
        medicalAssistanceCategory:
          type: string
          description: 'Loop: 2110C; Segments: REF; Element: REF02; Notes: REF01=M7 Medical Assistance
            Category'
        eligibilityCategory:
          type: string
          description: 'Loop: 2100D; Segments: REF; Element: REF02; Notes: REF01=MRC Eligibility Category'
        providerPlanNetworkIdNumber:
          type: string
          description: 'Loop: 2100B, Segment: REF, Element: REF02, Notes: REF01=N5 Provider Plan Network
            Identification Number'
        planNetworkIdNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=N6 Plan Network
            Identification Number'
        planNetworkIdDescription:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF03; Notes: REF01=N6 Plan Network
            Identification Description'
        facilityNetworkIdentificationNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=N7 Facility Network Identification
            Number'
        medicaidRecipientIdNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=NQ Medicaid Recipient
            Identification Number'
        priorIdNumber:
          type: string
          description: 'Loop: 2100B, 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=Q4 Prior
            Identifier Number'
        socialSecurityNumber:
          type: string
          description: 'Loop: 2100B, 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=SY Social
            Security Number'
        federalTaxpayersIdentificationNumber:
          type: string
          description: 'Loop: 2100B; Segments: REF; Element: REF02; Notes: REF01=TJ Federal Taxpayer''s
            Identification Number'
        agencyClaimNumber:
          type: string
          description: 'Loop: 2100C, 2100D; Segments: REF; Element: REF02; Notes: REF01=Y4 Agency Claim
            Number'
      description: PlanInformation
    PlanStatus:
      type: object
      properties:
        statusCode:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB01, Notes: Eligibility or Benefit
            Information Code'
        status:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB01, Notes: Eligibility or Benefit
            Information Code Description'
        planDetails:
          type: string
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB05, Notes: Plan Coverage Description'
        serviceTypeCode:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Plan Coverage Description'
          items:
            type: string
            description: 'Loop: 2110C and 2110D, Segments: EB, Element: EB03, Notes: Plan Coverage Description'
        serviceTypeCodes:
          type: array
          items:
            type: string
      description: PlanStatus - Deprecated please use benefitsInformation
      deprecated: true
    ProviderInformation:
      type: object
      properties:
        providerCode:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: PRV, Element: PRV01, Notes: providerCode'
        referenceIdentification:
          type: string
          description: 'Loop: 2120C and 2120D, Segments: PRV, Element: PRV03, Notes: Benefit Related Entity
            Provider Taxonomy Code'
      description: ProviderInformation
    Response:
      type: object
      properties:
        meta:
          $ref: '#/components/schemas/MetaData'
        controlNumber:
          type: string
          description: 'Segment: ISA, Element: ISA13, Notes: Interchange Control Number original request'
        reassociationKey:
          type: string
          description: 'Segment: ISA, Element: ISA13, Notes: Interchange Control Number'
        tradingPartnerServiceId:
          type: string
          description: This is the payorId or Identification Code that was sent in the 270
        provider:
          $ref: '#/components/schemas/ResponseProvider'
        subscriber:
          $ref: '#/components/schemas/ResponseMember'
        subscriberTraceNumbers:
          type: array
          description: 'Loop: 2100C and 2100D, Segment: TRN, Notes: Subscriber Trace Numbers'
          items:
            $ref: '#/components/schemas/SubscriberTraceNumber'
        dependents:
          type: array
          description: 'Loop: 2100D, Notes: Dependent Details'
          items:
            $ref: '#/components/schemas/ResponseMember'
        payer:
          $ref: '#/components/schemas/Payer'
        planInformation:
          $ref: '#/components/schemas/PlanInformation'
        planDateInformation:
          $ref: '#/components/schemas/PlanDateInformation'
        planStatus:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: EB, Notes: Subscriber/Dependent Eligibility Benefit
            Information - Deprecated please use benefitsInformation'
          deprecated: true
          items:
            $ref: '#/components/schemas/PlanStatus'
        benefitsInformation:
          type: array
          description: 'Loop: 2110C and 2110D, Segments: NM1, PER, PRV, N3, N4, EB, H SD, MSG, LS, LE,
            REF, DTP, Notes: Subscriber/Dependent Eligibility Benefit Information'
          items:
            $ref: '#/components/schemas/BenefitsInformation'
        errors:
          type: array
          items:
            $ref: '#/components/schemas/Error'
        status:
          type: string
        transactionSetAcknowledgement:
          type: string
        implementationTransactionSetSyntaxError:
          type: string
        x12:
          type: string
    ResponseMember:
      type: object
      properties:
        healthCareDiagnosisCodes:
          type: array
          items:
            $ref: '#/components/schemas/HealthCareDiagnosisCode'
        memberId:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM109, Notes: NM108=MI
            Member Identification Number'
        firstName:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM104, Notes: First Name'
        lastName:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM103, Notes: Last Name'
        middleName:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1 Element: NM105, Notes: Middle Name'
        suffix:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM107, Notes: suffix'
        gender:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: DMG, Element: DMG03, Notes: gender'
          enum:
          - M
          - F
        entityIdentifier:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM101, Notes: entityIdentifier'
        entityType:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM102, Notes: entityType'
        uniqueHealthIdentifier:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: NM1, Element: NM109, Notes: NM108=II
            uniqueHealthIdentifier'
        dateOfBirth:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: DMG, Element: DMG02, Notes: Date of
            Birth'
        informationStatusCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI01, Notes: Information
            Status Code'
        employmentStatusCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI02, Notes: Employment
            Status Code'
        governmentServiceAffiliationCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI03, Notes: Government
            Service Affiliation Code'
        description:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI04, Notes: Description'
        militaryServiceRankCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI05, Notes: Military
            Service Rank Code'
        dateTimePeriodFormatQualifier:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI06, Notes: Date Time
            Period Format Qualifier'
        dateTimePeriod:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI07, Notes: MPI06=D8
            Date Time Period'
        endDateTimePeriod:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI08, Notes: MPI06=RD8
            Date Time Period'
        startDateTimePeriod:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: MPI, Element: MPI08, Notes: MPI06=RD8
            Date Time Period'
        ssn:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: REF, Element: REF02, Notes: REF01=SY
            Social Security Number'
        groupNumber:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: REF, Element: REF02, Notes: REF01=6P
            Group Number'
        planNumber:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: REF, Element: REF02, Notes: REF01=18
            Plan Number'
        planNetworkIdNumber:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: REF, Element: REF02, Notes: REF01=N6
            Plan Network Identification Number'
        relationToSubscriber:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS02, Notes: Individual
            Relationship Code'
        relationToSubscriberCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS02, Notes: Individual
            Relationship Code'
        insuredIndicator:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS01, Notes: Insured
            Indicator'
        maintenanceTypeCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS03, Notes: Maintenance
            Type Code'
        maintenanceReasonCode:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS04, Notes: Maintenance
            Reason Code'
        birthSequenceNumber:
          type: string
          description: 'Loop: 2000C, 2000D, 2100C, 2100D, Segment: INS, Element: INS17, Notes: Birth Sequence
            Number Use to indicate the birth order in the event of multiple births in association with
            the birth date supplied in DMG02'
        address:
          $ref: '#/components/schemas/Address'
        responseProvider:
          $ref: '#/components/schemas/ResponseProvider'
        aaaErrors:
          type: array
          items:
            $ref: '#/components/schemas/Error'
        allAAAErrors:
          type: array
          items:
            $ref: '#/components/schemas/Error'
      description: ResponseMember
    ResponseProvider:
      type: object
      properties:
        providerName:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM103, Notes: Name Last'
        providerFirstName:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM104, Notes: Name First'
        providerOrgName:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM103, Notes: Organization Name'
        middleName:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM105, Notes: Name Middle'
        suffix:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM107, Notes: suffix'
        entityIdentifier:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM101, Notes: Entity Identifier Code'
        entityType:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM102, Notes: Entity Type Qualifier'
        npi:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=XX Centers for Medicare
            and Medicaid Services National Provider Identifier'
        providerCode:
          type: string
          description: 'Loop: 2100B, 2100C and 2100D, Segment: PRV, Element: PRV01, Notes: Provider Code'
        referenceIdentification:
          type: string
          description: 'Loop: 2100C, 2100C and 2100D, Segment: PRV, Element: PRV03, Notes: PRV02=PXC Reference
            Identification'
        employersId:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=24 Employer''s Identification
            Number'
        ssn:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=34 Social Security Number'
        federalTaxpayersIdNumber:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=FI Federal Taxpayer''s
            Identification Number'
        payorIdentification:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=PI Payor Identification'
        pharmacyProcessorNumber:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=PP Pharmacy Processor
            Number'
        serviceProviderNumber:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=SV Service Provider Number'
        servicesPlanID:
          type: string
          description: 'Loop: 2100B, Segment: NM1, Element: NM109, Notes: NM108=XV Centers for Medicare
            and Medicaid Services PlanID'
        address:
          $ref: '#/components/schemas/Address'
        aaaErrors:
          type: array
          items:
            $ref: '#/components/schemas/Error'
      description: Provider
    SubscriberTraceNumber:
      type: object
      properties:
        traceTypeCode:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: TRN, Element: TRN01, Notes: Trace Type Code'
        traceType:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: TRN, Element: TRN01, Notes: Trace Type'
        referenceIdentification:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: TRN, Element: TRN02, Notes: Reference Identification'
        originatingCompanyIdentifier:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: TRN, Element: TRN03, Notes: Originating Company
            Identifier'
        secondaryReferenceIdentification:
          type: string
          description: 'Loop: 2100C and 2100D, Segment: TRN, Element: TRN04, Notes: Originating Company
            Identifier'
      description: SubscriberTraceNumber
    RawX12Request:
      type: object
      properties:
        x12:
          type: string
    HealthCheck:
      type: object
      properties:
        status:
          type: string
          description: Health Status
        version:
          type: string
          description: API version
  securitySchemes:
    bearer-key:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true