ClaimEntry - MSO web service
Avatar MSO WEBSVC.ClaimEntry web service.
This web service has the following calls:
- ClaimEntry
This web service has the following object classes:
- WEBSVC.ClaimEntryObject
- WEBSVC.ClaimEntryServiceObject
- WEBSVC.ClaimEntryCOBObject
- WEBSVC.DiagnosisCodeObject
- WEBSVC.ClaimEntryCASObject
ClaimEntry call
The following tables list the WEBSVC.ClaimEntry parameters, properties, accepted values, and associated dictionaries.
Parameters with no Properties
| Parameter | Property | Value Accepted | Notes |
| systemCode | N/A | Avatar System Code | |
| userName | N/A | Avatar User ID | |
| password | N/A | Avatar Password |
Parameters with Properties
| Parameter | Property | Value Accepted | Notes |
| ClaimEntryObject | ClaimEntryObj | WEBSVC.ClaimEntryObject | This parameter is itself a web service object -- see below for its properties |
Object Class Name: WEBSVC.ClaimEntryObject
| Parameter | Property | Value Accepted | Notes |
| ClaimEntryObject | DateClaimsReceived | Date |
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| Diagnosis1 | Diagnosis Code |
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| Diagnosis2 | Diagnosis Code |
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| Diagnosis3 | Diagnosis Code |
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| Diagnosis4 | Diagnosis Code |
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| Diagnosis5 | Diagnosis Code |
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| Diagnosis6 | Diagnosis Code |
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| Diagnosis7 | Diagnosis Code |
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| Diagnosis8 | Diagnosis Code |
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| Diagnosis9 | Diagnosis Code |
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| Diagnosis10 | Diagnosis Code |
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| Diagnosis11 | Diagnosis Code |
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| Diagnosis12 | Diagnosis Code |
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| EvidenceBasedPractices | Dictionary Code | "From Other Tabled Files, data element 70064." |
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| FundingSource | Avatar Funding Source ID |
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| GUID | Globally Unique ID | In the format xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx (8-4-4-4-12). |
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| MemberId | Avatar Member ID |
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| Provider | Avatar Provider ID |
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| ServiceList | WEBSVC.ClaimEntryServiceObject | This property of the ClaimEntryObj parameter/object is itself an object -- see below for its properties |
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| TotalCharge | Amount |
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| UTCTimeStamp | Time Stamp | In the format YYYY-MM-DD hh:mm:ss. |
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| CoordinationOfBenefits | WEBSVC.ClaimEntryCOBObject | This property of the ClaimEntryObj parameter/object is itself an object -- see below for its properties |
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| AdmissionDate | Date |
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| AdmissionHour | Time |
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| AdmissionSource | Dictionary Code | "From Batch Claim Processing File, data element 11024." |
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| AdmissionType | Dictionary Code | "From Batch Claim Processing File, data element 11023." |
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| AdmittingDiagnosis | Free Text |
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| BillType | Dictionary Code | "From Batch Claim Processing File, data element 11011." |
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| ConditionCodes | Dictionary Code | "From Batch Claim Processing File, data element 10448." |
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| DRG | Free Text |
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| DiagnosisQualifier | Free Text |
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| DischargeHour | Time |
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| DischargeStatus | Dictionary Code | "From Batch Claim Processing File, data element 11026." |
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| ExtCauseOfInjury1 | Free Text | External Cause of Injury 1 (2300-HI-01-2) |
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| ExtCauseOfInjury2 | Free Text | External Cause of Injury 2 (2300-HI-02-2) |
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| ExtCauseOfInjury3 | Free Text | External Cause of Injury 3 (2300-HI-03-2) |
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| ExtCauseOfInjury4 | Free Text | External Cause of Injury 4 (2300-HI-04-2) |
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| ExtCauseOfInjury5 | Free Text | External Cause of Injury 5 (2300-HI-05-2) |
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| ExtCauseOfInjury6 | Free Text | External Cause of Injury 6 (2300-HI-06-2) |
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| ExtCauseOfInjury7 | Free Text | External Cause of Injury 7 (2300-HI-07-2) |
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| ExtCauseOfInjury8 | Free Text | External Cause of Injury 8 (2300-HI-08-2) |
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| ExtCauseOfInjury9 | Free Text | External Cause of Injury 9 (2300-HI-09-2) |
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| ExtCauseOfInjury10 | Free Text | External Cause of Injury 10 (2300-HI-10-2) |
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| ExtCauseOfInjury11 | Free Text | External Cause of Injury 11 (2300-HI-11-2) |
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| ExtCauseOfInjury12 | Free Text | External Cause of Injury 12 (2300-HI-12-2) |
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| OccurrenceCode1 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode2 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode3 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode4 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode5 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode6 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode7 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode8 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode9 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode10 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode11 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceCode12 | Dictionary Code | "From Batch Claim Processing File, data element 10398." |
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| OccurrenceDate1 | Date |
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| OccurrenceDate2 | Date |
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| OccurrenceDate3 | Date |
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| OccurrenceDate4 | Date |
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| OccurrenceDate5 | Date |
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| OccurrenceDate6 | Date |
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| OccurrenceDate7 | Date |
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| OccurrenceDate8 | Date |
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| OccurrenceDate9 | Date |
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| OccurrenceDate10 | Date |
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| OccurrenceDate11 | Date |
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| OccurrenceDate12 | Date |
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| OccurrenceSpanCode1 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode2 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode3 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode4 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode5 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode6 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode7 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode8 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode9 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode10 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode11 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanCode12 | Dictionary Code | "From Batch Claim Processing File, data element 10361." |
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| OccurrenceSpanFrom1 | Date |
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| OccurrenceSpanFrom2 | Date |
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| OccurrenceSpanFrom3 | Date |
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| OccurrenceSpanFrom4 | Date |
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| OccurrenceSpanFrom5 | Date |
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| OccurrenceSpanFrom6 | Date |
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| OccurrenceSpanFrom7 | Date |
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| OccurrenceSpanFrom8 | Date |
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| OccurrenceSpanFrom9 | Date |
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| OccurrenceSpanFrom10 | Date |
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| OccurrenceSpanFrom11 | Date |
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| OccurrenceSpanFrom12 | Date |
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| OccurrenceSpanThrough1 | Date |
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| OccurrenceSpanThrough10 | Date |
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| OccurrenceSpanThrough11 | Date |
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| OccurrenceSpanThrough12 | Date |
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| OccurrenceSpanThrough2 | Date |
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| OccurrenceSpanThrough3 | Date |
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| OccurrenceSpanThrough4 | Date |
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| OccurrenceSpanThrough5 | Date |
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| OccurrenceSpanThrough6 | Date |
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| OccurrenceSpanThrough7 | Date |
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| OccurrenceSpanThrough8 | Date |
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| OccurrenceSpanThrough9 | Date |
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| OccurrenceSpanThrough10 | Date |
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| OccurrenceSpanThrough11 | Date |
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| OccurrenceSpanThrough12 | Date |
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| OtherProcCode1 | Free Text | Other Procedure Code 1 (2300-HI-01-2) |
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| OtherProcCode2 | Free Text | Other Procedure Code 2 (2300-HI-02-2) |
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| OtherProcCode3 | Free Text | Other Procedure Code 3 (2300-HI-03-2) |
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| OtherProcCode4 | Free Text | Other Procedure Code 4 (2300-HI-04-2) |
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| OtherProcCode5 | Free Text | Other Procedure Code 5 (2300-HI-05-2) |
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| OtherProcCode6 | Free Text | Other Procedure Code 6 (2300-HI-06-2) |
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| OtherProcCode7 | Free Text | Other Procedure Code 7 (2300-HI-07-2) |
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| OtherProcCode8 | Free Text | Other Procedure Code 8 (2300-HI-08-2) |
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| OtherProcCode9 | Free Text | Other Procedure Code 9 (2300-HI-09-2) |
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| OtherProcCode10 | Free Text | Other Procedure Code 10 (2300-HI-10-2) |
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| OtherProcCode11 | Free Text | Other Procedure Code 11 (2300-HI-11-2) |
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| OtherProcCode12 | Free Text | Other Procedure Code 12 (2300-HI-12-2) |
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| OtherProcDate1 | Date | Other Procedure Date 1 (2300-HI-01-4) |
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| OtherProcDate2 | Date | Other Procedure Date 2 (2300-HI-02-4) |
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| OtherProcDate3 | Date | Other Procedure Date 3 (2300-HI-03-4) |
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| OtherProcDate4 | Date | Other Procedure Date 4 (2300-HI-04-4) |
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| OtherProcDate5 | Date | Other Procedure Date 5 (2300-HI-05-4) |
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| OtherProcDate6 | Date | Other Procedure Date 6 (2300-HI-06-4) |
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| OtherProcDate7 | Date | Other Procedure Date 7 (2300-HI-07-4) |
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| OtherProcDate8 | Date | Other Procedure Date 8 (2300-HI-08-4) |
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| OtherProcDate9 | Date | Other Procedure Date 9 (2300-HI-09-4) |
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| OtherProcDate10 | Date | Other Procedure Date 10 (2300-HI-10-4) |
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| OtherProcDate11 | Date | Other Procedure Date 11 (2300-HI-11-4) |
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| OtherProcDate11 | Date | Other Procedure Date 12 (2300-HI-12-4) |
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| PrincipalDiagnosis | Diagnosis Code |
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| PrincipalProcCode | Free Text |
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| PrincipalProcDate | Date |
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| ReasonForVisit1 | Free Text |
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| ReasonForVisit2 | Free Text |
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| ReasonForVisit3 | Free Text |
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| ValueAmount1 | Free Text |
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| ValueAmount2 | Free Text |
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| ValueAmount3 | Free Text |
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| ValueAmount4 | Free Text |
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| ValueAmount5 | Free Text |
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| ValueAmount6 | Free Text |
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| ValueAmount7 | Free Text |
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| ValueAmount8 | Free Text |
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| ValueAmount9 | Free Text |
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| ValueAmount10 | Free Text |
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| ValueAmount11 | Free Text |
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| ValueAmount12 | Free Text |
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| ValueCode1 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode2 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode3 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode4 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode5 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode6 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode7 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode8 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode9 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode10 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode11 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ValueCode12 | Dictionary Code | "From Batch Claim Processing File, data element 10423." |
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| ClaimLevelComments | Free Text |
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Object Class Name: WEBSVC.ClaimEntryServiceObject
| Parameter | Property | Value Accepted | Notes |
| ServiceList | AuthorizationNumber | Free Text |
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| CareLinkSvcID | Free Text | For system use only. |
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| ContractingProviderProgram | Avatar Provider Program Code |
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| DateOfService | Date |
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| DateOfServiceEnd | Date |
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| DrugRefId | Drug Reference Identifier |
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| DrugRefIdQual | Drug Reference Identification Qualifier |
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| DurationInMinutes | Number |
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| EvidenceBasedPractices | Dictionary Code | "From Other Tabled Files, data element 70064." |
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| FourthDiagnosis | Diagnosis Code |
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| GUID | Globally Unique ID | In the format xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx (8-4-4-4-12) |
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| LevelOfCare | Dictionary Code | "From Member File, data element 10060." |
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| Location | Avatar Location Code |
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| MemberCoPay | Amount |
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| MemberDeductible | Amount |
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| NationalDrugCode | Drug Code | National Drug Code (837-2410-LIN-03) |
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| NumberInGroup | Free Text |
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| PatientAccountNumber | Patient Account Number |
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| PerformingProvider | Avatar Provider ID |
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| PerformingProviderType | Dictionary Code | "From Performing Provider File, data element 10001." |
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| PrincipalDiagnosis | Diagnosis Code |
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| PrimaryServiceID | Primary Service ID |
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| PrivatePayAmount | Amount |
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| PrivatePayPayer | Avatar Guarantor ID |
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| ProcedureCode | CPT or Revenue Code |
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| ProcedureCodeType | Dictionary Code | "From Member File, data element 10103." |
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| Quantity | Amount | Quantity (837-2410-CPT-04) |
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| RepresentsAdmission | Dictionary Code | "From Batch Claim Processing File, data element 11100." |
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| SecondDiagnosis | Diagnosis Code |
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| ServiceEndTime | Time |
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| ServiceStartTime | Time |
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| ServiceUnits | Number |
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| ThirdDiagnosis | Diagnosis Code |
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| TotalCharge | Amount |
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| TotalThirdPartyAllowed | Amount |
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| TotalThirdPartyBilled | Amount |
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| UnitOfMeasurement | Amount |
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| UTCTimeStamp | Time Stamp | In the format YYYY-MM-DD hh:mm:ss. |
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| CoordinationOfBenefits | List of WEBSVC.ClaimEntryServiceCOBObject | This property of the ClaimEntryServiceObj parameter/object is itself an object -- see below for its properties |
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| AddOnNotes | Free Text |
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| CodeForAdjudication | Adjudication Code |
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| HCPCSCode | HCPCS Code |
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| ServiceComments | Text |
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| PrincipalDiagnosisObj | WEBSVC.DiagnosisCodeObject | This property of the ClaimEntryServiceObj parameter/object is itself an object -- see below for its properties |
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| SecondDiagnosisObj | WEBSVC.DiagnosisCodeObject | This property of the ClaimEntryServiceObj parameter/object is itself an object -- see below for its properties |
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| ThirdDiagnosisObj | WEBSVC.DiagnosisCodeObject | This property of the ClaimEntryServiceObj parameter/object is itself an object -- see below for its properties |
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| FourthDiagnosisObj | WEBSVC.DiagnosisCodeObject | This property of the ClaimEntryServiceObj parameter/object is itself an object -- see below for its properties |
Object Class Name: WEBSVC.ClaimEntryCOBObject
| Parameter | Property | Value Accepted | Notes |
| CoordinationOfBenefits | OtherPayerIdCodeQualifier | Avatar Guarantor ID Qualifier |
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| OtherPayerIdCode | Avatar Guarantor ID |
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| OtherPayerName | Avatar Guarantor Name |
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| OutpatientAdjudicationPercentage | Amount |
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| OutpatientAdjudicationMonetaryAmount | Amount |
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| PayerPaidAmountMonetaryAmount | Amount |
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| PaymentDate | Date |
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| RemainingPatientLiabilityMonetaryAmount | Amount |
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| Adjustments | WEBSVC.ClaimEntryCASObject | This property of the ClaimEntryCOBObject parameter/object is itself an object -- see below for its properties |
Object Class Name: WEBSVC.DiagnosisCodeObject
| Parameter | Property | Value Accepted | Notes |
| DiagnosisCodeObject | ICD9Code | ICD9 Diagnosis Code |
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| ICD9Description | Free Text |
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| ICD10Code | ICD10 Diagnosis Code |
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| ICD10Description | Free Text |
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| DSMIVCode | DSM-IV Diagnosis Code |
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| DSMIVDescription | Free Text |
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| DSM5Code | DSM-5 Diagnosis Code |
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| DSM5Description | Free Text |
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| SNOMEDCode | SNOMED Code |
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| SNOMEDDescription | Free Text |
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| IMOCode | IMO Code |
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| LastUpdateDate | Date |
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| DiagnosisDescription | Free Text |
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| Status | Free Text |
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| Mesg | Free Text |
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Object Class Name: WEBSVC.ClaimEntryCASObject
| Parameter | Property | Value Accepted | Notes |
| Adjustments | AdjustmentGroupCode | Free Text |
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| AdjustmentReasonCode1 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount1 | Amount | Amount for AdjustmentReasonCode1. |
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| Quantity1 | Amount | Quantity for AdjustmentReasonCode1. |
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| AdjustmentReasonCode2 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount2 | Amount | Amount for AdjustmentReasonCode2. |
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| Quantity2 | Amount | Quantity for AdjustmentReasonCode2. |
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| AdjustmentReasonCode3 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount3 | Amount | Amount for AdjustmentReasonCode3. |
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| Quantity3 | Amount | Quantity for AdjustmentReasonCode3. |
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| AdjustmentReasonCode4 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount4 | Amount | Amount for AdjustmentReasonCode4. |
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| Quantity4 | Amount | Quantity for AdjustmentReasonCode4. |
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| AdjustmentReasonCode5 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount5 | Amount | Amount for AdjustmentReasonCode5. |
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| Quantity5 | Amount | Quantity for AdjustmentReasonCode5. |
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| AdjustmentReasonCode6 | Dictionary Code | "From Batch Claim Processing File, data element 355." |
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| Amount6 | Amount | Amount for AdjustmentReasonCode6. |
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| Quantity6 | Amount | Quantity for AdjustmentReasonCode6. |