Name | Description | Type | Additional information |
---|---|---|---|
IsMaternityTreatment | boolean |
None. |
|
DeliveryDate | string |
None. |
|
IllnessOccurredDate | string |
None. |
|
ProblemDetails | string |
None. |
|
DiagnosisDetails | string |
None. |
|
PreviousDiagnosisDetails | string |
None. |
|
InjuryAnyWayToPatientsOccupation | boolean |
None. |
|
InjuryAnyWayToAutomobileAccident | boolean |
None. |
|
InjuryAnyTypeOfAccident | boolean |
None. |
|
AccidentDetails | string |
None. |
|
AutomobileDetails | string |
None. |
|
CoveredByOtherGroupPlan | boolean |
None. |
|
CoveredByMedicareOrGovtAgency | boolean |
None. |
|
CoveredByAutomobileInsurance | boolean |
None. |
|
OtherSourceDetails | string |
None. |
|
ProviderName | string |
None. |
|
ProviderPhoneNumber | string |
None. |
|
ProviderAddress | string |
None. |
|
ProviderEmail | string |
None. |
|
ProviderPostalCode | string |
None. |
|
ProviderCountry | string |
None. |
|
RequestId | string |
None. |
|
AuthenticationId | string |
None. |
|
Portal | string |
None. |
|
Individual | string |
None. |
|
Language | string |
None. |
|
Oid | string |
None. |
|
string |
None. |
||
PhoneNumber | string |
None. |
|
IsUpdateEmailAndPhone | boolean |
None. |
|
ClaimName | string |
None. |