Cms1500
A CMS1500 claim
Fields
accept_assignment
· Boolean · The provider agrees to accept assignment additional_text
· String · Notes adjustment
· String · The insurance discount amount_paid
· String · The amount that the client paid towards the claim amount_reimbursed
· String · The amount that the insurance company reimbursed billing_provider
· Organization · The billing provider for the CMS1500 billing_provider_id
· String · The ID of the Billing Provider check_numbers
· [String] · Check numbers associated with a reimbursement from the claim. Imported via ERA claim_submissions
· [ClaimSubmission!] · (Must be admin to view) A record of submission of events for this claim to different clearinghouse/RCM integrations. client_responsibility
· String · Amount the client owes client_responsibility_removed
· Boolean · True if the provider chose to remove client responsibility client_sig_on_file
· Boolean · True if the client's signature is on file cms1500_policies
· [Cms1500Policy!] · Cms1500 policies in use for this claim copay_still_owed
· String · The amount of copay still owed cpt_code_names
· String · The comma separated list of cpt codes names cpt_codes_cms1500s
· [CptCodesCms1500!] · CPT codes in use for this claim date_of_service
· String · The claim's date of service dietitian_id
· String · The ID of the rendering provider estimated_cpt_fees_for_user
· [CptCodesCms1500!] · Estimated fee for the specific cpt code based on previous use deprecated
Use CptCodesCms1500.last_fee_amountform_answer_group_id
· ID · Chart Note ID, if CMS1500 was exported from a Chart Note icd_codes_cms1500s
· [IcdCodesCms1500!] · ICD codes in use for this claim include_referrer_information
· Boolean · When true, includes referrer information on the claim insured_sig_on_file
· Boolean · True if the insured's signature is on file nineteen_reserved
· String · The value of the nineteen field org_info
· OrganizationInfo · The specific Organization Info in use on this claim organization_info_id
· String · The ID of the Organization Info orig_ref_number
· String · The original reference number of the claim paid_out_at
· String · The date that the claim was paid out to employees/contractors patient_account_num
· String · The patient's account number patient_id
· String · The ID of the patient primary_plan_name
· String · The primary insurance plan name for the CMS1500 referral_info
· ReferralInfo · The referral info for the CMS1500 reimbursed_at
· String · The date that the claim was reimbursed rendering_provider
· User · The provider for the CMS1500 rendering_provider_other_id
· String · The Rendering Provider's other id number rendering_provider_other_id_object
· OtherIdNumber · Other ID info in use for this render provider resubmission_code
· String · The resubmission code of the claim service_location
· Location · The service location for the CMS1500 service_location_id
· String · The ID of the service location tend_reserved
· String · The value of the ten d field total_charge
· String · Total amount the claim was billed for updated_at
· ISO8601DateTime · The last date and time that the CMS1500 was updated updated_by_sftp
· Boolean · True if the claim reimbursement info was updated via SFTP use_indiv_npi
· Boolean · When true, uses the individual npi in all npi fields Used By
Definition
"""A CMS1500 claim"""type Cms1500 { """ The provider agrees to accept assignment """ accept_assignment: Boolean
""" Notes """ additional_text: String
""" The insurance discount """ adjustment: String
""" The amount that the client paid towards the claim """ amount_paid: String
""" The amount that the insurance company reimbursed """ amount_reimbursed: String
""" The billing provider for the CMS1500 """ billing_provider: Organization
""" The ID of the Billing Provider """ billing_provider_id: String
""" Check numbers associated with a reimbursement from the claim. Imported via ERA """ check_numbers: [String]
""" (Must be admin to view) A record of submission of events for this claim to different clearinghouse/RCM integrations. """ claim_submissions: [ClaimSubmission!]
""" Amount the client owes """ client_responsibility: String
""" True if the provider chose to remove client responsibility """ client_responsibility_removed: Boolean
""" True if the client's signature is on file """ client_sig_on_file: Boolean
""" Cms1500 policies in use for this claim """ cms1500_policies( """ True if requesting only Cms1500Policy objects with assigned policies """ only_with_assigned_policies: Boolean = false ): [Cms1500Policy!]
""" The client's copay for the claim """ copay: String
""" The amount of copay still owed """ copay_still_owed: String
""" The comma separated list of cpt codes names """ cpt_code_names: String
""" CPT codes in use for this claim """ cpt_codes_cms1500s: [CptCodesCms1500!]
""" The creation date of the claim """ created_at: String!
""" Pagination cursor """ cursor: Cursor!
""" The claim's date of service """ date_of_service: String
""" The ID of the rendering provider """ dietitian_id: String
""" Estimated fee for the specific cpt code based on previous use """ estimated_cpt_fees_for_user: [CptCodesCms1500!] @deprecated(reason: "Use CptCodesCms1500.last_fee_amount")
""" Chart Note ID, if CMS1500 was exported from a Chart Note """ form_answer_group_id: ID
""" ICD codes in use for this claim """ icd_codes_cms1500s: [IcdCodesCms1500!]
""" The unique identifier of the CMS1500 """ id: ID
""" When true, includes referrer information on the claim """ include_referrer_information: Boolean
""" True if the insured's signature is on file """ insured_sig_on_file: Boolean
""" The value of the nineteen field """ nineteen_reserved: String
""" The specific Organization Info in use on this claim """ org_info: OrganizationInfo
""" The ID of the Organization Info """ organization_info_id: String
""" The original reference number of the claim """ orig_ref_number: String
""" The date that the claim was paid out to employees/contractors """ paid_out_at: String
""" The patient for the CMS1500 """ patient: User
""" The patient's account number """ patient_account_num: String
""" The ID of the patient """ patient_id: String
""" The primary insurance plan name for the CMS1500 """ primary_plan_name: String
""" Rejected/Denied status reason """ reasons: ID
""" The referral info for the CMS1500 """ referral_info: ReferralInfo
""" The date that the claim was reimbursed """ reimbursed_at: String
""" The provider for the CMS1500 """ rendering_provider: User
""" The Rendering Provider's other id number """ rendering_provider_other_id: String
""" Other ID info in use for this render provider """ rendering_provider_other_id_object: OtherIdNumber
""" The resubmission code of the claim """ resubmission_code: String
""" The service location for the CMS1500 """ service_location: Location
""" The ID of the service location """ service_location_id: String
""" The status of the claim """ status: String
""" The value of the ten d field """ tend_reserved: String
""" Total amount the claim was billed for """ total_charge: String
""" The last date and time that the CMS1500 was updated """ updated_at: ISO8601DateTime
""" True if the claim reimbursement info was updated via SFTP """ updated_by_sftp: Boolean
""" When true, uses the individual npi in all npi fields """ use_indiv_npi: Boolean}