InvoiceCms1500LineItem

A single service line from a CMS1500 claim, scoped to fields safe for invoice display

Fields

cpt_code · CptCode · The CPT procedure code

fee · String · Billed fee per unit

id · ID! · required · Service line identifier

service_date · ISO8601Date · Date the service was rendered

total_adjustments · Float! · required · Sum of CO/OA/PI CARC adjustments and manual write-offs (non-patient-responsibility reductions)

total_insurance_paid · Float! · required · Sum of all active insurance payments on this line

total_patient_responsibility · Float! · required · Sum of PR-group CARC adjustments — the canonical patient-owed amount per EOB

units · Int · Number of units billed

Used By

RequestedPayment.cms1500_line_items

Definition

"""
A single service line from a CMS1500 claim, scoped to fields safe for invoice display
"""
type InvoiceCms1500LineItem {
  """
  The CPT procedure code
  """
  cpt_code: CptCode

  """
  Billed fee per unit
  """
  fee: String

  """
  Service line identifier
  """
  id: ID!

  """
  Date the service was rendered
  """
  service_date: ISO8601Date

  """
  Sum of CO/OA/PI CARC adjustments and manual write-offs (non-patient-responsibility reductions)
  """
  total_adjustments: Float!

  """
  Sum of all active insurance payments on this line
  """
  total_insurance_paid: Float!

  """
  Sum of PR-group CARC adjustments — the canonical patient-owed amount per EOB
  """
  total_patient_responsibility: Float!

  """
  Number of units billed
  """
  units: Int
}