OBJECT

Cms1500

A CMS1500 claim

link GraphQL Schema definition

  • type Cms1500 {
  • # 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
  • # Other ID info in use for this billing provider
  • billing_provider_other: OtherIdNumber
  • # 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: [Cms1500Policy]
  • # The client's copay for the claim
  • copay: String
  • # The amount of copay still owed
  • copay_still_owed: String
  • # Returns cpt codes names list comma separated
  • cpt_code_names: String
  • # CPT codes in use for this claim
  • cpt_codes_cms1500s: [CptCodesCms1500]
  • # The creation date of the claim
  • created_at: String
  • # The claim's date of service
  • date_of_service: String
  • # The ID of the rendering provider
  • dietitian_id: String
  • # Estmated fee for the specific cpt code based on previous use
  • estimated_cpt_fees_for_user: [CptCodesCms1500] @deprecated( reason: "For specific CPT code 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]
  • 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 specific Organization Info in use on this claim
  • organization_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
  • # 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
  • }