ProviderClaimResourceV2
idinteger<int64>
beneficiary_idinteger<int64>
sponsor_slugstring
sponsor_transaction_idstring
amountnumber
copaymentnumber
doctor_medical_license_numberstring
doctor_country_codestring
doctor_specialty_namestring
doctor_namestring
provider_transaction_idstring
biometric_reading_idstring
diagnoses object[]
Array [
coding_systemstringrequired
Coding system used for the diagnosis (for example, ICD-10, CIE-10).
codestringrequired
Diagnosis code within the coding system.
typestring
Diagnosis type as a free-form string.
type_enumstring
Diagnosis type. One of CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS.
Role of the diagnosis in the encounter.
CHIEF_COMPLAINT: the primary reason the beneficiary sought care.DIFFERENTIAL_DIAGNOSIS: an alternative diagnosis being considered.MEDICAL_DIAGNOSIS: the confirmed medical diagnosis.
Possible values: [CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS]
]
statusstring
beneficiary_namestring
beneficiary_member_codestring
sponsor_namestring
transaction_typestring
product_typestring
settlement_idstring
sponsor_product_codestring
satisfies_document_policyboolean
authorization_request_idinteger<int64>
authorization_idinteger<int64>
files object[]
Array [
idstring
original_namestring
extensionstring
file_pathstring
fallback_namestring
slugstring
]
products object[]
Array [
product_idinteger<int64>required
OSIGU product identifier.
actionstring
Update action to apply to this line. Values include ADD, REMOVE, UPDATE.
provider_slugstring
Slug of the provider that will dispense this product.
provider_product_codestring
Provider-side SKU or code for this product.
authorized_quantityinteger<int32>
Number of units the sponsor has authorized.
statusstring
Line status after the update (for example, APPROVED, REJECTED).
reasonstring
Free-text explanation of the current status.
]
is_required_external_sponsor_validationsboolean
treatments object[]
Array [
brandstring
compositionstring
indicationstring[]
]