| Name | Description | Type | Additional information |
|---|---|---|---|
| Trxno | string |
None. |
|
| Xmldocid | string |
None. |
|
| Xmlrecno | string |
None. |
|
| Trxdt | date |
None. |
|
| Trxtyp | string |
None. |
|
| Admendbillno | string |
None. |
|
| Provcd | string |
None. |
|
| Provnm | string |
None. |
|
| Billtyp | string |
None. |
|
| Billno | string |
None. |
|
| Billdt | date |
None. |
|
| Admissiontyp | string |
None. |
|
| Admissiondt | date |
None. |
|
| Admitsource | string |
None. |
|
| Referralsource | string |
None. |
|
| Dischargedt | date |
None. |
|
| Mrno | string |
None. |
|
| Payorcd | string |
None. |
|
| Payornm | string |
None. |
|
| Claimindicator | string |
None. |
|
| Icno | string |
None. |
|
| Idtype | string |
None. |
|
| Nationalitytype | string |
None. |
|
| Race | string |
None. |
|
| Patientnm | string |
None. |
|
| Dob | date |
None. |
|
| Gender | string |
None. |
|
| Address | string |
None. |
|
| Ctyresidence | string |
None. |
|
| Foreignpatienttyp | string |
None. |
|
| Policyno | string |
None. |
|
| Cardno | string |
None. |
|
| Diagcd1 | string |
None. |
|
| Diagcd2 | string |
None. |
|
| Diagcd3 | string |
None. |
|
| Diagcd4 | string |
None. |
|
| Diagcd5 | string |
None. |
|
| Diagrem | string |
None. |
|
| Causeandpathology | string |
None. |
|
| Excepcaseind | string |
None. |
|
| Speciality | string |
None. |
|
| Physicianid | string |
None. |
|
| Physiciannm | string |
None. |
|
| Outcome | string |
None. |
|
| Dischargewardclass | string |
None. |
|
| Los | string |
None. |
|
| Mc | string |
None. |
|
| Currcd | string |
None. |
|
| Grossamt | string |
None. |
|
| Discamt | string |
None. |
|
| Taxamt | string |
None. |
|
| Netamt | string |
None. |
|
| Billrem | string |
None. |
|
| Claimsid | string |
None. |
|
| Procby | string |
None. |
|
| Procdt | date |
None. |
|
| Errmsg | string |
None. |
|
| Senderid | string |
None. |
|
| Recipientid | string |
None. |
|
| Prov_Mail_Id | string |
None. |
|
| Messageid | string |
None. |
|
| Paydeductdt | date |
None. |
|
| Bankaccno | string |
None. |
|
| Xmldoctyp | string |
None. |
|
| Warnmsg | string |
None. |
|
| Submissionno | string |
None. |
|
| Subtype | string |
None. |
|
| Rounding | string |
None. |
|
| Deposit | string |
None. |
|
| Totaltobepaid | string |
None. |
|
| Synid | string |
None. |
|
| Synverno | string |
None. |
|
| Sendingapp | string |
None. |
|
| Rcptfacid | string |
None. |
|
| Messagedt | date |
None. |
|
| Intchgctrlref | string |
None. |
|
| Seckey | string |
None. |
|
| Provregno | string |
None. |
|
| Provrole | string |
None. |
|
| Provaddr | string |
None. |
|
| Provcity | string |
None. |
|
| Provstatecd | string |
None. |
|
| Provzip | string |
None. |
|
| Provcntry | string |
None. |
|
| Provcontactno | string |
None. |
|
| Patientaddrtyp | string |
None. |
|
| Patientzip | string |
None. |
|
| Empno | string |
None. |
|
| Patientvisitno | string |
None. |
|
| Glrefno | string |
None. |
|
| Roomno | string |
None. |
|
| Bedno | string |
None. |
|
| Roomtype | string |
None. |
|
| Gstamt | string |
None. |
|
| key1 | string |
None. |
