| Name | Description | Type | Additional information |
|---|---|---|---|
| RxCPersonID |
Gets or sets the RxClearinghouse Person ID. **Member Identification Requirement:** Either RxCPersonID *or* both and must be provided. If RxCPersonID is provided: It must correspond to a member in the company.The member's ID must match the MemberID on the claim. |
integer |
None. |
| DateOfBirth |
Gets or sets the member's Date of Birth. **Member Identification Requirement:** Required if is provided. If both and DateOfBirth are provided: They must match the member associated with the claim. |
date |
None. |
| CardholderID |
Gets or sets the member's cardholder ID. **Member Identification Requirement:** Required if is provided. If both CardholderID and are provided: They must match the member associated with the claim. |
string |
None. |
| PlanPaidAmount |
Gets or sets the amount paid by the plan. **Financial Balance Requirement:** The sum of PlanPaidAmount and must equal zero. |
decimal number |
None. |
| PatientPayAmount |
Gets or sets the amount paid by the patient. **Financial Balance Requirement:** The sum of and PatientPayAmount must equal zero. |
decimal number |
None. |
| AmountAppliedToPeriodicDeductible |
Gets or sets the amount applied to the periodic deductible. |
decimal number |
None. |
| AmountEligibleTowardsDeductible |
Gets or sets the amount eligible towards the deductible. |
decimal number |
None. |
| AmountEligibleTowardsOutOfPocketLimit |
Gets or sets the amount eligible towards the out-of-pocket limit. |
decimal number |
None. |
| PlanIncentiveAmount |
Gets or sets the plan incentive amount. |
decimal number |
None. |
| AmountOfCopay |
Gets or sets the amount of copay. |
decimal number |
None. |
| AmountOfCoinsurance |
Gets or sets the amount of coinsurance. |
decimal number |
None. |
| AmountOfCopayCoinsurance |
Gets or sets the combined amount of copay and coinsurance. |
decimal number |
None. |
| AmountAttributedToProductSelection |
Gets or sets the amount attributed to product selection. |
decimal number |
None. |
| AmountExceedingPeriodicBenefitMaximum |
Gets or sets the amount exceeding the periodic benefit maximum. |
decimal number |
None. |
| Note |
Gets or sets additional notes. |
string |
None. |
| Url |
Gets or sets the link representing a link back to the resource |
string |
None. |
| ID |
Gets or sets the identifier for the resource |
integer |
None. |