| Name | Description | Type | Additional information |
|---|---|---|---|
| RxCPatientID |
Gets or sets the patient's RxClearinghouse ID |
integer |
None. |
| DateOfService |
Gets or sets the other claim's Date of Service |
date |
None. |
| NDC |
Gets or sets the drug's NDC |
string |
None. |
| QuantityDispensed |
Gets or sets the other claim's Quantity Dispensed |
decimal number |
None. |
| DaysSupply |
Gets or sets the other claim's Days Supply |
integer |
None. |
| PatientPayAmount |
Gets or sets the other claim's patient pay amount |
decimal number |
None. |
| PlanPaidAmount |
Gets or sets the other claim's plan paid amount paid |
decimal number |
None. |
| AmountEligibleTowardsDeductible |
Gets or sets the amount eligible towards the patient's deductible |
decimal number |
None. |
| AmountEligibleTowardsOOP |
Gets or sets the amount eligible towards the patient's out of pocket |
decimal number |
None. |
| BenefitCode |
Gets or sets the other claim's benefit code |
string |
None. |
| Note |
Gets or sets the other claim's note |
string |
None. |
| PrescriptionReferenceNumber |
Gets or sets the other claim's RxNumber |
string |
None. |
| PharmacyLocationSeqNo |
Gets or sets the other claim's pharmacy location SeqNo |
integer |
None. |
| PharmacyLocationUrl |
Gets or sets the other claim's pharmacy location URL |
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. |