Created
June 6, 2014 19:26
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| { | |
| 'Charges':[ | |
| { | |
| 'ChargeData':{ | |
| 'PrimaryInsuranceInsuranceAllowed':None, | |
| 'ServiceStartDate':u'05/26/2014', | |
| 'TotalCharges':u'0.0000', | |
| 'BatchNumber':None, | |
| 'TertiaryInsuranceCompanyPlanName':u'Medicare CA', | |
| 'OtherPaymentAmount':None, | |
| 'SecondaryInsuranceLastBillDate':None, | |
| 'CaseName':u'CASE 1', | |
| 'SecondaryInsurancePaymentPostingDate':None, | |
| 'SecondaryInsuranceInsuranceDeductible':None, | |
| 'PrimaryInsurancePaymentPostingDate':None, | |
| 'SecondaryInsuranceZipCode':None, | |
| 'TertiaryInsurancePaymentRef':None, | |
| 'EClaimNote':None, | |
| 'SecondaryInsurancePaymentMethodDesc':None, | |
| 'PatientPaymentRef':None, | |
| 'AppointmentID':u'31ENZ', | |
| 'BilledTo':u'BC/BS of Southern California', | |
| 'PatientBatchID':None, | |
| 'SecondaryInsuranceInsuranceCoinsurance':None, | |
| 'SecondaryInsuranceFirstBillDate':None, | |
| 'TertiaryInsuranceAddressLine1':u'1344 Pacific Coast Hwy', | |
| 'PrimaryInsuranceInsurancePayment':None, | |
| 'EncounterProcedureID':u'2240', | |
| 'PracticeName':u'American Medicine Associates', | |
| 'ServiceLocationFaxExt':None, | |
| 'Minutes':u'0', | |
| 'PatientName':u'Joannie Traker', | |
| 'TertiaryInsuranceAddressLine2':None, | |
| 'SecondaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'OtherPaymentRef':None, | |
| 'TertiaryInsuranceInsuranceDeductible':u'0.0000', | |
| 'OtherAdjustment':u'0.0000', | |
| 'TertiaryInsuranceBatchID':u'777', | |
| 'ServiceLocationBillingName':u'HB', | |
| 'ServiceLocationId':u'4', | |
| 'SecondaryInsuranceCountry':None, | |
| 'PrimaryInsurancePlanName':u'BC/BS of Southern California', | |
| 'PrimaryInsuranceInsuranceDeductible':None, | |
| 'ReferringProviderName':u' Sally Ortega, | |
| MD', | |
| 'PrimaryInsuranceAdjudicationDate':None, | |
| 'EClaimNoteType':None, | |
| 'ProcedureModifier2':None, | |
| 'ProcedureModifier3':None, | |
| 'ProcedureModifier1':None, | |
| 'ProcedureModifier4':None, | |
| 'SecondaryInsurancePaymentCategoryDesc':None, | |
| 'TertiaryInsuranceInsuranceAllowed':u'777.0000', | |
| 'TertiaryInsuranceInsuranceCoinsurance':u'0.0000', | |
| 'TertiaryInsuranceState':u'CA', | |
| 'PrimaryInsuranceCompanyName':u'BC/BS of Southern California', | |
| 'TertiaryInsuranceCompanyName':u'Medicare CA', | |
| 'Units':u'1.0000', | |
| 'SchedulingProviderID':u'2', | |
| 'PrimaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'TertiaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'OtherPaymentCategoryDesc':None, | |
| 'TotalBalance':u'-777.0000', | |
| 'PatientDateOfBirth':u'02/08/1973', | |
| 'PatientFirstName':u'Joannie', | |
| 'PrimaryInsuranceInsuranceCopay':None, | |
| 'CopayReference':None, | |
| 'SecondaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'ServiceLocationNameZipCode':u'92388', | |
| 'TertiaryInsuranceCountry':None, | |
| 'TertiaryInsuranceZipCode':u'92233', | |
| 'LocalUseBox10d':None, | |
| 'DoNotSendElectronicallyToSecondary':u'False', | |
| 'SupervisingProviderName':None, | |
| 'TertiaryInsurancePaymentCategoryDesc':None, | |
| 'AllowedAmount':None, | |
| 'AdjustedCharges':u'0.0000', | |
| 'RefCode':None, | |
| 'PatientPaymentCategoryDesc':None, | |
| 'RenderingProviderName':u' Sara Smith, | |
| MD', | |
| 'ServiceLocationCLIANumber':None, | |
| 'TertiaryInsuranceCity':u'Laguna Beach', | |
| 'UnitCharge':u'0.0000', | |
| 'OtherPaymentPostingDate':None, | |
| 'PrimaryInsuranceAddressLine1':u'PO Box 332939', | |
| 'PrimaryInsuranceAddressLine2':None, | |
| 'TertiaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'PrimaryInsuranceState':u'CA', | |
| 'TertiaryInsuranceAdjudicationDate':None, | |
| 'PatientFirstBillDate':None, | |
| 'TypeOfService':u'Medical Care', | |
| 'TertiaryInsurancePaymentID':u'1036', | |
| 'CreatedDate': u'6/3/2014 12:00:00 AM', | |
| 'SecondaryInsuranceAddressLine2':None, | |
| 'CopayCategory':None, | |
| 'SecondaryInsuranceAddressLine1':None, | |
| 'OtherPaymentMethodDesc':None, | |
| 'SecondaryInsurancePaymentRef':None, | |
| 'TertiaryInsuranceInsuranceCopay':u'0.0000', | |
| 'EncounterDiagnosisID4':None, | |
| 'SecondaryInsuranceInsuranceSecondaryAdjustment':None, | |
| 'EncounterDiagnosisID2':u'619.1', | |
| 'EncounterDiagnosisID3':None, | |
| 'HospitalizationStartDate':None, | |
| 'EncounterDiagnosisID1':u'305.60', | |
| 'ServiceLocationFacilityIdType':u'1J Facility ID Number', | |
| 'DoNotSendClaimElectronically':u'False', | |
| 'PrimaryInsurancePaymentRef':None, | |
| 'Status':u'Ready', | |
| 'ServiceLocationPhoneExt':None, | |
| 'SecondaryInsuranceInsuranceAllowed':None, | |
| 'LastModifiedDate':u'06/03/2014', | |
| 'ExpectedAmount':None, | |
| 'PatientBalance':u'0.0000', | |
| 'SecondaryInsuranceBatchID':None, | |
| 'CopayMethod':u'5 - Cash', | |
| 'PatientPaymentID':None, | |
| 'ServiceLocationFacilityID':None, | |
| 'Receipts':u'-777.0000', | |
| 'TertiaryInsuranceInsuranceSecondaryAdjustment':u'0.0000', | |
| 'PostingDate':u'06/03/2014', | |
| 'PrimaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'ProcedureCode':u'0001F', | |
| 'ServiceLocationPhone':u'(714) 273-3344', | |
| 'SecondaryInsuranceCompanyName':None, | |
| 'EncounterStatus':u'Approved', | |
| 'PatientLastName':u'Traker', | |
| 'InsuranceBalance':u'-777.0000', | |
| 'TertiaryInsurancePaymentPostingDate':u'06/04/2014', | |
| 'PatientLastBillDate':None, | |
| 'ServiceLocationName':u'Huntington Beach Office', | |
| 'PrimaryInsuranceCity':u'Orange', | |
| 'CopayAmount':u'250.0000', | |
| 'CasePayerScenario':u'Commercial', | |
| 'LocalUseBox19':None, | |
| 'TertiaryInsuranceInsurancePayment':u'777.0000', | |
| 'TertiaryInsurancePaymentMethodDesc':u'4 - Electronic Funds Transfer', | |
| 'PrimaryInsuranceZipCode':u'92831', | |
| 'PatientPaymentAmount':None, | |
| 'PrimaryInsurancePaymentID':None, | |
| 'PrimaryInsuranceFirstBillDate':None, | |
| 'PatientID':u'35', | |
| 'PrimaryInsurancePaymentCategoryDesc':None, | |
| 'ServiceLocationNPI':None, | |
| 'RenderingProviderID':u'1', | |
| 'PracticeID':u'1', | |
| 'PrimaryInsuranceInsuranceContractAdjustment':None, | |
| 'PatientPaymentMethodDesc':None, | |
| 'SecondaryInsuranceCity':None, | |
| 'ReferringProviderID':u'4', | |
| 'SecondaryInsurancePlanName':None, | |
| 'ServiceEndDate':u'06/04/2014', | |
| 'SecondaryInsurancePaymentID':None, | |
| 'SecondaryInsuranceInsurancePayment':None, | |
| 'ServiceLocationPlaceOfServiceName':u'Comprehensive Inpatient Rehabilitation Facility', | |
| 'ServiceLocationNameCountry':None, | |
| 'SchedulingProviderName':u' Paige McAndrews, | |
| MD', | |
| 'PrimaryInsuranceCountry':None, | |
| 'PrimaryInsuranceInsuranceCoinsurance':None, | |
| 'LineNote':None, | |
| 'SecondaryInsuranceInsuranceContractAdjustment':None, | |
| 'PatientPaymentPostingDate':None, | |
| 'TertiaryInsuranceInsuranceContractAdjustment':u'0.0000', | |
| 'PatientMiddleName':None, | |
| 'OtherPaymentID':None, | |
| 'EncounterID':u'1140', | |
| 'PrimaryInsuranceLastBillDate':None, | |
| 'PrimaryInsuranceBatchID':None, | |
| 'PrimaryInsuranceInsuranceSecondaryAdjustment':None, | |
| 'ServiceLocationPlaceOfServiceCode':u'61', | |
| 'SecondaryInsuranceState':None, | |
| 'ID':u'2036', | |
| 'ServiceLocationNameAddressLine1':u'8123 Beach Blvd', | |
| 'ServiceLocationNameAddressLine2':None, | |
| 'HospitalizationEndDate':None, | |
| 'PrimaryInsurancePaymentMethodDesc':None, | |
| 'ServiceLocationNameCity':u'Huntington Beach', | |
| 'ServiceLocationNameState':u'CA', | |
| 'SecondaryInsuranceAdjudicationDate':None, | |
| 'ProcedureName':u'HRT FAILURE ASSESSED', | |
| 'ProcedureCodeCategory':None, | |
| 'SupervisingProviderID':None, | |
| 'SecondaryInsuranceInsuranceCopay':None, | |
| 'ServiceLocationFax':u'(714) 273-3345' | |
| } | |
| }, | |
| { | |
| 'ChargeData':{ | |
| 'PrimaryInsuranceInsuranceAllowed':None, | |
| 'ServiceStartDate':u'06/02/2014', | |
| 'TotalCharges':u'344.0000', | |
| 'BatchNumber':None, | |
| 'TertiaryInsuranceCompanyPlanName':None, | |
| 'OtherPaymentAmount':None, | |
| 'SecondaryInsuranceLastBillDate':None, | |
| 'CaseName':u'CASE 1', | |
| 'SecondaryInsurancePaymentPostingDate':None, | |
| 'SecondaryInsuranceInsuranceDeductible':None, | |
| 'PrimaryInsurancePaymentPostingDate':None, | |
| 'SecondaryInsuranceZipCode':None, | |
| 'TertiaryInsurancePaymentRef':None, | |
| 'EClaimNote':None, | |
| 'SecondaryInsurancePaymentMethodDesc':None, | |
| 'PatientPaymentRef':None, | |
| 'AppointmentID':u'6EOG', | |
| 'BilledTo':u'Emerald Insurance', | |
| 'PatientBatchID':None, | |
| 'SecondaryInsuranceInsuranceCoinsurance':None, | |
| 'SecondaryInsuranceFirstBillDate':None, | |
| 'TertiaryInsuranceAddressLine1':None, | |
| 'PrimaryInsuranceInsurancePayment':None, | |
| 'EncounterProcedureID':u'2241', | |
| 'PracticeName':u'American Medicine Associates', | |
| 'ServiceLocationFaxExt':None, | |
| 'Minutes':u'0', | |
| 'PatientName':u'Allison Thompson', | |
| 'TertiaryInsuranceAddressLine2':None, | |
| 'SecondaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'OtherPaymentRef':None, | |
| 'TertiaryInsuranceInsuranceDeductible':None, | |
| 'OtherAdjustment':u'0.0000', | |
| 'TertiaryInsuranceBatchID':None, | |
| 'ServiceLocationBillingName':u'Tustin', | |
| 'ServiceLocationId':u'1', | |
| 'SecondaryInsuranceCountry':None, | |
| 'PrimaryInsurancePlanName':u'Emerald Insurance', | |
| 'PrimaryInsuranceInsuranceDeductible':None, | |
| 'ReferringProviderName':None, | |
| 'PrimaryInsuranceAdjudicationDate':None, | |
| 'EClaimNoteType':None, | |
| 'ProcedureModifier2':None, | |
| 'ProcedureModifier3':None, | |
| 'ProcedureModifier1':None, | |
| 'ProcedureModifier4':None, | |
| 'SecondaryInsurancePaymentCategoryDesc':None, | |
| 'TertiaryInsuranceInsuranceAllowed':None, | |
| 'TertiaryInsuranceInsuranceCoinsurance':None, | |
| 'TertiaryInsuranceState':None, | |
| 'PrimaryInsuranceCompanyName':u'Emerald Insurance', | |
| 'TertiaryInsuranceCompanyName':None, | |
| 'Units':u'1.0000', | |
| 'SchedulingProviderID':u'1', | |
| 'PrimaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'TertiaryInsuranceInsuranceSecondaryAdjustmentReason':None, | |
| 'OtherPaymentCategoryDesc':None, | |
| 'TotalBalance':u'344.0000', | |
| 'PatientDateOfBirth':u'12/21/1974', | |
| 'PatientFirstName':u'Allison', | |
| 'PrimaryInsuranceInsuranceCopay':None, | |
| 'CopayReference':None, | |
| 'SecondaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'ServiceLocationNameZipCode':u'92618', | |
| 'TertiaryInsuranceCountry':None, | |
| 'TertiaryInsuranceZipCode':None, | |
| 'LocalUseBox10d':None, | |
| 'DoNotSendElectronicallyToSecondary':u'False', | |
| 'SupervisingProviderName':None, | |
| 'TertiaryInsurancePaymentCategoryDesc':None, | |
| 'AllowedAmount':None, | |
| 'AdjustedCharges':u'344.0000', | |
| 'RefCode':None, | |
| 'PatientPaymentCategoryDesc':None, | |
| 'RenderingProviderName':u' Sara Smith, | |
| MD', | |
| 'ServiceLocationCLIANumber':None, | |
| 'TertiaryInsuranceCity':None, | |
| 'UnitCharge':u'344.0000', | |
| 'OtherPaymentPostingDate':None, | |
| 'PrimaryInsuranceAddressLine1':u'883 Harbor Blvd', | |
| 'PrimaryInsuranceAddressLine2':None, | |
| 'TertiaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'PrimaryInsuranceState':u'CA', | |
| 'TertiaryInsuranceAdjudicationDate':None, | |
| 'PatientFirstBillDate':None, | |
| 'TypeOfService':u'Medical Care', | |
| 'TertiaryInsurancePaymentID':None, | |
| 'CreatedDate': u'6/6/2014 12:00:00 AM', | |
| 'SecondaryInsuranceAddressLine2':None, | |
| 'CopayCategory':None, | |
| 'SecondaryInsuranceAddressLine1':None, | |
| 'OtherPaymentMethodDesc':None, | |
| 'SecondaryInsurancePaymentRef':None, | |
| 'TertiaryInsuranceInsuranceCopay':None, | |
| 'EncounterDiagnosisID4':None, | |
| 'SecondaryInsuranceInsuranceSecondaryAdjustment':None, | |
| 'EncounterDiagnosisID2':None, | |
| 'EncounterDiagnosisID3':None, | |
| 'HospitalizationStartDate':None, | |
| 'EncounterDiagnosisID1':u'244.0', | |
| 'ServiceLocationFacilityIdType':u'1J Facility ID Number', | |
| 'DoNotSendClaimElectronically':u'False', | |
| 'PrimaryInsurancePaymentRef':None, | |
| 'Status':u'Ready', | |
| 'ServiceLocationPhoneExt':None, | |
| 'SecondaryInsuranceInsuranceAllowed':None, | |
| 'LastModifiedDate':u'06/06/2014', | |
| 'ExpectedAmount':None, | |
| 'PatientBalance':u'0.0000', | |
| 'SecondaryInsuranceBatchID':None, | |
| 'CopayMethod':u'1 - Check', | |
| 'PatientPaymentID':None, | |
| 'ServiceLocationFacilityID':None, | |
| 'Receipts':u'0.0000', | |
| 'TertiaryInsuranceInsuranceSecondaryAdjustment':None, | |
| 'PostingDate':u'06/06/2014', | |
| 'PrimaryInsuranceInsuranceContractAdjustmentReason':None, | |
| 'ProcedureCode':u'0001F', | |
| 'ServiceLocationPhone':u'(714) 654-7727', | |
| 'SecondaryInsuranceCompanyName':None, | |
| 'EncounterStatus':u'Approved', | |
| 'PatientLastName':u'Thompson', | |
| 'InsuranceBalance':u'344.0000', | |
| 'TertiaryInsurancePaymentPostingDate':None, | |
| 'PatientLastBillDate':None, | |
| 'ServiceLocationName':u'Tustin Office', | |
| 'PrimaryInsuranceCity':u'Fullerton', | |
| 'CopayAmount':u'344.0000', | |
| 'CasePayerScenario':u'Commercial', | |
| 'LocalUseBox19':None, | |
| 'TertiaryInsuranceInsurancePayment':None, | |
| 'TertiaryInsurancePaymentMethodDesc':None, | |
| 'PrimaryInsuranceZipCode':u'92835', | |
| 'PatientPaymentAmount':None, | |
| 'PrimaryInsurancePaymentID':None, | |
| 'PrimaryInsuranceFirstBillDate':None, | |
| 'PatientID':u'21', | |
| 'PrimaryInsurancePaymentCategoryDesc':None, | |
| 'ServiceLocationNPI':None, | |
| 'RenderingProviderID':u'1', | |
| 'PracticeID':u'1', | |
| 'PrimaryInsuranceInsuranceContractAdjustment':None, | |
| 'PatientPaymentMethodDesc':None, | |
| 'SecondaryInsuranceCity':None, | |
| 'ReferringProviderID':None, | |
| 'SecondaryInsurancePlanName':None, | |
| 'ServiceEndDate':None, | |
| 'SecondaryInsurancePaymentID':None, | |
| 'SecondaryInsuranceInsurancePayment':None, | |
| 'ServiceLocationPlaceOfServiceName':u'Office', | |
| 'ServiceLocationNameCountry':None, | |
| 'SchedulingProviderName':u' Sara Smith, | |
| MD', | |
| 'PrimaryInsuranceCountry':None, | |
| 'PrimaryInsuranceInsuranceCoinsurance':None, | |
| 'LineNote':None, | |
| 'SecondaryInsuranceInsuranceContractAdjustment':None, | |
| 'PatientPaymentPostingDate':None, | |
| 'TertiaryInsuranceInsuranceContractAdjustment':None, | |
| 'PatientMiddleName':None, | |
| 'OtherPaymentID':None, | |
| 'EncounterID':u'1141', | |
| 'PrimaryInsuranceLastBillDate':None, | |
| 'PrimaryInsuranceBatchID':None, | |
| 'PrimaryInsuranceInsuranceSecondaryAdjustment':None, | |
| 'ServiceLocationPlaceOfServiceCode':u'11', | |
| 'SecondaryInsuranceState':None, | |
| 'ID':u'2037', | |
| 'ServiceLocationNameAddressLine1':u'17288 Newport Ave', | |
| 'ServiceLocationNameAddressLine2':None, | |
| 'HospitalizationEndDate':None, | |
| 'PrimaryInsurancePaymentMethodDesc':None, | |
| 'ServiceLocationNameCity':u'Tustin', | |
| 'ServiceLocationNameState':u'CA', | |
| 'SecondaryInsuranceAdjudicationDate':None, | |
| 'ProcedureName':u'HRT FAILURE ASSESSED', | |
| 'ProcedureCodeCategory':None, | |
| 'SupervisingProviderID':None, | |
| 'SecondaryInsuranceInsuranceCopay':None, | |
| 'ServiceLocationFax':u'(714) 654-7728' | |
| } | |
| } | |
| ], | |
| 'SecurityResponse':{ | |
| 'CustomerKeyValid':True, | |
| 'Authenticated':True, | |
| 'PermissionsMissing':{ | |
| 'Permission':[ | |
| ] | |
| }, | |
| 'SecurityResultSuccess':True, | |
| 'Authorized':True, | |
| 'PracticesAuthorized':{ | |
| 'PracticeID':[ | |
| { | |
| 'int':1 | |
| } | |
| ] | |
| }, | |
| 'SecurityResult':u'Success', | |
| 'CustomerId':23745 | |
| }, | |
| 'ErrorResponse':{ | |
| 'StackTrace':None, | |
| 'ErrorMessage':None, | |
| 'IsError':False | |
| } | |
| } |
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