| Name | Description | Type | Additional information |
|---|---|---|---|
| id | integer |
None. |
|
| case_id | string |
None. |
|
| verification_received_date | date |
None. |
|
| verification_replied_date | date |
None. |
|
| bill_number | string |
None. |
|
| note | string |
None. |
|
| date_of_service_start | string |
None. |
|
| date_of_service_end | string |
None. |
|
| provider_name | string |
None. |
|
| injured_party_name | string |
None. |
|
| insurance_company_name | string |
None. |
|
| insurance_company_group_name | string |
None. |
|
| claim_amount | decimal number |
None. |
|
| paid_amount | decimal number |
None. |
|
| claim_balance | decimal number |
None. |
|
| fee_schedule | decimal number |
None. |
|
| fs_balance | decimal number |
None. |
|
| initial_status | string |
None. |
|
| status | string |
None. |
|
| old_status | string |
None. |
|
| denial_reason | string |
None. |
|
| provider_group_name | string |
None. |
|
| verification_response | string |
None. |
|
| treating_doctor | string |
None. |
|
| accident_date | string |
None. |
|
| request_image_file_name | string |
None. |
|
| request_image_file_path | string |
None. |
|
| fax_file_name | string |
None. |
|
| fax_acknowledgement_image_file_name | string |
None. |
|
| fax_acknowledgement_image_file_path | string |
None. |
|
| fax_status | string |
None. |
|
| manual_response_image_file_name | string |
None. |
|
| manual_response_image_file_path | string |
None. |
|
| fax_number | string |
None. |
|
| verification_posted_by | string |
None. |
|
| verification_posted_date | string |
None. |
|
| response_posted_date | string |
None. |
|
| verification_status | string |
None. |
|
| verification_type | string |
None. |
|
| request_image_id | integer |
None. |
|
| fax_acknowledgement_image_id | integer |
None. |
|
| manual_response_image_id | integer |
None. |
|
| resend_count | integer |
None. |
|
| date_bill_sent | date |
None. |
|
| ins_claim_number | string |
None. |
|
| status_disposition | string |
None. |
|
| policy_number | string |
None. |
|
| review_comments | string |
None. |
|
| batch_code | string |
None. |
|
| case_age | integer |
None. |
|
| status_age | integer |
None. |
|
| index_or_aaa_number | string |
None. |