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This document provides details of the json schema for ClaimMaker export.
After doing the above, you'll have a list of line items that hold lists of the SurgCPT, AnesCPT, ICD10, Modifiers, and Practitioner with the values for each in order
{ "3894_513244_FACILITY_2023-01-17_MARTEL, BEATRICE A": { "batch_id": 3894, "documentIds": [\ "hank-ai-clients:client.com/facility/processed/AnesIntraop_fj3489f.pdf",\ "hank-ai-clients:client.com/facility/processed/MARTEL, B_01-17-2023.pdf",\ "hank-ai-clients:client.com/facility/processed/MARTEL, B_facesheet.pdf"\ ], "claim": [\ {\ "box19": "",\ "customField1": "1723703735",\ "customField2": "XX404, 4256F, XX430, G2149",\ "customField3": "",\ "customField4": "",\ "customField5": "",\ "entities": [\ {\ "code": "29880",\ "order": 0,\ "type": "SurgCPT",\ "unitValue": 0\ },\ {\ "code": "01400",\ "order": 0,\ "type": "AnesCPT",\ "unitValue": 4\ },\ {\ "code": "S83.242A",\ "order": 0,\ "type": "ICD10",\ "unitValue": 0\ },\ {\ "code": "I50.1",\ "order": 1,\ "type": "ICD10",\ "unitValue": 0\ },\ {\ "code": "59",\ "order": 0,\ "type": "Modifier",\ "unitValue": 0\ },\ {\ "code": "Jim Smith, MD",\ "order": 0,\ "type": "Practitioner",\ "unitValue": 0\ },\ {\ "code": "XXXXXX",\ "order": 0,\ "type": "PractitionerNPI",\ "unitValue": 0\ }\ ],\ "order": 1\ }\ ], "created_date": "2023-01-18", "date_of_service": "2023-01-17", "id": 513244, "meta": { "created": "2023-01-18 10:00:40", "entireTimeSpent": 62, "hasDemographics": false, "isDataEntered": false, "isManuallyCreated": false, "lastUpdated": "2023-01-21 20:00", "lastUpdatedExport": "", "schemaVersion": "2.0.3", "source": "extractor", "timeSpent": 36 }, "note": "", "patient_full_name": "MARTEL, BEATRICE A", "patient_info": { "guarantor": { "address": { "city": "BRANSON", "state": "WA", "street1": "51 BEAUREMONT DR", "street2": "", "zip": "67891" }, "dob": "1986-06-04", "email": "beatriceemail at email.com", "employer": { "address": { "city": "BRANSON", "state": "WA", "street1": "ONE MEDICAL CENTER DRIVE", "street2": "", "zip": "29876" }, "name": "SAMPLE MEMORIAL HOSPITAL", "phone": "+1 555-650-5000" }, "first": "BEATRICE", "fullName": "MARTEL, BEATRICE A", "homePhone": "", "language": "", "last": "MARTEL", "maritalStatus": "SINGLE", "middle": "A", "mobilePhone": "+1 555-359-7465", "relationship": "SELF", "sex": "F", "ssn": "XXX-XX-9999", "workPhone": "" }, "insurance": [\ {\ "insuranceID": "XXXXXXXXXXXXX",\ "address": {\ "city": "LONDON",\ "state": "KY",\ "street1": "ATTN: CLAIMS PROCESSING DEPT PO BOX 7387",\ "street2": "",\ "zip": "40742-7387"\ },\ "authorizationNumber": "",\ "company": "AMERIHEALTH CARITAS MANAGED\nMEDICAID",\ "groupId": "",\ "phone": "+1 888-599-1479",\ "plan": "AMERIHEALTH CARITAS NH",\ "policyId": "98765678",\ "subscriber": {\ "address": {\ "city": "",\ "state": "",\ "street1": "",\ "street2": "",\ "zip": ""\ },\ "dob": "1986-06-04",\ "email": "",\ "employer": {\ "address": {\ "city": "",\ "state": "",\ "street1": "",\ "street2": "",\ "zip": ""\ },\ "name": "",\ "phone": ""\ },\ "first": "BEATRICE",\ "fullName": "MARTEL, BEATRICE A",\ "homePhone": "",\ "language": "",\ "last": "MARTEL",\ "maritalStatus": "",\ "middle": "A",\ "mobilePhone": "",\ "relationship": "SELF",\ "sex": "",\ "ssn": "",\ "workPhone": ""\ }\ }\ ], "patient": { "accn": "", "address": { "city": "BRANSON", "state": "WA", "street1": "51 BEAUREMONT DR", "street2": "", "zip": "67891" }, "dob": "1986-06-04", "email": "beatriceemail at email.com", "employer": { "address": { "city": "BRANSON", "state": "WA", "street1": "ONE MEDICAL CENTER DRIVE", "street2": "", "zip": "29876" }, "name": "MEMORIAL HOSPITAL", "phone": "+1 555-650-5000" }, "encn": "", "first": "BEATRICE", "fullName": "MARTEL, BEATRICE A", "homePhone": "", "language": "", "last": "MARTEL", "maritalStatus": "SINGLE", "middle": "A", "mobilePhone": "+1 555-359-7465", "mrn": "98756987", "primaryCareProvider": "BRANSON FAMILY PRACTICE 555-448-3122", "relationship": "SELF", "sex": "F", "ssn": "XXX-XX-9999", "workPhone": "" } }, "provider_correlation_id": "hank-ai-clients:bluelakesolutions.com/facility/processed/DailyCases20230117.csv", "provider_facility": "FACILITY", "schedule": { "admitDate": "", "anType": "general", "anesthesiaStaff": [\ {\ "endTime": "15:54",\ "isResponsibleProvider": true,\ "provider": "WATKINS, MICHAEL R, CRNA",\ "providerNPI": "XXXXXX",\ "role": "CRNA",\ "startTime": "14:43"\ }\ ], "asa": "2", "class": "Hospital Outpatient Surgery", "diagnosis": "Chronic pain of left knee [M25.562, G89.29\nTear of medial meniscus of left knee, current, unspecified tear type, initial encounter [S83.242A",\ "difficultIntubation": false,\ "dischargeDate": "",\ "emergent": false,\ "endTime": "15:54",\ "procedure": "ARTHROSCOPY WITH MENISCECTOMY, LAT.& MEDIAL WITH SHAVING (WRVU 7.39) [29880], MODIFIER SMITH & NEPHEW ENDOSCOPY - FLOW 50 / WERE WOLF",\ "recSigned": true,\ "room": "OR 02",\ "startTime": "14:43",\ "surgeon": "HOUDE, JOHN P",\ "surgeonNPI": "XXXXXXX"\ },\ "state": "CodeCompleted",\ "status": "OK"\ }\ }\
There are two main use cases:
Electronic Records
\