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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | C:\AraxisMergeCompare\Pri_un\BTSSS_CIF_04102017\BTSSS_code_build3_Sprint11\BTSSS_1_build2_Sprint11_CRM\Libraries\VIMT\Developer Resources\Enterprise Components\XSD | CPEClaimAdapterv22.xsd | Mon Jan 30 19:45:28 2017 UTC |
| 2 | C:\AraxisMergeCompare\Pri_re\BTSSS_CIF_04102017\BTSSS_code_build3_Sprint11\BTSSS_1_build2_Sprint11_CRM\Libraries\VIMT\Developer Resources\Enterprise Components\XSD | CPEClaimAdapterv22.xsd | Tue Apr 25 14:12:11 2017 UTC |
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| 1 | <?xml vers ion="1.0" encoding=" utf-8"?> | |
| 2 | <xsd:schem a xmlns:xs d_1="http: //viers. DNS /adapter/l egacy/cpe/ sim/v2/" t argetNames pace="http ://viers. DNS /adapter/l egacy/cpe/ sim/v2/" x mlns:xsd=" http://www .w3.org/20 01/XMLSche ma"> | |
| 3 | <xsd:com plexType n ame="Benef iciaryIden tifier_v1" > | |
| 4 | <xsd:s equence> | |
| 5 | <xsd :element m inOccurs=" 0" name="b fn" type=" xsd:string " /> | |
| 6 | <xsd :element m inOccurs=" 0" name="d fn" type=" xsd:string " /> | |
| 7 | </xsd: sequence> | |
| 8 | </xsd:co mplexType> | |
| 9 | <xsd:com plexType n ame="Respo nseFilter_ v1"> | |
| 10 | <xsd:s equence> | |
| 11 | <xsd :element m inOccurs=" 0" name="s tartDate" type="xsd: dateTime" /> | |
| 12 | <xsd :element m inOccurs=" 0" name="e ndDate" ty pe="xsd:da teTime" /> | |
| 13 | <xsd :element m inOccurs=" 0" name="c hunkSize" type="xsd: int" /> | |
| 14 | <xsd :element m inOccurs=" 0" name="c hunkNumber " type="xs d:int" /> | |
| 15 | </xsd: sequence> | |
| 16 | </xsd:co mplexType> | |
| 17 | <xsd:com plexType n ame="SetOf CodesItem_ v1"> | |
| 18 | <xsd:s equence> | |
| 19 | <xsd :element m inOccurs=" 0" name="c ode" type= "xsd:strin g" /> | |
| 20 | <xsd :element m inOccurs=" 0" name="d escription " type="xs d:string" /> | |
| 21 | </xsd: sequence> | |
| 22 | </xsd:co mplexType> | |
| 23 | <xsd:com plexType n ame="Rejec tReason_v1 "> | |
| 24 | <xsd:s equence> | |
| 25 | <xsd :element m inOccurs=" 0" name="r ejectReaso n" type="x sd_1:SetOf CodesItem_ v1" /> | |
| 26 | </xsd: sequence> | |
| 27 | </xsd:co mplexType> | |
| 28 | <xsd:com plexType n ame="Comme nt_v1"> | |
| 29 | <xsd:s equence> | |
| 30 | <xsd :element m inOccurs=" 0" name="d ateEntered " type="xs d:date" /> | |
| 31 | <xsd :element m inOccurs=" 0" name="e nteredBy" type="xsd_ 1:Name_v1" /> | |
| 32 | <xsd :element m inOccurs=" 0" name="s ource" typ e="xsd:str ing" /> | |
| 33 | <xsd :element m inOccurs=" 0" name="c omment" ty pe="xsd:st ring" /> | |
| 34 | </xsd: sequence> | |
| 35 | </xsd:co mplexType> | |
| 36 | <xsd:com plexType n ame="Name_ v1"> | |
| 37 | <xsd:s equence> | |
| 38 | <xsd :element m inOccurs=" 0" name="p refix" typ e="xsd:str ing" /> | |
| 39 | <xsd :element m inOccurs=" 0" name="f irstName" type="xsd: string" /> | |
| 40 | <xsd :element m inOccurs=" 0" name="m iddleName" type="xsd :string" / > | |
| 41 | <xsd :element m inOccurs=" 0" name="l astName" t ype="xsd:s tring" /> | |
| 42 | <xsd :element m inOccurs=" 0" name="s uffix" typ e="xsd:str ing" /> | |
| 43 | </xsd: sequence> | |
| 44 | </xsd:co mplexType> | |
| 45 | <xsd:com plexType n ame="Claim _v1"> | |
| 46 | <xsd:s equence> | |
| 47 | <xsd :element m inOccurs=" 0" name="c laimNumber " type="xs d:string" /> | |
| 48 | <xsd :element m inOccurs=" 0" name="c laimStatus " type="xs d_1:SetOfC odesItem_v 1" /> | |
| 49 | <xsd :element m inOccurs=" 0" name="p laceOfServ ice" type= "xsd_1:Set OfCodesIte m_v1" /> | |
| 50 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "pdiNumber s" type="x sd:string" /> | |
| 51 | <xsd :element m inOccurs=" 0" name="d ateOfServi ce" type=" xsd:dateTi me" /> | |
| 52 | <xsd :element m inOccurs=" 0" name="p roviderNam e" type="x sd:string" /> | |
| 53 | <xsd :element m inOccurs=" 0" name="b illCharged " type="xs d:string" /> | |
| 54 | <xsd :element m inOccurs=" 0" name="a llowedAmou nt" type=" xsd:string " /> | |
| 55 | <xsd :element m inOccurs=" 0" name="p rimaryOHI" type="xsd :string" / > | |
| 56 | <xsd :element m inOccurs=" 0" name="s econdaryOH I" type="x sd:string" /> | |
| 57 | <xsd :element m inOccurs=" 0" name="c hampVAPaym ent" type= "xsd:strin g" /> | |
| 58 | <xsd :element m inOccurs=" 0" name="d eductibleA mount" typ e="xsd:str ing" /> | |
| 59 | <xsd :element m inOccurs=" 0" name="c ostShare" type="xsd: string" /> | |
| 60 | <xsd :element m inOccurs=" 0" name="a ssignBenef itsFlag" t ype="xsd:s tring" /> | |
| 61 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "rejectRea sons" type ="xsd_1:Re jectReason _v1" /> | |
| 62 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "claimComm ent" type= "xsd_1:Com ment_v1" / > | |
| 63 | </xsd: sequence> | |
| 64 | </xsd:co mplexType> | |
| 65 | <xsd:com plexType n ame="Respo nseStats_v 1"> | |
| 66 | <xsd:s equence> | |
| 67 | <xsd :element m inOccurs=" 0" name="r ecordsRetu rned" type ="xsd:int" /> | |
| 68 | <xsd :element m inOccurs=" 0" name="m oreChunkRe cords" typ e="xsd:boo lean" /> | |
| 69 | <xsd :element m inOccurs=" 0" name="m oreDateRec ords" type ="xsd:bool ean" /> | |
| 70 | <xsd :element m inOccurs=" 0" name="t otalRecord s" type="x sd:int" /> | |
| 71 | </xsd: sequence> | |
| 72 | </xsd:co mplexType> | |
| 73 | <xsd:com plexType n ame="Provi derIdentif ier_v1"> | |
| 74 | <xsd:s equence> | |
| 75 | <xsd :element m inOccurs=" 0" name="i en" type=" xsd:string " /> | |
| 76 | <xsd :element m inOccurs=" 0" name="e in" type=" xsd:string " /> | |
| 77 | </xsd: sequence> | |
| 78 | </xsd:co mplexType> | |
| 79 | <xsd:com plexType n ame="Benef iciaryEOB_ v1"> | |
| 80 | <xsd:s equence> | |
| 81 | <xsd :element m inOccurs=" 0" name="t extOfRepor t" type="x sd:string" /> | |
| 82 | </xsd: sequence> | |
| 83 | </xsd:co mplexType> | |
| 84 | <xsd:com plexType n ame="Claim PPR_v1"> | |
| 85 | <xsd:s equence> | |
| 86 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "pdiNumber s" type="x sd:string" /> | |
| 87 | <xsd :element n ame="provi derIdentif ier" type= "xsd_1:Pro viderIdent ifier_v1" /> | |
| 88 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "claimStat us" type=" xsd_1:SetO fCodesItem _v1" /> | |
| 89 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "program" type="xsd_ 1:SetOfCod esItem_v1" /> | |
| 90 | <xsd :element m inOccurs=" 0" name="v endorName" type="xsd :string" / > | |
| 91 | <xsd :element m inOccurs=" 0" name="v endorPOAEx empt" type ="xsd:stri ng" /> | |
| 92 | <xsd :element m inOccurs=" 0" name="p ayProvider " type="xs d:string" /> | |
| 93 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "claimType " type="xs d_1:SetOfC odesItem_v 1" /> | |
| 94 | <xsd :element m inOccurs=" 0" name="s erviceAdmi nisteredDa te" type=" xsd:dateTi me" /> | |
| 95 | <xsd :element m inOccurs=" 0" name="d ischargeDa te" type=" xsd:dateTi me" /> | |
| 96 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "discharge Status" ty pe="xsd_1: SetOfCodes Item_v1" / > | |
| 97 | <xsd :element m inOccurs=" 0" name="c ompletedDa te" type=" xsd:dateTi me" /> | |
| 98 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "methodOfP ayment" ty pe="xsd_1: SetOfCodes Item_v1" / > | |
| 99 | <xsd :element m inOccurs=" 0" name="t otalCharge sBilled" t ype="xsd:s tring" /> | |
| 100 | <xsd :element m inOccurs=" 0" name="c alculatedA llowableAm ount" type ="xsd:stri ng" /> | |
| 101 | <xsd :element m inOccurs=" 0" name="m edicaidAmo unt" type= "xsd:strin g" /> | |
| 102 | <xsd :element m inOccurs=" 0" name="a mountPaidB yTPL" type ="xsd:stri ng" /> | |
| 103 | <xsd :element m inOccurs=" 0" name="a mountAppli edToDeduct ible" type ="xsd:stri ng" /> | |
| 104 | <xsd :element m inOccurs=" 0" name="c ostShareAm ount" type ="xsd:stri ng" /> | |
| 105 | <xsd :element m inOccurs=" 0" name="p rimaryOHI" type="xsd :string" / > | |
| 106 | <xsd :element m inOccurs=" 0" name="s econdaryOH I" type="x sd:string" /> | |
| 107 | <xsd :element m inOccurs=" 0" name="p atientResp onsibility Amount" ty pe="xsd:st ring" /> | |
| 108 | <xsd :element m inOccurs=" 0" name="a mountPaidB yBeneficia ryToVendor " type="xs d:string" /> | |
| 109 | <xsd :element m inOccurs=" 0" name="t otalAmount ToBePaidTo Claim" typ e="xsd:str ing" /> | |
| 110 | <xsd :element m inOccurs=" 0" name="a mountPaidT oVendor" t ype="xsd:s tring" /> | |
| 111 | <xsd :element m inOccurs=" 0" name="a mountPaidT oBeneficia ry" type=" xsd:string " /> | |
| 112 | <xsd :element m inOccurs=" 0" name="c hampVABene ficiaryDed uctible" t ype="xsd:s tring" /> | |
| 113 | <xsd :element m inOccurs=" 0" name="c hampVAFami lyDeductib le" type=" xsd:string " /> | |
| 114 | <xsd :element m inOccurs=" 0" name="c hampVAFami lyCatastro phicCap" t ype="xsd:s tring" /> | |
| 115 | <xsd :element m inOccurs=" 0" maxOccu rs="1" nam e="pprDeta il" type=" xsd_1:pprD etailType" /> | |
| 116 | </xsd: sequence> | |
| 117 | </xsd:co mplexType> | |
| 118 | <xsd:com plexType n ame="pprDe tailType"> | |
| 119 | <xsd:s equence> | |
| 120 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "diagnosis Line" type ="xsd_1:pp rDiagnosis Line" /> | |
| 121 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "procedure Line" type ="xsd_1:pp rProcedure Line" /> | |
| 122 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "ndcLine" type="xsd_ 1:pprNDCLi ne" /> | |
| 123 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "itemLine" type="xsd _1:pprItem Line" /> | |
| 124 | <xsd :element m inOccurs=" 0" maxOccu rs="unboun ded" name= "deliveryL ine" type= "xsd_1:ppr DeliveryLi ne" /> | |
| 125 | </xsd: sequence> | |
| 126 | </xsd:co mplexType> | |
| 127 | <xsd:com plexType n ame="pprDi agnosisLin e"> | |
| 128 | <xsd:s equence> | |
| 129 | <xsd :element m inOccurs=" 0" name="d iagnosis" type="xsd_ 1:SetOfCod esItem_v1" /> | |
| 130 | <xsd :element m inOccurs=" 0" name="a i" type="x sd_1:SetOf CodesItem_ v1" /> | |
| 131 | <xsd :element m inOccurs=" 0" name="a iReason" t ype="xsd_1 :SetOfCode sItem_v1" /> | |
| 132 | <xsd :element m inOccurs=" 0" name="p oaIndicato r" type="x sd:string" /> | |
| 133 | </xsd: sequence> | |
| 134 | </xsd:co mplexType> | |
| 135 | <xsd:com plexType n ame="pprPr ocedureLin e"> | |
| 136 | <xsd:s equence> | |
| 137 | <xsd :element m inOccurs=" 0" name="p rocedure" type="xsd_ 1:SetOfCod esItem_v1" /> | |
| 138 | <xsd :element m inOccurs=" 0" name="p urchaseOrL ease" type ="xsd_1:Se tOfCodesIt em_v1" /> | |
| 139 | <xsd :element m inOccurs=" 0" name="a i" type="x sd_1:SetOf CodesItem_ v1" /> | |
| 140 | <xsd :element m inOccurs=" 0" name="a iReason" t ype="xsd_1 :SetOfCode sItem_v1" /> | |
| 141 | <xsd :element m inOccurs=" 0" name="c ptModifier s" type="x sd_1:cptMo difiersTyp e" /> | |
| 142 | <xsd :element m inOccurs=" 0" name="u nitsOrQuan tity" type ="xsd:stri ng" /> | |
| 143 | <xsd :element m inOccurs=" 0" name="t otalCharge " type="xs d:string" /> | |
| 144 | <xsd :element m inOccurs=" 0" name="t otalAllowa bleAmount" type="xsd :string" / > | |
| 145 | <xsd :element m inOccurs=" 0" name="m edicaidAmo unt" type= "xsd:strin g" /> | |
| 146 | <xsd :element m inOccurs=" 0" name="o hiPaid" ty pe="xsd:st ring" /> | |
| 147 | <xsd :element m inOccurs=" 0" name="o hiPatientR esponsibil ity" type= "xsd:strin g" /> | |
| 148 | <xsd :element m inOccurs=" 0" name="d eductibleA mount" typ e="xsd:str ing" /> | |
| 149 | <xsd :element m inOccurs=" 0" name="p ayments" t ype="xsd:s tring" /> | |
| 150 | <xsd :element m inOccurs=" 0" name="a llowableUn its" type= "xsd:strin g" /> | |
| 151 | <xsd :element m inOccurs=" 0" name="c hargePerUn it" type=" xsd:string " /> | |
| 152 | <xsd :element m inOccurs=" 0" name="a llowableAm ountPerUni t" type="x sd:string" /> | |
| 153 | <xsd :element m inOccurs=" 0" name="a dditionalO HI" type=" xsd:string " /> | |
| 154 | <xsd :element m inOccurs=" 0" name="o hiPRBalanc e" type="x sd:string" /> | |
| 155 | <xsd :element m inOccurs=" 0" name="c ostShare" type="xsd: string" /> | |
| 156 | </xsd: sequence> | |
| 157 | </xsd:co mplexType> | |
| 158 | <xsd:com plexType n ame="pprDe liveryLine "> | |
| 159 | <xsd:s equence> | |
| 160 | <xsd :element m inOccurs=" 0" name="c hargePerUn it" type=" xsd:string " /> | |
| 161 | <xsd :element m inOccurs=" 0" name="a llowableAm ountPerUni t" type="x sd:string" /> | |
| 162 | </xsd: sequence> | |
| 163 | </xsd:co mplexType> | |
| 164 | <xsd:com plexType n ame="pprIt emLine"> | |
| 165 | <xsd:s equence> | |
| 166 | <xsd :element m inOccurs=" 0" name="i temDate" t ype="xsd:d ate" /> | |
| 167 | <xsd :element m inOccurs=" 0" name="i temType" t ype="xsd:s tring" /> | |
| 168 | <xsd :element m inOccurs=" 0" name="i temService " type="xs d_1:SetOfC odesItem_v 1" /> | |
| 169 | <xsd :element m inOccurs=" 0" name="i temCharge" type="xsd :string" / > | |
| 170 | <xsd :element m inOccurs=" 0" name="i temCovered " type="xs d:string" /> | |
| 171 | </xsd: sequence> | |
| 172 | </xsd:co mplexType> | |
| 173 | <xsd:com plexType n ame="pprND CLine"> | |
| 174 | <xsd:s equence> | |
| 175 | <xsd :element m inOccurs=" 0" name="n ationalDru gCode" typ e="xsd:str ing" /> | |
| 176 | <xsd :element m inOccurs=" 0" name="a i" type="x sd_1:SetOf CodesItem_ v1" /> | |
| 177 | <xsd :element m inOccurs=" 0" name="a iReason" t ype="xsd_1 :SetOfCode sItem_v1" /> | |
| 178 | <xsd :element m inOccurs=" 0" name="u nitsOrQuan tity" type ="xsd:stri ng" /> | |
| 179 | <xsd :element m inOccurs=" 0" name="t otalCharge " type="xs d:string" /> | |
| 180 | <xsd :element m inOccurs=" 0" name="t otalAllowa bleAmount" type="xsd :string" / > | |
| 181 | <xsd :element m inOccurs=" 0" name="m edicaidAmo unt" type= "xsd:strin g" /> | |
| 182 | <xsd :element m inOccurs=" 0" name="o hiPaid" ty pe="xsd:st ring" /> | |
| 183 | <xsd :element m inOccurs=" 0" name="o hiPatientR esponsibil ity" type= "xsd:strin g" /> | |
| 184 | <xsd :element m inOccurs=" 0" name="d eductibleA mount" typ e="xsd:str ing" /> | |
| 185 | <xsd :element m inOccurs=" 0" name="p ayments" t ype="xsd:s tring" /> | |
| 186 | <xsd :element m inOccurs=" 0" name="a llowableUn its" type= "xsd:strin g" /> | |
| 187 | <xsd :element m inOccurs=" 0" name="c hargePerUn it" type=" xsd:string " /> | |
| 188 | <xsd :element m inOccurs=" 0" name="a llowableAm ountPerUni t" type="x sd:string" /> | |
| 189 | <xsd :element m inOccurs=" 0" name="a dditionalO HI" type=" xsd:string " /> | |
| 190 | <xsd :element m inOccurs=" 0" name="o hiPRBalanc e" type="x sd:string" /> | |
| 191 | <xsd :element m inOccurs=" 0" name="c ostShare" type="xsd: string" /> | |
| 192 | </xsd: sequence> | |
| 193 | </xsd:co mplexType> | |
| 194 | <xsd:com plexType n ame="cptMo difiersTyp e"> | |
| 195 | <xsd:s equence> | |
| 196 | <xsd :element m inOccurs=" 0" maxOccu rs="4" nam e="cptModi fier" type ="xsd_1:Se tOfCodesIt em_v1" /> | |
| 197 | </xsd: sequence> | |
| 198 | </xsd:co mplexType> | |
| 199 | </xsd:sche ma> |
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