Summary Table

Categories Total Count
PII 0
URL 0
DNS 0
EKL 0
IP 0
PORT 0
VsID 0
CF 0
AI 0
VPD 0
PL 0
Other 0

File Content

export class SubmissionDetailsModel {
claimId: number;
rfaiStatus = '';
rfaiSubmissionDate = '';
payerName = '';
payerId = '';
informationReceiver = '';
responseDate = '';
billingProvider = '';
providerNpi = '';
providerTin = '';
patientLastname = '';
patientFirstName = '';
patientIdentifier = '';
patientcontrolNumber = '';
payerClaimControlNumber = '';
billType = '';
clearingHouseId = '';
medicalRecordNumber = '';
rfaiRelatedItemResponse: RelatedRFAIModel[] = [];
rfaiAttachmentResponse: AttachmentModel[] = [];
rfaiLineItemResponse: LineItemModel[] = [];
serviceFromDate = '';
serviceToDate = '';
contactInfo = '';
submittedBy = '';
}
export class AttachmentModel {
statusCode = '';
loincCodes = '';
loincModCodes1 = '';
loincModCodes2 = '';
claimLevel = '';
attachments = '';
serviceLine: number;
}

export class RelatedRFAIModel {
startDate = '';
endDate = '';
medicalRecordNumber = '';
patientControlNumber = '';
patientId = '';
patientName = '';
claimId: number;
providerName = '';
providerNPI = '';
providerTin = '';
submissionId = '';
}
export class UpdateRFAIRequestModel {
submissionId: number;
submissionStatus = '';
submissionNote = '';
responseDate = '';
}
export class LineItemModel {
serviceLineId: number;
serviceFrom = '';
serviceTo = '';
revenueCode = '';
procedureCode = '';
modifiers = '';
chargeAmount: number;
}