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 RfaiSubmissionRequestModel {
claimId: number;
contactInformation = '';
responseDate = '';
submittedBy = '';
}

export class PDIInfoModel {
payerName = '';
payerId = '';
informationReceiver = '';
providerInformation = '';
providerNpi = '';
providerTin = '';
serviceFromDate = '';
serviceToDate = '';
patientLastname = '';
patientFirstName = '';
patientIdentifier = '';
patientcontrolNumber = '';
payerClaimControlNumber = '';
billType = '';
// contactInformation = '';
responseDate = '';
clearingHouseId = '';
medicalRecordNumber = '';
level = '';
rfaiLineItemResponse: LineModel[] = [];
codeAndLevelList: CodeAndLevelModel[] = [];
}

export class LineModel {
selected = false;
serviceLineId: number;
serviceFrom = '';
serviceTo = '';
revenueCode = '';
procedureCode = '';
modifiers = '';
chargeAmount: number;
}
export class RfaiInfoModel {
claimId = 0;
// claimStatus = '';
// loincCode = '';
// loincCodeModifier = '';
payerName = '';
payerId = '';
informationReceiver = '';
responseDate = '';
contactInformation = '';
providerInformation = '';
providerNpi = '';
providerTin = '';
serviceFromDate = '';
serviceToDate = '';
patientLastname = '';
patientFirstName = '';
patientIdentifier = '';
patientcontrolNumber = '';
payerClaimControlNumber = '';
billType = '';
clearingHouseId = '';
medicalRecordNumber = '';
rfaiLineItemResponse: LineModel[] = [];
codeAndLevelList: CodeAndLevelModel[] = [];
level = 'C';
submittedBy = '';
}

export class CodeAndLevelModel {
claimStatus = 0;
loincCode = 0;
loincCodeModifier1 = '0';
loincCodeModifier2 = '0';
lineNumber = '0';
}

export interface ResponseCheckPending {
pendingSubmission: boolean;
}