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
{beginDateOfService: "01/08/18"
charge: "59.46"
dateOfService: "01/08/18" // extra
dxDtPointers: "1, 2, 3, 4" // extra
endDateOfService: ""
facilityTax: ""
lineNumber: "2"
listOfDrugLines: []
listOfEquipment: null // extra
listOfProviderInfo: []
listOfTeeth: null // extra
modifiers: ""
ndcCode: "XX" // extra
operatorPhysicianName: null
operatorPhysicianNpi: null
pos: null // extra
primaryOhiServiceLineAdjustments: [] // extra
primaryPayerPaidAmount: "99.00" // extra
procedureCode: "97802"
quantity: "1"
quantityOrType: "1 UN" // extra
revCode: "0942"
salesTax: "" // extra
secondaryOhiServiceLineAdjustments: null // extra
secondaryPayerPaidAmount: "" // extra
serviceLineLevelAmbulanceInfo: null // extra
serviceLineLevelAmbulanceInfoShouldRender: false // extra
serviceTax: ""
type: "UN"
}